Pathology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Cancer Biomark. 2012;12(4):149-54. doi: 10.3233/CBM-130303.
Strong evidence implicates cyclin D1 in human breast cancer. Nevertheless, the prognostic value of cyclin D1 overexpression in breast cancer is still controversial. This work aims to assess the predictive value of cyclin D1 immunohistochemical expression in invasive breast carcinomas and evaluate its association with clinicopathological parameters, in addition to hormone receptor status and Her2/neu immunohistochemical expression.
This study was conducted on 71 cases of invasive breast carcinoma selected according to the availability of clinical data and paraffin-embedded tissue specimens. Immunohistochemistry was performed for estrogen receptors (ER); progesterone receptors (PR); Her2/neu and cyclin D1. Cyclin D1 expression was assessed and compared to the patients' age, tumor histology, grade, nodal status, tumor size and ER; PR; Her2/neu immunostaining results.
Cyclin D1 nuclear expression was detected in 35% of invasive breast carcinomas. There were statistically significant associations between the cyclin D1 and younger age, small tumor size, negative nodal status, well differentiated and lobular types of breast cancer and estrogen receptor positivity. Cyclin D1 had no association with progesterone receptor or Her2/neu.
Cyclin D1 immunohistochemical expression associates strongly with the approved favourable prognostic factors in primary breast carcinoma, suggesting a favourable predictive value of cyclin D1.
大量证据表明细胞周期蛋白 D1 与人类乳腺癌有关。然而,细胞周期蛋白 D1 在乳腺癌中的过表达的预后价值仍存在争议。本研究旨在评估细胞周期蛋白 D1 在浸润性乳腺癌中的免疫组织化学表达的预测价值,并评估其与临床病理参数的相关性,以及激素受体状态和 Her2/neu 免疫组织化学表达的相关性。
本研究共纳入 71 例浸润性乳腺癌患者,根据临床资料和石蜡包埋组织标本的可用性进行选择。进行了雌激素受体(ER)、孕激素受体(PR)、Her2/neu 和细胞周期蛋白 D1 的免疫组织化学检测。评估细胞周期蛋白 D1 的表达,并与患者的年龄、肿瘤组织学、分级、淋巴结状态、肿瘤大小以及 ER、PR、Her2/neu 免疫染色结果进行比较。
在 35%的浸润性乳腺癌中检测到细胞周期蛋白 D1 的核表达。细胞周期蛋白 D1 与年龄较小、肿瘤体积较小、淋巴结状态阴性、分化良好和小叶型乳腺癌以及雌激素受体阳性之间存在统计学显著相关性。细胞周期蛋白 D1 与孕激素受体或 Her2/neu 无关。
细胞周期蛋白 D1 的免疫组织化学表达与原发性乳腺癌中公认的有利预后因素密切相关,提示细胞周期蛋白 D1 具有良好的预测价值。