Author(s)

  • Klára Brožová (Presenting Author) | Medical University of Vienna | Lazarettgasse 14, 1090, Vienna, Austria
  • Silvester Bartsch | Medical University of Vienna | Lazarettgasse 14, 1090, Vienna, Austria
  • Rebecca Herzog | Medical University of Vienna | Lazarettgasse 14, 1090, Vienna, Austria
  • Anja Wagner | Medical University of Vienna | Lazarettgasse 14, 1090, Vienna, Austria
  • Markus Unterwurzacher | Medical University of Vienna | Lazarettgasse 14, 1090, Vienna, Austria
  • Brigitte Hantusch | Medical University of Vienna | Lazarettgasse 14, 1090, Vienna, Austria
  • Thomas Helbich | Medical University of Vienna | Lazarettgasse 14, 1090, Vienna, Austria
  • Katja Pinker-Domenig | Columbia University | 622 West 168th Street, 10032, New York, United States
  • Lukas Kenner | Medical University of Vienna | Lazarettgasse 14, 1090, Vienna, Austria
  • Klaus Kratochwill | Medical University of Vienna | Lazarettgasse 14, 1090, Vienna, Austria

Abstract

Breast cancer (BC) is a global health challenge, and understanding its proteomic heterogeneity remains essential for improved diagnosis and therapy.
We established an integrated workflow that combines untargeted MALDI imaging mass spectrometry (IMS), targeted imaging mass cytometry (IMC), and bulk tissue TMT-LC-MS/MS to explore the proteomic complexity of BC xenografts (MCF-7, SKBR-3, MDA-MB-231) in BALB/c-nude mice. Tumors were embedded in paraffin or snap-frozen in gelatin, ensuring optimal preservation of tissue architecture. MALDI-IMS provided label-free spatial proteomic profiles, generating segmentation maps and U-MAP plots that distinguished tumor, stroma, and necrotic regions. Unsupervised analyses effectively differentiated molecular BC subtypes and highlighted inter- and intra-tumoral heterogeneity, revealing distinct luminal, HER2+, and triple-negative peptide signatures.
Complementary bulk TMT-LC-MS/MS unambiguously identified ~17,000 human or mouse proteins, improving peptide annotation and validation of IMS signals. The single-cell resolution of IMC enables precise localization of key markers within the primarily human tumor and murine microenvironment. A 24-marker IMC panel, selected based on literature review and TMT-LC-MS/MS data, revealed spatially resolved subtype- and species-specific expression of proliferation, apoptosis, and immune response markers. Integrating IMS, IMC, and bulk proteomics yielded a comprehensive overview of BC tumor biology, exposing previously unrecognized proteomic diversity within histologically similar regions. Correlations with histological features confirmed that proteomic signatures align with tumor pathophysiology, highlighting the benefits of combining MALDI-IMS with IMC to identify therapeutic targets and guide personalized BC approaches.
Findings will be correlated with in vivo PET/MRI radiomics data, potentially facilitating non-invasive diagnostics for earlier detection and improved patient stratification.