P53 is unstable during metastatic development of the human breast cancer: A comparison between the primary tumor and lymph node metastasis

Objective. The aim of this study was to highlight p53 expression during metastatic progression of invasive breast carcinoma of no special type (NST) and to evaluate its role in stratifying patients based on molecular classification. Material and Methods. The specimens, primary tumors and correspon...

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Main Author: Veaceslav Fulga
Format: Article
Language:English
Published: Victor Babes University of Medicine and Pharmacy Timisoara 2017-06-01
Series:Research and Clinical Medicine
Subjects:
Online Access:http://www.resclinmed.eu/public/data_files/articles/18/article_18.pdf
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author Veaceslav Fulga
author_facet Veaceslav Fulga
author_sort Veaceslav Fulga
collection DOAJ
description Objective. The aim of this study was to highlight p53 expression during metastatic progression of invasive breast carcinoma of no special type (NST) and to evaluate its role in stratifying patients based on molecular classification. Material and Methods. The specimens, primary tumors and corresponding lymph node metastases (LNM) from 84 patients were immunohistochemically stained for estrogen receptor (ER), progesterone receptor (PR), human epidermal growth factor receptor (HER)-2, basal cytokeratin CK5 and nuclear proteins Ki67, p53. Results. No statistical significant differences of p53 expression were found between the two compared sites, but the p53 instability was found in 11 cases (13.2%). Switch of molecular subtype was noticed in 22.62% of cases. Only 5 cases of p53 transitions, from positive to negative status, were involved in molecular subtypes switch, from Luminal B to Luminal A. Conclusions. The p53 marker and molecular subtypes are not stable during tumor progression. Breast cancer during its metastatic development can gain or lose the p53 expression and cases developed with p53 vanishing in metastasis prevailed. A link between p53 instability and molecular subtypes switch was found only between p53 loss and Luminal B to Luminal A transition.
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spelling doaj.art-476a55060eea41c4b07fb90dfbd7a7472022-12-21T21:19:54ZengVictor Babes University of Medicine and Pharmacy TimisoaraResearch and Clinical Medicine2360-11242537-53932017-06-01I2610P53 is unstable during metastatic development of the human breast cancer: A comparison between the primary tumor and lymph node metastasisVeaceslav Fulga0 Department of Histology, Cytology and Embryology, Nicolae Testemitanu State University of Medicine and Pharmacy, Chisinau, Republic of MoldovaObjective. The aim of this study was to highlight p53 expression during metastatic progression of invasive breast carcinoma of no special type (NST) and to evaluate its role in stratifying patients based on molecular classification. Material and Methods. The specimens, primary tumors and corresponding lymph node metastases (LNM) from 84 patients were immunohistochemically stained for estrogen receptor (ER), progesterone receptor (PR), human epidermal growth factor receptor (HER)-2, basal cytokeratin CK5 and nuclear proteins Ki67, p53. Results. No statistical significant differences of p53 expression were found between the two compared sites, but the p53 instability was found in 11 cases (13.2%). Switch of molecular subtype was noticed in 22.62% of cases. Only 5 cases of p53 transitions, from positive to negative status, were involved in molecular subtypes switch, from Luminal B to Luminal A. Conclusions. The p53 marker and molecular subtypes are not stable during tumor progression. Breast cancer during its metastatic development can gain or lose the p53 expression and cases developed with p53 vanishing in metastasis prevailed. A link between p53 instability and molecular subtypes switch was found only between p53 loss and Luminal B to Luminal A transition.http://www.resclinmed.eu/public/data_files/articles/18/article_18.pdfp53molecular subtypesbreast cancermetastases.
spellingShingle Veaceslav Fulga
P53 is unstable during metastatic development of the human breast cancer: A comparison between the primary tumor and lymph node metastasis
Research and Clinical Medicine
p53
molecular subtypes
breast cancer
metastases.
title P53 is unstable during metastatic development of the human breast cancer: A comparison between the primary tumor and lymph node metastasis
title_full P53 is unstable during metastatic development of the human breast cancer: A comparison between the primary tumor and lymph node metastasis
title_fullStr P53 is unstable during metastatic development of the human breast cancer: A comparison between the primary tumor and lymph node metastasis
title_full_unstemmed P53 is unstable during metastatic development of the human breast cancer: A comparison between the primary tumor and lymph node metastasis
title_short P53 is unstable during metastatic development of the human breast cancer: A comparison between the primary tumor and lymph node metastasis
title_sort p53 is unstable during metastatic development of the human breast cancer a comparison between the primary tumor and lymph node metastasis
topic p53
molecular subtypes
breast cancer
metastases.
url http://www.resclinmed.eu/public/data_files/articles/18/article_18.pdf
work_keys_str_mv AT veaceslavfulga p53isunstableduringmetastaticdevelopmentofthehumanbreastcanceracomparisonbetweentheprimarytumorandlymphnodemetastasis