Co-expression of LPHN3 and NKX3.1 as a predictive biomarker for metastasis in breast cancer Authors Ramsha Khan Department of Pathology, Dow University of Health Science, Karachi, Pakistan https://orcid.org/0000-0002-5444-1093 Mohiuddin Alamgir Department of Pathology, Dow University of Health Science, Karachi, Pakistan Nehad Khan Department of Pathology, Dow University of Health Science, Karachi, Pakistan Mohammad Bilal Khan Dow University of Health Science, Karachi, Pakistan Farah Fatima Abbas Department of Pathology, Dow University of Health Science, Karachi, Pakistan Saba Kamil Department of Pathology, Dow University of Health Science, Karachi, Pakistan DOI: https://doi.org/10.47391/JPMA.11127 Keywords: Immunohistochemistry, LPHN3, NKX3.1, Breast cancer, Metastasis Abstract Objectives: To assess latrophilin-3 (LPHN3) and Homeobox protein (NKX- 3.1) protein expression in breast cancer, and the association with metastasis. Method: The case-control was conducted at the Dow University of Health Sciences, Karachi, and comprised breast carcinoma tissue sections diagnosed between July and November 2022. The tissues were divided into 2 equal groups, with group A having cases with metastasis and group B having controls without metastasis. expression of latrophilin-3 and NKX3.1 in tissue was assessed using immunohistochemistry in both the groups. Data was analysed using SPSS 21. Results: Of the 80 women with mean age 50±1.20 years, 40(50%) were in each of the 2 groups. Overall, 31(38.8%) tissues were from the right-side breast, and 49(61.2%) were from the left-side breast. Latrophilin-3 was highly expressed in group A 35(87.5%) compared to group B 10(25%) (p<0.001). The expression of NKX3.1 was weak in 10(25%) group A cases and 4(10%) group B controls (p=0.070). Conclusions: The expression of latrophilin-3 could play an important role in the prediction of metastasis in early-stage breast cancers. In contrast, NKX3.1 expression had no significant association with metastasis. Key Words: Immunohistochemistry, LPHN3, NKX3.1, Breast cancer, Metastasis. Downloads Full Text Article Published 2025-01-26 How to Cite Khan, R., Alamgir, M., Khan, N., Khan, M. B., Abbas, F. F., & Kamil, S. (2025). Co-expression of LPHN3 and NKX3.1 as a predictive biomarker for metastasis in breast cancer. Journal of the Pakistan Medical Association, 75(02), 202–207. https://doi.org/10.47391/JPMA.11127 More Citation Formats ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver Download Citation Endnote/Zotero/Mendeley (RIS) BibTeX Issue Vol. 75 No. 02 (2025): FEBRUARY Section RESEARCH ARTICLE License Copyright (c) 2025 Journal of the Pakistan Medical Association This work is licensed under a Creative Commons Attribution 4.0 International License.