p27KIP-1 cyclin A and cyclin D1 protein expression in ductal carcinoma in situ of the breast: p27KIP-1 correlates with hormone receptor status but not with local recurrence

• Published in: Pathology international 2007-04, Vol.57 (4), p.183-189
• Main Authors: Millar, Ewan K. A., Tran, Kayla, Marr, Penny, Graham, Peter H.
• Format: Article
• Language: English
• Subjects: Adult; Aged; Aged, 80 and over; Biomarkers, Tumor - metabolism; breast cancer; Breast Neoplasms - metabolism; Breast Neoplasms - pathology; Carcinoma, Intraductal, Noninfiltrating - metabolism; Carcinoma, Intraductal, Noninfiltrating - pathology; cell cycle; Cyclin A - genetics; Cyclin A - metabolism; Cyclin D1 - genetics; Cyclin D1 - metabolism; Cyclin-Dependent Kinase Inhibitor p27 - genetics; Cyclin-Dependent Kinase Inhibitor p27 - metabolism; DCIS; Female; Gene Expression Regulation, Neoplastic; hormone receptors; Humans; Middle Aged; Neoplasm Recurrence, Local; prognosis; Receptors, Estrogen - genetics; Receptors, Estrogen - metabolism; Receptors, Progesterone - genetics; Receptors, Progesterone - metabolism
• ISSN: 1320-5463; 1440-1827
• DOI: 10.1111/j.1440-1827.2007.02079.x

Using whole sections of formalin‐fixed paraffin‐embedded material the expression of p27KIP‐1, cyclin A and cyclin D1 was examined in 60 cases of ductal carcinoma in situ (DCIS) using routine immunohistochemistry with a median follow up of 95 months (range 10–139 months) to identify any association with disease recurrence. Fifty‐six patients were treated by local excision and radiotherapy and four by mastectomy without radiotherapy. There was a highly significant positive association between p27KIP‐1 and estrogen receptor/progesterone receptor (ER/PR) status (P = 0.002, P = 0.02) and with p27KIP‐1 and cyclin D1 expression (P = 0.002). A trend between cyclin A and PR status (P = 0.08) was also identified. These findings mirror those described in invasive ductal carcinoma, but there were no associations of any biomarker with histological parameters such as nuclear grade or with local recurrence on univariate analysis, which was present in four of the 56 locally excised group (7.1%). Further examination of a larger cohort may be worthwhile to explore the possible role as adjunctive predictive markers to aid clinical decision making.