Retinoblastoma and p53 gene product expression in breast carcinoma: immunohistochemical analysis and clinicopathologic correlation

Hum Pathol. 1992 Dec;23(12):1388-94. doi: 10.1016/0046-8177(92)90059-c.

Abstract

We examined 100 breast cancers for retinoblastoma (Rb) and p53 protein expression by immunohistochemistry using the PMG3.245 and PAb 1801 antibodies. We assessed percentages of reactive cells and their intensity, as well as staining patterns. The results were correlated with neu protein reactivity and a panel of variables, including age, tumor size and type, nuclear grade, estrogen receptor/progesterone receptor content, and lymph node status. Retinoblastoma protein negativity, either partial or complete, was noted in 47% of cases. Surprisingly, a relatively stronger Rb reaction was seen in some high nuclear grade tumors. p53 positivity was found in 23% of cases and was a significant predictor of Rb loss. p53 also was correlated with poorly differentiated (nuclear grade III) neoplasms and neu expression but not with negative ER status. Tissue distribution profiles for Rb-negative and p53-positive cells were variable in this series, with both uniform and heterogeneous patterns observed. This suggests that Rb and p53 alterations may represent early or late events in transformation. Our findings further implicate Rb and p53 derangements in mammary oncogenesis.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Breast / chemistry
  • Breast / pathology
  • Breast / ultrastructure
  • Breast Neoplasms / chemistry*
  • Breast Neoplasms / genetics*
  • Breast Neoplasms / ultrastructure
  • Cell Transformation, Neoplastic / pathology
  • Female
  • Gene Expression Regulation, Neoplastic / genetics*
  • Humans
  • Immunohistochemistry
  • Male
  • Middle Aged
  • Receptors, Estrogen / analysis
  • Receptors, Progesterone / analysis
  • Retinoblastoma Protein / analysis*
  • Retinoblastoma Protein / genetics*
  • Tumor Suppressor Protein p53 / analysis*
  • Tumor Suppressor Protein p53 / genetics*

Substances

  • Receptors, Estrogen
  • Receptors, Progesterone
  • Retinoblastoma Protein
  • Tumor Suppressor Protein p53