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pmid:31679074

Prognostic significance of KN motif and ankyrin repeat domains 1 (KANK1) in invasive breast cancer.

Yousif A Kariri · Chitra Joseph · Sasagu Kurozumi · Michael S Toss · Mansour Alsaleem · Sara Raafat · Nigel P Mongan · Mohammed A Aleskandarany · Andrew R Green · Emad A Rakha

Breast cancer research and treatment · 2020 doi:10.1007/s10549-019-05466-8

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Record details sci_version · id · kind · revision · content_hash · schema · created_at · updated_at · generator
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pmid:31679074
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science-record
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sha256:049f19422de3054a61636fd35b6b4aeed6da5ceb52992eb3ac997358e9d3ff11
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2026-11-01T15:40:51Z
updated_at
2026-11-01T21:22:35Z
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paper object · 10 fields
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title
Prognostic significance of KN motif and ankyrin repeat domains 1 (KANK1) in invasive breast cancer.
doi
10.1007/s10549-019-05466-8
pmid
31679074
authors array · 10 items
[0]
Yousif A Kariri
[1]
Chitra Joseph
[2]
Sasagu Kurozumi
[3]
Michael S Toss
[4]
Mansour Alsaleem
[5]
Sara Raafat
[6]
Nigel P Mongan
[7]
Mohammed A Aleskandarany
[8]
Andrew R Green
[9]
Emad A Rakha
journal
Breast cancer research and treatment
year
2020
abstract
BACKGROUND: KN motif and ankyrin repeat domains 1 (KANK1) plays an important role in cytoskeleton maintenance and contributes to the regulation of cell proliferation, adhesion and apoptosis. KANK1 is involved in progression of a variety of solid tumours; however, its role in invasive breast cancer (BC) remains unknown. This study aims to evaluate the clinicopathological and prognostic value of KANK1 expression in operable BC. METHODS: KANK1 expression was assessed at the transcriptomic level using multiple BC cohorts; the Molecular Taxonomy of BC International Consortium cohort (METABRIC; n = 1980), The Cancer Genome Atlas BC cohort (TCGA; n = 949) and the publicly available BC transcriptomic data hosted by BC Gene-Expression Miner (bc-GenExMiner v4.0) and Kaplan-Meier plotter?. The Nottingham BC cohort (n = 1500) prepared as tissue microarrays was used to assess KANK1 protein expression using immunohistochemistry (IHC). The association between clinicopathological variables and patient outcome was investigated. RESULTS: In the METABRIC cohort, high expression of KANK1 mRNA was associated with characteristics of good prognosis including lower grade, absence of lymphovascular invasion and HER2 negativity (all; p < 0.001) and with better outcome [p = 0.006, Hazards ratio, (HR) 0.70, 95% CI 0.54-0.91]. High KANK1 protein expression was correlated with smaller tumour size and HER2 negativity, and better outcome in terms of longer breast cancer-specific survival [p = 0.013, HR 0.7, 95% CI 0.536-0.893] and time to distant metastasis [p = 0.033, HR 0.65, 95% CI 0.51-0.819]. CONCLUSION: These results supported that upregulation of KANK1 works as a tumour suppressor gene in BC and is associated with improved patients' outcomes.
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Cox proportional hazard method was employed for the multivariate survival analysis.
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sections[9] "Statistical analysis" paragraph 2
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Cox proportional hazard method was employed for the multivariate survival analysis.
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The authors confirm the data that have been used in this work are available on reasonable request.
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sections[18] "Data availability" paragraph 2
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The authors confirm the data that have been used in this work are available on reasonable request.
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Statistical association between KANK1 protein expression and clinicopathological characteristics of the studies cohort
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KANK1 protein expression
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Statistical association between KANK1 protein expression and clinicopathological characteristics of the studies cohort
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KANK1 protein expression
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Low
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High
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p value
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[0]
N (%)
[1]
N (%)
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[0]
Tumour size
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[0]
≤ 2.0 cm
[1]
382 (47.9)
[2]
415 (52.1)
[3]
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[0]
> 2.0 cm
[1]
290 (55.0)
[2]
237 (45.0)
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Negative
[1]
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408 (50.0)
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263 (52.1)
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242 (47.9)
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337 (48.4)
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[1]
312 (49.8)
[2]
315 (50.2)
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[1]
361 (52.8)
[2]
323 (47.2)
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[0]
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[1]
112 (51.4)
[2]
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[1]
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[2]
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Negative
[1]
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[2]
539 (47.4)
[3]
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[1]
74 (39.4)
[2]
114 (60.6)
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Triple negative breast cancer
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[1]
571 (51)
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[2]
104 (51)
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Multivariate Cox proportional hazard regression analysis for predictors of BCSS and time to distant metastasis (TTDM) in the Nottingham BC cohort
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KANK1 protein expression
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Multivariate Cox proportional hazard regression analysis for predictors of BCSS and time to distant metastasis (TTDM) in the Nottingham BC cohort
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p value (< 0.05)
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KANK1 expression
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[2]
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0.0013
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[4]
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[1]
0.57
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[1]
0.76
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Association of KANK1 mRNA expression with clinicopathological characteristics in the METABRIC (n = 1980) and TCGA (n = 895) datasets
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Clinicopathological significance of KANK1 mRNA expression
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Table 1
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Association of KANK1 mRNA expression with clinicopathological characteristics in the METABRIC (n = 1980) and TCGA (n = 895) datasets
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TCGA cohort
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N (%)
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N (%)
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N (%)
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N (%)
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452 (53)
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0.033
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112 (47)
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127 (53)
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575 (52)
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526 (48)
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315 (51)
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300 (49)
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502 (49)
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533 (519)
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0.14
[4]
193 (45)
[5]
233 (55)
[6]
0.007
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487 (52)
[2]
451 (48)
[3]
231 (55)
[4]
192 (45)
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493 (53)
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301 (54)
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291 (45)
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169 (57)
[4]
126 (43)
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507 (54)
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0.001
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229 (49)
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235 (51)
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0.62
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439 (46)
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180 (51)
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172 (49)
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Oestrogen receptor
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[1]
211 (44)
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263 (56)
[3]
0.007
[4]
66 (35)
[5]
119 (65)
[6]
< 0.001
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727 (48)
[3]
345 (54)
[4]
294 (46)
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[1]
482 (51)
[2]
458 (49)
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0.3
[4]
119 (44)
[5]
153 (56)
[6]
0.018
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508 (49)
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532 (51)
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288 (53)
[4]
258 (47)
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Human epidermal growth factor receptor 2
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916 (53)
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< 0.001
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254 (45)
[5]
313 (55)
[6]
< 0.001
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74 (30)
[3]
94 (71)
[4]
39 (29)
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Correlation of KANK1 mRNA expression with mRNA expression of EMT-related genes
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PMC6987050
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11
section_title
Clinicopathological significance of KANK1 mRNA expression
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Table 2
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Correlation of KANK1 mRNA expression with mRNA expression of EMT-related genes
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[0] array · 3 items
[0]
Gene names
[1]
METABRIC cohort
[2]
TCGA cohort
[1] array · 4 items
[0]
Correlation value
[1]
p value
[2]
Correlation value
[3]
p value
[2] array · 5 items
[0]
CDH1
[1]
0.052
[2]
0.022
[3]
0.147
[4]
< 0.001
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[0]
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[1]
− 0.074
[2]
0.001
[3]
− 0.035
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[4] array · 5 items
[0]
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[1]
− 0.043
[2]
0.054
[3]
− 0.157
[4]
< 0.001
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[0]
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[1]
0.146
[2]
< 0.001
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[4]
0.9
[6] array · 5 items
[0]
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[1]
0.024
[2]
0.29
[3]
− 0.44
[4]
0.2
[7] array · 5 items
[0]
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[1]
0.146
[2]
< 0.001
[3]
0.061
[4]
0.075
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[0]
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[1]
0.008
[2]
0.73
[3]
0.016
[4]
0.65
[9] array · 5 items
[0]
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[1]
0.193
[2]
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[3]
0.143
[4]
< 0.001
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[1]
0.014
[2]
0.54
[3]
0.061
[4]
0.075
[11] array · 5 items
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[1]
0.069
[2]
0.002
[3]
0.057
[4]
0.095
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[0]
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[1]
− 0.237
[2]
0.002
[3]
− 0.118
[4]
< 0.001
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[0]
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[1]
− 0.193
[2]
< 0.001
[3]
0.094
[4]
0.006
[14] array · 5 items
[0]
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[1]
− 0.092
[2]
< 0.001
[3]
61
[4]
0.075
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[0]
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[1]
0.206
[2]
< 0.001
[3]
0.222
[4]
< 0.001
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Statistical association between KANK1 protein expression and clinicopathological characteristics of the studies cohort
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PMC6987050
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12
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KANK1 protein expression
row_count
31
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4
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Table 3
caption
Statistical association between KANK1 protein expression and clinicopathological characteristics of the studies cohort
rows array · 31 items
[0] array · 2 items
[0]
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[1]
KANK1 protein expression
[1] array · 3 items
[0]
Low
[1]
High
[2]
p value
[2] array · 2 items
[0]
N (%)
[1]
N (%)
[3] array · 1 item
[0]
Tumour size
[4] array · 4 items
[0]
≤ 2.0 cm
[1]
382 (47.9)
[2]
415 (52.1)
[3]
0.012
[5] array · 3 items
[0]
> 2.0 cm
[1]
290 (55.0)
[2]
237 (45.0)
[6] array · 1 item
[0]
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[0]
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[1]
408 (50.0)
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408 (50.0)
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0.46
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[0]
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263 (52.1)
[2]
242 (47.9)
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[0]
Lymphovascular invasion
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[0]
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[1]
461 (49.5)
[2]
471 (50.5)
[3]
0.15
[11] array · 3 items
[0]
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[1]
211 (53.8)
[2]
181 (46.2)
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360 (51.6)
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337 (48.4)
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0.49
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312 (49.8)
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315 (50.2)
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198 (47.4)
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220 (52.6)
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0.22
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361 (52.8)
[2]
323 (47.2)
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112 (51.4)
[2]
106 (48.6)
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[0]
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133 (47.3)
[2]
148 (52.7)
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0.2
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540 (51.7)
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505 (48.3)
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[1]
276 (49.6)
[2]
281 (50.4)
[3]
0.47
[24] array · 3 items
[0]
Positive
[1]
393 (51.6)
[2]
369 (48.4)
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Human epidermal growth factor receptor 2
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[0]
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[1]
599 (52.6)
[2]
539 (47.4)
[3]
0.00074
[27] array · 3 items
[0]
Positive
[1]
74 (39.4)
[2]
114 (60.6)
[28] array · 1 item
[0]
Triple negative breast cancer
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[0]
Negative
[1]
571 (51)
[2]
549 (49)
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[30] array · 4 items
[0]
Positive
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[2]
104 (51)
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0.699
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Multivariate Cox proportional hazard regression analysis for predictors of BCSS and time to distant metastasis (TTDM) in the Nottingham BC cohort
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KANK1 protein expression
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Multivariate Cox proportional hazard regression analysis for predictors of BCSS and time to distant metastasis (TTDM) in the Nottingham BC cohort
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[1]
BCSS
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TDDM
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95% CI
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p value (< 0.05)
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95% CI
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p value (< 0.05)
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[0]
KANK1 expression
[1]
1.4
[2]
1.072–1.786
[3]
0.0013
[4]
1.3
[5]
1.02–1.64
[6]
0.033
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Tumour size
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0.78
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0.59–1.02
[3]
0.065
[4]
0.68
[5]
0.53–0.88
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0.003
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[0]
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1.62
[2]
1.26–2.08
[3]
< 0.0001
[4]
1.35
[5]
1.08–1.68
[6]
0.008
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1.78
[2]
1.50–2.13
[3]
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1.65
[5]
1.40–2.00
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0.54
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0.41–0.71
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< 0.0001
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0.55
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0.43–0.88
[6]
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0.99
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0.56–1.04
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0.67
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0.50–0.90
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section[12]/table-wrap[2]#Tab4
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kaplan_meier
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The authors confirm the data that have been used in this work are available on reasonable request.
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{"sci_version": "1.2", "schema": "https://corpus.bntrg.co.uk/sci/1.0/sci.schema.json", "id": "pmid:31679074", "kind": "science-record", "revision": 6, "content_hash": "sha256:049f19422de3054a61636fd35b6b4aeed6da5ceb52992eb3ac997358e9d3ff11", "created_at": "2026-11-01T15:40:51Z", "updated_at": "2026-11-01T21:22:35Z", "generator": {"name": "corpus-assay-engine", "run_id": "reading-sci-2026-11-01"}, "paper": {"state": "complete", "title": "Prognostic significance of KN motif and ankyrin repeat domains 1 (KANK1) in invasive breast cancer.", "doi": "10.1007/s10549-019-05466-8", "pmid": "31679074", "authors": ["Yousif A Kariri", "Chitra Joseph", "Sasagu Kurozumi", "Michael S Toss", "Mansour Alsaleem", "Sara Raafat", "Nigel P Mongan", "Mohammed A Aleskandarany", "Andrew R Green", "Emad A Rakha"], "journal": "Breast cancer research and treatment", "year": 2020, "abstract": "BACKGROUND: KN motif and ankyrin repeat domains 1 (KANK1) plays an important role in cytoskeleton maintenance and contributes to the regulation of cell proliferation, adhesion and apoptosis. KANK1 is involved in progression of a variety of solid tumours; however, its role in invasive breast cancer (BC) remains unknown. This study aims to evaluate the clinicopathological and prognostic value of KANK1 expression in operable BC.\nMETHODS: KANK1 expression was assessed at the transcriptomic level using multiple BC cohorts; the Molecular Taxonomy of BC International Consortium cohort (METABRIC; n = 1980), The Cancer Genome Atlas BC cohort (TCGA; n = 949) and the publicly available BC transcriptomic data hosted by BC Gene-Expression Miner (bc-GenExMiner v4.0) and Kaplan-Meier plotter?. The Nottingham BC cohort (n = 1500) prepared as tissue microarrays was used to assess KANK1 protein expression using immunohistochemistry (IHC). The association between clinicopathological variables and patient outcome was investigated.\nRESULTS: In the METABRIC cohort, high expression of KANK1 mRNA was associated with characteristics of good prognosis including lower grade, absence of lymphovascular invasion and HER2 negativity (all; p < 0.001) and with better outcome [p = 0.006, Hazards ratio, (HR) 0.70, 95% CI 0.54-0.91]. High KANK1 protein expression was correlated with smaller tumour size and HER2 negativity, and better outcome in terms of longer breast cancer-specific survival [p = 0.013, HR 0.7, 95% CI 0.536-0.893] and time to distant metastasis [p = 0.033, HR 0.65, 95% CI 0.51-0.819].\nCONCLUSION: These results supported that upregulation of KANK1 works as a tumour suppressor gene in BC and is associated with improved patients' outcomes.", "claims": [{"id": "claim-method", "statement": "Cox proportional hazard method was employed for the multivariate survival analysis.", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:31679074", "locator": "sections[9] \"Statistical analysis\" paragraph 2", "quote": "Cox proportional hazard method was employed for the multivariate survival analysis."}], "state": "complete"}, {"id": "claim-data-access", "statement": "The authors confirm the data that have been used in this work are available on reasonable request.", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:31679074", "locator": "sections[18] \"Data availability\" paragraph 2", "quote": "The authors confirm the data that have been used in this work are available on reasonable request."}], "state": "complete"}], "gaps": []}, "experiment": {"state": "partial", "objective": null, "steps": [{"id": "read_published_estimate", "order": 1, "name": "Read the published estimate from the source", "kind": "other", "state": "complete", "blocked_on": null, "description": "The claim, method and evidence span published with the source article.", "duration_hours": null, "parameters": {}, "inputs": ["source:pmid:31679074"], "outputs": ["the published estimate and its evidence"], "instruments": [], "reagents": []}, {"id": "obtain_source_data", "order": 2, "name": "Obtain the source data from the named repository", "kind": "data-preparation", "state": "blocked", "blocked_on": "data:accession_absent", "description": "The GEO series accession resolves and its sample accessions are listed. 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