Abstract
Aim. The underlying biological processes are crucial for understanding the process of breast tumorigenesis. Accordingly, the present study aims to investigate the impact of the expression of key cellular components [PIM1, leptin hormone (LEP) and Interleukin 20 (IL20)] in both of breast benign lumps and malignant cancer.
Materials and Methods. For this purpose, a serum blood samples were collected from all participants including 50 newly diagnosed breast cancer, 23 with benign breast lumps and 45 age-matched healthy controls. The expression of PIM1 was assessed by qRT-PCR, while serum LEP and IL 20 were estimated via ELISA technique.
Results. The result of this study showed PIM1 gene expression was significantly (p ˂ 0.0134) elevated in breast cancer patients at both malignant and benign level (2.76 ± 0.27 and 2.84 ± 0.42) relative to that of healthy controls. PIM1 expression seemed to be significantly influenced (p ˃ 0.05) by breast cancer’s age and menopausal status. Serum leptin levels also was significantly increased (p ˂ 0.001) in patients diagnosed with breast cancer in comparison to that in benign breast lumps and healthy control (2 ± 0.14 vs. 0.69 ± 0.014 and 0.64 ± 0.03 ng/ml, respectively). Age and menopausal status were seeming to significantly (p ˂ 0.05) affect leptin serum levels of the assessed breast cancer patients. IL-20 serum levels showed a significant increase (p ˂ 0.05) in patients with benign breast lumps compared to malignant breast cancer patients and healthy control groups.
Conclusion. Overall, the present study findings suggest that oncogenic PIM1 gene, LEP, and IL-20 expression are being selected to confer growth advantage for breast cells toward malignant transformation for both benign and malignant transformation of breast cell.
References
Arnold M., Morgan E., Rumgay H., et al. Current and future burden of breast cancer: Global statistics for 2020 and 2040. The Breast. 2022; 66: 15-23.-DOI: https://doi.org/10.1016/j.breast.2022.08.010.
Al-Bedairy I., Shamsa M., Salim S.A., et al. FOXA1 expression in Iraqi women with ER+ breast cancer. Baghdad J Biochem Appl Biol Sci. 2021; 2(02): 106-119.-DOI: https://doi.org/10.47419/bjbabs.v2i02.43.
Al-Rubaye R., Al-Jumaily R. High tumor levels of Ki-67, VEGF and endostatin are associated with progression of breast cancer in iraqi women. Egypt J Hosp Med. 2023; 90(1): 79-83.-DOI: https://doi.org/10.21608/ejhm.2023.279199.
Mutar M.T., Goyani M.S., Had A.M., Mahmood A.S. Pattern of presentation of patients with breast cancer in Iraq in 2018: A cross-sectional study. J Glob Oncol. 2019; (5): 1-6.-DOI: https://doi.org/10.1200/jgo.19.00041.
Choudhury R., Bahadi C.K., Ray I.P., et al. PIM1 kinase and its diverse substrate in solid tumors. Cell Commun Signal. 2024; 22(1).-DOI: https://doi.org/10.1186/s12964-024-01898-y.
Zhao Y., Aziz A.U.R., Zhang H., et al. A systematic review on active sites and functions of PIM-1 protein. Human Cell. 2022; 35(2): 427-440.-DOI: https://doi.org/10.1007/s13577-021-00656-3.
Odarenko K.V., Salomatina O.V., Chernikov I.V., et al. Soloxolone methyl reduces the stimulatory effect of leptin on the aggressive phenotype of murine neuro2A neuroblastoma cells via the MAPK/ERK1/2 pathway. Pharmaceuticals. 2023; 16(10): 1369.-DOI: https://doi.org/10.3390/ph16101369.
Wang J., Yang F., Chen Y., et al. A positive feedback loop of OTUD1 and c-Jun driven by leptin expedites stemness maintenance in ovarian cancer. Oncogene. 2025; 44(22): 1731-45.-DOI: https://doi.org/10.1038/s41388-025-03342-y.
Aldaalis A., Bengoechea-Alonso M.T., Ericsson J. The SREBP-dependent regulation of cyclin D1 coordinates cell proliferation and lipid synthesis. Front Oncol. 2022; 12.-DOI: https://doi.org/10.3389/fonc.2022.942386.
Neamah A.S., Wadan A.H.S., Lafta F.M., Elakwa D.E.S. The potential role of targeting the leptin receptor as a treatment for breast cancer in the context of hyperleptinemia: a literature review. Naunyn Schmiedebergs Arch Pharmacol. 2025; 398(4): 3451-3466.-DOI: https://doi.org/10.1007/s00210-024-03592-9.
Yousif N.G., Al-Amran F.G., Nöth U.A. A systematic meta-analysis on proinflammatory cytokine IL-20 mediates and promotes bone metastasis of breast cancer. Am J Biomed Sci. 2024; 12(3): 83-100.-URL: https://ajbm.net/research-article_122623html/.
Schwalbe E.C., Lafta F., Barrow T.M., Strathdee G. Integration of genome-level data to allow identification of subtype-specific vulnerability genes as novel therapeutic targets. Oncogene. 2021; 40(33): 5213-5223.-DOI: https://doi.org/101038/s41388-021-01923-1.
Livak K.J., Schmittgen T.D. Analysis of relative gene expression data using real-time quantitative PCR and the 2−ΔΔCT method. Methods. 2001; 25(4): 402-408.-DOI: https://doi.org/10.1006/meth.2001.1262.
Mishra P., Singh U., Pandey C., et al. Application of student’s t-test, analysis of variance, and covariance. Ann Card Anaesth. 2019; 22(4): 407.-DOI: https://doi.org/10.4103/aca.aca_94_19.
Mohammed A.R. Estimation of IL-21 gene expression associated with breast cancer in Iraqi patients. IJB. 2022; 21(2).-URL: https://jige.uobaghdad.edu.iq/index.php/IJB/article/view/500.
Al-Janaby M.S., Al-Ani M.Q., Lafta F.M. Genotypic and phenotypic study of PDCD4 gene concerning micro RNA-21 and micro RNA-449b polymorphism in breast cancer. Iraqi J Sci. 2025: 77-89.-DOI: https://doi.org/10.24996/ijs.2025.66.1.8.
Mohsin R.N., Mohamad B.J. Clinical and histopathological features of breast cancer in Iraqi patients between 2018-2021. Iraqi J Sci. 2024: 90-107.-DOI: https://doi.org/10.24996/ijs.2024.65.1.9.
Zuo Z., Liu J., Sun Z., et al. ERK and c-Myc signaling in host-derived tumor endothelial cells is essential for solid tumor growth. Proc Natl Acad Sci USA. 2023; 120(1): e2211927120.-DOI: https://doi.org/10.1073/pnas.2211927120.
Buonaiuto R., Napolitano F., Parola S., et al. Insight on the role of Leptin: A bridge from obesity to breast cancer. Biomolecules. 2022; 12(10): 1394.-DOI: https://doi.org/10.3390/biom12101394.
Renna M.E., Shrout M.R., Madison A.A., et al. Fluctuations in depression and anxiety predict dysregulated leptin among obese breast cancer survivors. J Cancer Surviv. 2021; 15(6): 847-854.-DOI: https://doi.org/10.1007/s11764-020-00977-6.
Al-Attaby, A.K.T., and Al-Lami M.Q.D. Role of calcium-regulating hormones, adipocytokines and renal function test in the progress of type 2 diabetes mellitus in a sample of Iraqi patients. Iraqi J Agric Sci. 2019: 50(1): 343-351.-URL: https://scispace.com/pdf/role-of-calcium-regulating-hormones-adipocytokines-and-renal-4corbmxdgk.pdf.
Atta R.Z., and Aloubaidy RM. Genetic polymorphism of asthma in Iraq. Iraqi J Agric Sci. 2022: 53(2): 288-296.-DOI: https://doi.org/10.36103/ijas.v53i2.1536
Hunzeker Z.E., Zhao L., Kim A.M., et al. The role of IL-22 in cancer. Medical Oncology. 2024; 41(10).-DOI: https://doi.org/10.1007/s12032-024-02481-8.
Hibino S.T., Kawazoe H., Kasahara S., et al. Inflammation-induced tumorigenesis and metastasis. Int J Mol Sci. 2021; 22(11): 5421.-DOI: https://doi.org/10.3390/ijms22115421.
Román M., Louro J., Posso M., et al. Long-term risk of breast cancer after diagnosis of benign breast disease by screening mammography. Int J Environ Res Public Health. 2022; 19(5): 2625.-DOI: https://doi.org/10.3390/ijerph19052625.
MaggisanoV., D’Amico M., Aquila S., et al. IL-20 subfamily biological effects: Mechanistic insights and therapeutic perspectives in cancer. Int J Mol Sci. 2025; 26(15): 7320.-DOI: https://doi.org/10.3390/ijms26157320.
Wang K., Zhan H.Q., Hu Y., et al. The role of interleukin-20 in liver disease: Functions, mechanisms and clinical applications. Heliyon. 2024; 10(9).-DOI: https://doi.org/10.1016/j.heliyon.2024.e29853.
Fadhil R.Z. and Aadim K.A. Cytotoxic effect of plasma activated medium on the treated breast cancer. Iraqi J Agric Sci. 2024; 55 (1): 371-381.-DOI: https://doi.org/10.36103/bm6h2e50.

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