Differential expression of maternal embryonic leucine zipper kinase in triple negative breast cancer.
Women diagnosed with triple negative breast cancer can benefit neither from endocrine therapy nor from HER2-targeted therapies (1). We mined published microarray datasets (2, 3) to determine in an unbiased fashion and at the systems level genes most differentially expressed in the primary tumors of patients with breast cancer. We report here significant differential expression of the gene encoding maternal embryonic leucine zipper kinase, MELK, when comparing the tumor cells of patients with triple negative breast cancer to normal mammary ductal cells (2). MELK was also differentially expressed in bulk tumor in human breast cancer (3). MELK mRNA was present at significantly increased quantities in TNBC tumor cells relative to normal mammary ductal cells. Analysis of human survival data revealed that expression of MELK in primary tumors of the breast was correlated with recurrence-free survival in patients with luminal A type cancer, while within triple negative breast cancer, primary tumor expression of MELK was correlated with distant metastasis-free survival in patients with basal-like 1 and luminal androgen receptor subtype disease. MELK may be of relevance to initiation, maintenance or progression of triple negative breast cancers.