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Expression of p53, bcl-2, bax and bel-xi in ductal carcinoma in situ (DCIS) of the breast

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Last updated: 28 Dec 2024

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Abstract

Background: DCIS is a malignant proliferation of mammary ductal epithelial cells without invasion beyond the basementmembrane. Bcl-2, bax, bel-xiand p53areimplicatedin regulation of apoptosis. This study aimed to clarify the role of these gene products in DCIC. Patients and methods:  Immunohistochemical staining of 13 cases of DCIS with bcl-2, bax, bel-xi and p53 was performed. Results:  DCIS was graded into;  42% of low, 16% of intermediate,  and 42% of high grade cases. P53 was negative in all low grades,  positive in 66.7% intermediate grade, and in all high grade  DCIS. Bcl-2  was positive in all DCIS with variable intensities.  Bax was positive in 80% of low grade,  100% of intermediate grade,  and in 100% of high grade DCIS. Bel-xi was positive in  80% of low grade,  and in  all intermediate and high grade  DCIS.  P53 was inversely correlated with bcl-2 expression in DCIS (p < 0.02). Insignificant positive correlation was present between p53 and bax expression and between p53 and bel-xi expression in DCIS. An inverse correlation was present between bcl-2 and bel-xi expression and between bcl-2 and bax expression in DCIS (p < 0.01  for each). Positive correlation was present between bax and bel-xi expression (p < O.000) in DCIS. Conclusions: p53 mutation is an early event in the evolution of breast cancer and its expression correlates  with high grade lesions.  Strong  positive  correlation between  bax  and bel-xi, but the prognostic value of bcl-2 protein family in DCIC is still in need to more studies to be clarified. Key words: Ductal carcinoma in situ, bcl-2 bax, bel-xi and p53. Abbreviations:  Ductal carcinoma in situ (DCIS), carcinoma in situ (CIS), invasive carcinoma (IC), inhibitor  of apoptosis proteins (lAP), Hematoxylin and Eosin (H&E), catalogue number (Cat#), phosphate buffered solution (PBS), staining intensity (Sf), immunohistochemical scores (IHCS), percentage of positive cells (PP), atypical ductal hyperplasia  (ADH).

DOI

10.21608/asjs.2014.179600

Authors

First Name

AmaiN

Last Name

Ahmad

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Affiliation

Department of Pathology, Sohag Faculty of Medicine, Egypt

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First Name

Eman MS

Last Name

Muhammad

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Affiliation

Department of Pathology, Sohag Faculty of Medicine, Egypt.

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First Name

Asem Elsani

Last Name

MAli

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Affiliation

Department of Surgery, Sohag Faculty of Medicine, Egypt.

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Volume

7

Article Issue

1

Related Issue

25657

Issue Date

2014-01-01

Receive Date

2021-06-23

Publish Date

2014-01-01

Page Start

1

Page End

9

Print ISSN

2090-7249

Online ISSN

3009-7509

Link

https://asjs.journals.ekb.eg/article_179600.html

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https://asjs.journals.ekb.eg/service?article_code=179600

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25

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Original Article

Type Code

1,943

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Journal

Publication Title

Ain Shams Journal of Surgery

Publication Link

https://asjs.journals.ekb.eg/

MainTitle

Expression of p53, bcl-2, bax and bel-xi in ductal carcinoma in situ (DCIS) of the breast

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Article

Created At

23 Jan 2023