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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">vetpatol</journal-id><journal-title-group><journal-title xml:lang="en">Russian Journal of Veterinary Pathology</journal-title><trans-title-group xml:lang="ru"><trans-title>Ветеринарная патология</trans-title></trans-title-group></journal-title-group><issn pub-type="epub">2949-4826</issn><publisher><publisher-name>Don State Technical University</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.23947/2949-4826-2026-25-2-54-60</article-id><article-id custom-type="edn" pub-id-type="custom">GIVVOK</article-id><article-id custom-type="elpub" pub-id-type="custom">vetpatol-2149</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Animal pathology, morphology, physiology, pharmacology and toxicology</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Патология животных, морфология, физиология, фармакология и токсикология</subject></subj-group></article-categories><title-group><article-title>Expression of Vimentin, α-SMA, and CD34 in Malignant Mammary Tumors in Dogs</article-title><trans-title-group xml:lang="ru"><trans-title>Экспрессия vimentin, α-SMA и CD34 в злокачественных типах опухолей молочной железы у собак</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дарбишева</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Darbisheva</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Дарбишева Алина Андреевна, аспирант кафедры паразитологии и ветсанэкспертизы, анатомии и патанатомии им. С.Н. Никольского института ветеринарии и биотехнологий</p><p>355017, г. Ставрополь, пер. Зоотехнический, д. 12</p></bio><bio xml:lang="en"><p>Alina A. Darbisheva, Post Graduate Degree Student of the Parasitology and Veterinary-Sanitary Inspection, Anatomy and Pathoanatomy Department Named after S.N. Nikolsky</p><p>12, Zootechnichesky Lane, Stavropol, 355017</p></bio><email xlink:type="simple">darbisevaalina@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0247-8633</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дилекова</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Dilekova</surname><given-names>O. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Дилекова Ольга Владимировна, доктор биологических наук, доцент кафедры паразитологии и ветсанэкспертизы, анатомии и патанатомии им. С.Н. Никольского института ветеринарии и биотехнологий</p><p>355017, г. Ставрополь, пер. Зоотехнический, д. 12</p></bio><bio xml:lang="en"><p>Olga V. Dilekova, Dr.Sci. (Biology), Associate Professor of the Parasitology and Veterinary-Sanitary Inspection, Anatomy and Pathoanatomy Department Named after S.N. Nikolsky</p><p>12, Zootechnichesky Lane, Stavropol, 355017</p></bio><email xlink:type="simple">dilekova2009@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Ставропольский государственный аграрный университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Stavropol State Agrarian University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>23</day><month>07</month><year>2026</year></pub-date><volume>25</volume><issue>2</issue><fpage>54</fpage><lpage>60</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Darbisheva A.A., Dilekova O.V., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Дарбишева А.А., Дилекова О.В.</copyright-holder><copyright-holder xml:lang="en">Darbisheva A.A., Dilekova O.V.</copyright-holder><license license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.vetpat.ru/jour/article/view/2149">https://www.vetpat.ru/jour/article/view/2149</self-uri><abstract><sec><title>Introduction</title><p>Introduction. At the contemporary stage of mammary tumor studies, the microenvironment is considered a key factor contributing to neoplasia formation and metastasis. Therefore, the greatest attention is paid to the cellular composition of the mammary tumor microenvironment, in which the most widespread elements are the stromal cancer-associated fibroblasts (CAFs). However, in veterinary oncology, stromal markers of malignant mammary tumors are insufficiently studied. The aim of the present study is to investigate the expression of tumor marker proteins, i.e. vimentin, α-SMA, and CD34, in the stroma of the malignant mammary tumor microenvironments in dogs.</p></sec><sec><title>Materials and Methods</title><p>Materials and Methods. The objects of the study that was conducted in the period from 2022 to 2024 were the female dogs of various breeds and ages (n=26). The materials studied were the mammary tumors. A comprehensive range of histological and immunohistochemical studies was conducted in compliance with the standard techniques.Results. It has been established that in different histological types and degrees of canine mammary tumor malignancy, the fibroblastic differentiation lineage cells demonstrate a high expression of vimentin and α-SMA and a low expression of CD34, which indicates their differentiation into CAFs.Discussion and Conclusion. The obtained results can be used as basic applied data in the study of carcinogenesis in veterinary oncology.</p></sec></abstract><trans-abstract xml:lang="ru"><p>Введение. На данном этапе изучения опухолей молочной железы микроокружение рассматривается как ключевой элемент, способствующий формированию и метастазированию неоплазий. В связи с этим наибольшее внимание уделяется клеточному составу микроокружения опухоли молочной железы, в котором наиболее распространены стромальные фибробласты CAFs. Однако в ветеринарной онкологии маркеры стромы злокачественных опухолей молочной железы изучены недостаточно. Цель исследования — изучить экспрессию онкомаркерных белков vimentin, α-SMA, CD34 в стромальном компоненте микроокружения злокачественных опухолей молочной железы у собак.Материалы и методы. Объектом исследования, проведенного в 2022–2024 гг., являлись самки собак разных пород и возраста (n=26). Материал исследования — опухоль молочной железы. Комплекс гистологических и иммуногистохимических исследований проведен по общепринятым методикам.Результаты исследования. Установлено, что при разных гистологических типах и степени злокачественности опухолей молочной железы у собак клетки фибробластического дифферона обладают высокой экспрессией виментина и α-SMA и низкой экспрессией CD34, что указывает на их дифференцировку в CAFs.Обсуждение и заключение. Полученные результаты можно использовать в качестве качестве базовых прикладных данных при изучении канцерогенеза в ветеринарной онкологии.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>молочная железа</kwd><kwd>злокачественная опухоль</kwd><kwd>иммуногистохимия</kwd><kwd>собаки</kwd><kwd>экспрессия</kwd><kwd>виментин</kwd><kwd>vimentin</kwd><kwd>α-SMA</kwd><kwd>CD34</kwd></kwd-group><kwd-group xml:lang="en"><kwd>mammary gland</kwd><kwd>malignant tumor</kwd><kwd>immunohistochemistry</kwd><kwd>dogs</kwd><kwd>expression</kwd><kwd>vimentin</kwd><kwd>α-SMA</kwd><kwd>CD34</kwd></kwd-group></article-meta></front><body><p>Introduction. In modern oncology, the mammary tumor microenvironment is considered an important factor influencing the formation of the premetastatic niche in metastasis and contributing to development of a response to nutrient scarcity, lack of oxygen or medicines [<xref ref-type="bibr" rid="cit1">1</xref>][<xref ref-type="bibr" rid="cit2">2</xref>]. Studies [3–5] have established that mammary tumor stroma predominantly consists of cancer-associated fibroblasts (CAFs) — a heterogeneous group of cells participating in a number of processes in tumor microenvironment by fostering the extracellular matrix remodeling, depositing basement membrane components, and by stimulating angiogenesis, development, progression, invasion, and metastasis of cancer.</p><p>This cell pool originates from resident fibroblasts, mesenchymal and hematopoietic stem cells, as well as from endothelial cells (endothelial-mesenchymal transition) and epithelial cells (epithelial-mesenchymal transition) [<xref ref-type="bibr" rid="cit3">3</xref>][<xref ref-type="bibr" rid="cit4">4</xref>]. Vimentin, α-SMA and CD34 have been established to be the potential markers of the fibroblastic series cells (including CAFs) and can be used to determine the presence and localization of these cells in the mammary tumors.</p><p>Vimentin is an intermediate filament protein expressed in fibroblasts and endothelial cells. It regulates cell migration, differentiation, proliferation, adhesion, and invasion, and modulates the epithelial-mesenchymal transition induced by tumor initiation and development [<xref ref-type="bibr" rid="cit6">6</xref>].</p><p>α-SMA is one of the actin isoforms that stimulates cell motility and is involved in maintaining shape and polarity of cells, as well as in regulating their transcription. Its expression is characteristic of myofibroblasts, known as myofibroblastic CAFs [<xref ref-type="bibr" rid="cit7">7</xref>][<xref ref-type="bibr" rid="cit8">8</xref>][<xref ref-type="bibr" rid="cit9">9</xref>].</p><p>CD34 is a biomarker of hematopoietic and non-hematopoietic stem cells, including vascular endothelial progenitor cells, embryonic fibroblasts, and multipotent mesenchymal stromal cells [<xref ref-type="bibr" rid="cit10">10</xref>][<xref ref-type="bibr" rid="cit11">11</xref>].</p><p>Currently, the problem of expression of tumor marker proteins in the malignant mammary tumor stroma in animals has been insufficiently studied. At the same time, some studies indicate that in the stroma of many invasive malignant tumors with a low degree of differentiation, CD34+ cells are not detected. This is due to the fact that under the influence of soluble factors (especially TGF-β) secreted by tumor cells [<xref ref-type="bibr" rid="cit12">12</xref>], they differentiate into α-SMA myofibroblasts associated with cancer [<xref ref-type="bibr" rid="cit13">13</xref>][<xref ref-type="bibr" rid="cit14">14</xref>].</p><p>The aim of the present study is to investigate the expression of fibroblastic differentiation biomarkers vimentin, α-SMA, and CD34 in the stroma of the canine mammary tumor microenvironment to determine their differentiation in CAFs.</p><p>Materials and Methods. The study was conducted in the period from 2022 to 2024 at the Scientific Diagnostic and Treatment Veterinary Center, at the Department of Parasitology and Veterinary-Sanitary Inspection, Anatomy and Pathoanatomy named after Professor S.N. Nikolsky of Stavropol State Agrarian University, and at Stavropol veterinary clinics (“Kolibri”, Sole Proprietor Shalamova E.V., “Pirogov Veterinary Center”, Sole Proprietor Zaichenko I.V.). Medical records of the oncological outpatients registered in the VetAIS, VetDesk, and Vetmanager veterinary practice management systems were analysed. The following aspects of the nosological profile were taken into account: sex, age, breed, castration performed, ridge of mammary glands affected, relapses, as well as the results of instrumental and laboratory examinations for having the pathological conditions indicating the presence of distant metastases.</p><p>The material for the study was collected during the unilateral/regional mastectomies and biopsies of mammary tumors in female dogs (n=26). For the study, 1 cm³ specimens were incised from the border of the altered regions of the mammary gland and healthy tissue and skin in compliance with the recommendations of the pathologists’ manual “Macroscopic examination of biopsy and surgical material”. After fixation in 10% neutral buffered formalin (“BioVitrum”, Russia) for 48 hours, the specimens were processed and embedded into the paraffin blocks, which were then sliced into 5-μm-thick sections and mounted on the adhesive slides with the PCI coating, and ground, color-coded edges (CITOTEST, China). To determine the localization of vimentin, anti-Vimentin antibodies (SP20), rabbit monoclonal, 1:25–1:50 (Richard-Allan Scientific Co., USA) were used; to determine the localization of α-SMA — anti-α-SMA antibodies (1A4), mouse monoclonal, 1:25–1:50 (Richard-Allan Scientific Co., USA) were used; to determine the localization of CD34 — anti-CD34 antibodies (134M 15), mouse monoclonal, 1:50–1:200 (Cell Marque, USA) were used.</p><p>Immunohistochemical studies were performed using a peroxidase polymer-based detection system in compliance with the manufacturer’s standard protocol (Dako, USA) by heat-induced antigen retrieval at 100°C in citrate buffer (pH 6.0) for 10 minutes, followed by nuclei staining with Mayer’s hematoxylin (“Biovitrum”, Russia). For negative control, the primary antibodies were replaced by a diluent (Spring Bioscience, USA).</p><p>Microscopic examination of the resulting histological preparations was performed using an Olympus BX45 upright light microscope (Japan) with a built-in C300 photo and video camera and CellSensEntry microscopy software (Japan). Ten digital images were taken from each preparation, taking into account histoarchitecture, for histological analysis at ×400 magnification, covering a HPF of 0.44 mm² of the studied tissue.</p><p>To assess the expression of vimentin, α-SMA, and CD34 and the prognostic value of these markers, the method proposed by L.E. Gurevich (2003) was used:</p><p>— membranous or normal expression type: uniform distribution of immunoreactivity across the entire cell membrane;</p><p>— membrane-reduced expression type: distribution of immunoreactivity only in certain areas of the cell membrane;</p><p>— mixed membrane-cytoplasmic expression type: uniform cytoplasmic expression combined with membranous expression;</p><p>— fine- and coarse-granular cytoplasmic expression type: expression in the form of granules scattered in the cytoplasm of cells;</p><p>— clumpy expression type: expression in the cell cytoplasm in the form of randomly localized large clumps and conglomerates of immunoreactive material;</p><p>— absence of immunoreactivity.</p><p>To assess the prognostic value of the described expression patterns in the cells, immunoreactivity was assessed according to L.E. Gurevich (2003):</p><p>— 0 points;</p><p>— Membranous type — 1 point;</p><p>— Combination of membranous and granular-cytoplasmic — 2 points;</p><p>— Coarse-granular — 3 points.</p><p>Additionally, the intensity of expression of the immunoreactive material was assessed visually, taking into account the percentage of active cells and the total area of immunopositive structures in compliance with the recommendations of the American Society of Clinical Oncology/College of American Pathologists (ASCO/CAP, 2018):</p><p>Research Results. Preliminary, a routine histopathological examination was performed on 26 samples of mammary gland tumors, which revealed the solid carcinoma G3 to be the main histological tumour type (Table 1). Age-related data are presented in Table 2. All samples were obtained from females, two of which were neutered. The analysis revealed that the highest incidence of neoplasms was observed in small-breed dogs — 42.31% of all cases; in medium-breed and in outbred dogs  — 15.385%, each; in large-breed dogs — 26.92%. The mammary gland tumor affected both the left mammary ridge (2nd mammary gland — 3.16% of the total amount; 5th mammary gland — 15.79%) and the right mammary ridge (3rd and 5th mammary gland — 13.16%, each, 4th mammary gland — 21.05%). Metastasis to the inguinal lymph nodes was revealed in 30.77% of all cases. One relapse case was identified among 26 patients.</p><table-wrap id="table-1"><caption><p>Table 1</p><p>Results of histopathological examination of mammary tumors of varying grades of malignancy (G) in dogs (n=26)</p></caption><table><tbody><tr><td>Tumour type</td><td>G 1, quantity</td><td>G 2, quantity</td><td>G 3, quantity</td></tr><tr><td>Tubular</td><td>3</td><td>2</td><td>-</td></tr><tr><td>Papillary</td><td>-</td><td>4</td><td>-</td></tr><tr><td>Solid</td><td>1</td><td>2</td><td>5</td></tr><tr><td>Mixed</td><td>2</td><td>4</td><td>3</td></tr></tbody></table></table-wrap><table-wrap id="table-2"><caption><p>Table 2</p><p>Age-related characteristics of mammary tumors in dogs (n=26)</p></caption><table><tbody><tr><td>Age, years</td><td>Tubular, %</td><td>Papillary, %</td><td>Solid, %</td><td>Tubular-papillary, %</td></tr><tr><td>2–2.5</td><td>–</td><td>–</td><td>–</td><td>–</td></tr><tr><td>6–10</td><td>23.08</td><td>15.38</td><td>11.54</td><td>15.38</td></tr><tr><td>11–14</td><td>–</td><td>19.23</td><td>7.69</td><td>7.69</td></tr></tbody></table></table-wrap><p>Vimentin expression in canine mammary tumors is shown in Figure 1. Immunoreactive material was uniformly distributed throughout the cytoplasm in the form of coarse, dark-brown granules (score 3). Although, in some cells, it was visualised in perinuclear pattern as single large foci near the nucleus. Immunopositive areas occupied ≥50% of the total area of the material and biomarker expression was strong (+++). Vimentin-expressing cells had the fibroblastic features— stellate cells with the elongated nuclei. In mammary tumors, they were visualized as a dense network in both the interlobular and intralobular mammary stroma, and were localized around parenchyma in large amounts. This, in our opinion, indicates their paracrine effect on mammary tumor development.</p><fig id="fig-1"><caption><p>Fig. 1. Expression of vimentin+: a) ductal papillary carcinoma in situ G1 (Toy Terrier, 11 years old); b) tubular-papillary moderately differentiated carcinoma G2 (Drahthaar, 6.7 years old); c) solid carcinoma G1 (Yorkshire Terrier, 12.7 years old); d) tubulolobular carcinoma G1 (Toy Terrier, 7.6 years old), ×400 magnification (photos by the authors, here and below)</p></caption><graphic xlink:href="vetpatol-25-2-g001.jpeg"><uri content-type="original_file">https://cdn.elpub.ru/assets/journals/vetpatol/2026/2/pjnK93qlz2wdT8FwrWMroVzxTETR2RhLdfLoQqL2.jpeg</uri></graphic></fig><p>High expression of alpha-smooth muscle actin (α-SMA) in canine mammary tumors is shown in Fig. 2. Dark brown immunoreactive material had perinuclear pattern in papillary, solid, and tubular carcinomas, whereas in mixed tumors, it was uniformly distributed throughout the cell cytoplasm (score 3). Immunopositive areas occupied ≥50% of the total area of the material, and biomarker expression was strong (+++). Cells of a fibroblastic phenotype — stellate cells with the elongated nuclei—were present in the form of cords in the interlobular and intralobular mammary stroma.</p><fig id="fig-2"><caption><p>Fig. 2. Expression of α-SMA+: a) ductal papillary carcinoma in situ G1 (Toy Terrier, 11 years old); b) tubular-papillary moderately differentiated carcinoma G2 (Drahthaar, 6.7 years old); c) solid carcinoma G1 (Yorkshire Terrier, 12.7 years old); d) tubulolobular carcinoma G1 (Toy Terrier, 7.6 years old), ×400 magnification</p></caption><graphic xlink:href="vetpatol-25-2-g002.jpeg"><uri content-type="original_file">https://cdn.elpub.ru/assets/journals/vetpatol/2026/2/suUnVDP7R3qCKpbZrnXTJhK0it6b47mWTbQzsnHR.jpeg</uri></graphic></fig><p>Expression of CD34 marker in canine mammary tumors is shown in Fig. 3. A small number of immunopositive cells had a scattered pattern of localization, they were detected in the interlobular stroma of mammary tumor. Areas with these cells demonstrated incomplete, barely noticeable expression, and cytoplasmic staining was negative (+) in more than 10% of tumor cells. The cells had round or elongated form, with nuclei replicating the form of the cells. Immunoreactive material was uniformly distributed throughout the cytoplasm and had the finely- and coarsely granular dark brown structure (score 3). Cells were mostly visualised in the areas where the stroma was subject to fibrosis and sclerosis.</p><fig id="fig-3"><caption><p>Fig. 3. CD34+ expression: a) ductal papillary carcinoma in situ G1 (Toy Terrier, 11 years old); b) tubular-papillary moderately differentiated carcinoma G2 (Drahthaar, 6.7 years old); c) solid carcinoma G1 (Yorkshire Terrier, 12.7 years old); d) tubulolobular carcinoma G1 (Toy Terrier, 7.6 years old), ×400 magnification</p></caption><graphic xlink:href="vetpatol-25-2-g003.jpeg"><uri content-type="original_file">https://cdn.elpub.ru/assets/journals/vetpatol/2026/2/I8uxb2VPH031MNw3JoHv2OyiCCDEVz7dxAdETdOA.jpeg</uri></graphic></fig><p>Discussion and Conclusion. Based on the conducted research, it is possible to conclude that high expression of vimentin and α-SMA was observed in all neoplasms. As to CD34 marker, its expression in well-differentiated tumors (G1) was low, and in poorly differentiated neoplasms (G3) it was completely absent. Loss of expression of this marker occurred due to the differentiation of the cells in myofibroblasts of the stromal niche of canine mammary tumors. Our data confirm the results of studies [<xref ref-type="bibr" rid="cit12">12</xref>][<xref ref-type="bibr" rid="cit13">13</xref>][<xref ref-type="bibr" rid="cit14">14</xref>] indicating that during the development and differentiation of malignant mammary tumors, there occurs a loss of CD34 expression and an increase of α-SMA expression.</p><p>Thus, immunohistochemical studies have shown that different types of canine mammary gland tumors have a cell line with a specific biomarker phenotype indicating their affiliation with CAFs. The data obtained by us can be used as basic applied data in the study of carcinogenesis in veterinary oncology.</p></body><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Place AE, Huh SJ, Polyak K. The Microenvironment in Breast Cancer Progression: Biology and Implications for Treatment. Breast Cancer Research. 2011;13:227. https://doi.org/10.1186/bcr2912</mixed-citation><mixed-citation xml:lang="en">Place AE, Huh SJ, Polyak K. The Microenvironment in Breast Cancer Progression: Biology and Implications for Treatment. Breast Cancer Research. 2011;13:227. https://doi.org/10.1186/bcr2912</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Mehraj U, Dar AH, Wani NA, Mir MA. Tumor Microenvironment Promotes Breast Cancer Chemoresistance. Cancer Chemother Pharmacol. 2021;87:147–158. https://doi.org/10.1007/s00280-020-04222-w</mixed-citation><mixed-citation xml:lang="en">Mehraj U, Dar AH, Wani NA, Mir MA. Tumor Microenvironment Promotes Breast Cancer Chemoresistance. Cancer Chemother Pharmacol. 2021;87:147–158. https://doi.org/10.1007/s00280-020-04222-w</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Yu T, Di G. Role of Tumor Microenvironment in Triple-Negative Breast Cancer and Its Prognostic Significance. Chinese Journal of Cancer Research. 2017;29(3):237–252. https://doi.org/10.21147/j.issn.1000-9604.2017.03.10</mixed-citation><mixed-citation xml:lang="en">Yu T, Di G. Role of Tumor Microenvironment in Triple-Negative Breast Cancer and Its Prognostic Significance. Chinese Journal of Cancer Research. 2017;29(3):237–252. https://doi.org/10.21147/j.issn.1000-9604.2017.03.10</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Li JJ, Tsang JY, Tse MG. Tumor Microenvironment in Breast Cancer—Updates on Therapeutic Implications and Pathologic Assessment. Cancers. 2021;13(16):4233. https://doi.org/10.3390/cancers13164233</mixed-citation><mixed-citation xml:lang="en">Li JJ, Tsang JY, Tse MG. Tumor Microenvironment in Breast Cancer—Updates on Therapeutic Implications and Pathologic Assessment. Cancers. 2021;13(16):4233. https://doi.org/10.3390/cancers13164233</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Giorello MB, Borzone FR, Labovsky V, Piccioni FV, Chasseing NA. Cancer-Associated Fibroblasts in the Breast Tumor Microenvironment. Journal of Mammary Gland Biology and Neoplasia. 2021;26:135–155. https://doi.org/10.1007/s10911-020-09475-y</mixed-citation><mixed-citation xml:lang="en">Giorello MB, Borzone FR, Labovsky V, Piccioni FV, Chasseing NA. Cancer-Associated Fibroblasts in the Breast Tumor Microenvironment. Journal of Mammary Gland Biology and Neoplasia. 2021;26:135–155. https://doi.org/10.1007/s10911-020-09475-y</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Chen Z, Fang Z, Ma J. Regulatory Mechanisms and Clinical Significance of Vimentin in Breast Cancer. Biomedicine and Pharmacotherapy. 2021;133:111068. https://doi.org/10.1016/j.biopha.2020.111068</mixed-citation><mixed-citation xml:lang="en">Chen Z, Fang Z, Ma J. Regulatory Mechanisms and Clinical Significance of Vimentin in Breast Cancer. Biomedi-cine and Pharmacotherapy. 2021;133:111068. https://doi.org/10.1016/j.biopha.2020.111068</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Han C, Liu T, Yin R. Biomarkers for Cancer-Associated Fibroblasts. Biomarker Research. 2020;8:64. https://doi.org/10.1186/s40364-020-00245-w</mixed-citation><mixed-citation xml:lang="en">Han C, Liu T, Yin R. Biomarkers for Cancer-Associated Fibroblasts. Biomarker Research. 2020;8:64. https://doi.org/10.1186/s40364-020-00245-w</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Dominguez R, Holmes KC. Actin structure and function. Annual Review of Biophysics. 2011;40:169–186. https://doi.org/10.1146/annurev-biophys-042910-155359</mixed-citation><mixed-citation xml:lang="en">Dominguez R, Holmes KC. Actin structure and function. Annual Review of Biophysics. 2011;40:169–186. https://doi.org/10.1146/annurev-biophys-042910-155359</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Yoshimura H, Michishita M, Ohkusu-Tsukada K, Takahashi K. Increased Presence of Stromal Myofibroblasts and Tenascin-C with Malignant Progression in Canine Mammary Tumors. Veterinary Pathology. 2010;48(1):313–321. https://doi.org/10.1177/0300985810369901</mixed-citation><mixed-citation xml:lang="en">Yoshimura H, Michishita M, Ohkusu-Tsukada K, Takahashi K. Increased Presence of Stromal Myofibroblasts and Tenascin-C with Malignant Progression in Canine Mammary Tumors. Veterinary Pathology. 2010;48(1):313–321. https://doi.org/10.1177/0300985810369901</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Radu P, Zurzu M, Paic V, Bratucu M, Garofil D, Tigora A, et al. CD34—Structure, Functions and Relationship with Cancer Stem Cells . Medicina. 2023;59(5):938. https://doi.org/10.3390/medicina59050938</mixed-citation><mixed-citation xml:lang="en">Radu P, Zurzu M, Paic V, Bratucu M, Garofil D, Tigora A, et al. CD34—Structure, Functions and Relationship with Cancer Stem Cells . Medicina. 2023;59(5):938. https://doi.org/10.3390/medicina59050938</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Sidney LE, Branch MJ, Dunphy SE, Dua HS, Hopkinson A. Concise Review: Evidence for CD34 as a Common Marker for Diverse Progenitors. Stem Cells. 2014;32(6):1380–1389. https://doi.org/10.1002/stem.1661</mixed-citation><mixed-citation xml:lang="en">Sidney LE, Branch MJ, Dunphy SE, Dua HS, Hopkinson A. Concise Review: Evidence for CD34 as a Common Marker for Diverse Progenitors. Stem Cells. 2014;32(6):1380–1389. https://doi.org/10.1002/stem.1661</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Catteau X, Simon P, Noël JC. Myofibroblastic Stromal Reaction and Lymph Node Status in Invasive Breast Carcinoma: Possible Role of the TGF- β1/TGF- βR1 Pathway. BMC Cancer. 2014;14:499. https://doi.org/10.1186/1471-2407-14-499</mixed-citation><mixed-citation xml:lang="en">Catteau X, Simon P, Noël JC. Myofibroblastic Stromal Reaction and Lymph Node Status in Invasive Breast Carcinoma: Possible Role of the TGF- β1/TGF- βR1 Pathway. BMC Cancer. 2014;14:499. https://doi.org/10.1186/1471-2407-14-499</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Díaz-Flores L, Gutiérrez R, González-Gómez M, García MP, Díaz-Flores L, Carrasco JL, et al. CD34+ Stromal Cells/Telocytes as a Source of Cancer-Associated Fibroblasts (CAFs) in Invasive Lobular Carcinoma of the Breast. International Journal of Molecular Sciences. 2021;22(7):3686. https://doi.org/10.3390/ijms22073686</mixed-citation><mixed-citation xml:lang="en">Díaz-Flores L, Gutiérrez R, González-Gómez M, García MP, Díaz-Flores L, Carrasco JL, et al. CD34+ Stromal Cells/Telocytes as a Source of Cancer-Associated Fibroblasts (CAFs) in Invasive Lobular Carcinoma of the Breast. In-ternational Journal of Molecular Sciences. 2021;22(7):3686. https://doi.org/10.3390/ijms22073686</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Khan AA, Alam K, Harris Н. A Clinicopathological Study of CD34 Antigen Expression in Benign and Malignant Breast Lesions. Journal of Clinical and Experimental Pathology. 2017;07(04). https://doi.org/10.4172/2161-0681.1000321</mixed-citation><mixed-citation xml:lang="en">Khan AA, Alam K, Harris Н. A Clinicopathological Study of CD34 Antigen Expression in Benign and Malignant Breast Lesions. Journal of Clinical and Experimental Pathology. 2017;07(04). https://doi.org/10.4172/2161-0681.1000321</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
