CELL-PROLIFERATION IN BREAST-CARCINOMA ASSESSED BY A PCNA GRADING SYSTEM AND ITS RELATION TO OTHER PROGNOSTIC VARIABLES

被引:11
作者
BETTA, PG
PAVESI, M
PASTORMERLO, M
BELLINGERI, D
TALLARIDA, F
机构
[1] Service of Pathological Anatomy and Cytopathology, 'Santo Spirito' Hospital, Casale Monferrato
[2] Department of Radiotherapy, City Hospital, Alessandria
[3] Department of Pathology, City Hospital, Alessandria
来源
SURGICAL ONCOLOGY-OXFORD | 1993年 / 2卷 / 01期
关键词
BREAST CANCER; IMMUNOHISTOCHEMISTRY; PC10-MAB; PCNA; PROGNOSTIC FACTOR; PROLIFERATION RATE;
D O I
10.1016/0960-7404(93)90045-Z
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
This study was undertaken to relate the expression of the proliferating cell nuclear antigen (PCNA), a proliferation marker of putative prognostic significance, to some more established prognostic factors in a series of 60 consecutive breast cancer surgical specimens. PCNA was detected by the PC10 monoclonal antibody (MAb) using an immunohistochemical method and PCNA immunostaining was estimated on a semi-quantitative basis, a cut-off value of 50% of positively stained tumour cells discriminating between the high (>50%) and low (<50%) PCNA grade. The PCNA grade did not correlate with tumour size and axillary node status. However, a high PCNA grade tended to be associated with a poor histological grade and there was an inverse relationship with oestrogen-receptor status, as determined by means of the immunohistochemical staining for the oestrogen-induced pS2 protein. These conflicting results suggest that the possible prognostic usefulness of PCNA immunostaining, as a measure of cell proliferation rate, in breast cancer is yet to be demonstrated and can be validated only by direct relation to survival data.
引用
收藏
页码:59 / 63
页数:5
相关论文
共 21 条
[1]  
Henderson, Prognostic factors, Breast Diseases, pp. 332-346, (1991)
[2]  
Underwood, Prognostic indices in epithelial neoplasms, Recent Advances in Histopathology, pp. 17-36, (1992)
[3]  
Waseem, Lane, Monoclonal antibody analysis of the proliferating cell nuclear antigen (PCNA). Structural conservation and the detection of a nucleolar form, J Cell Sci, 96, pp. 121-129, (1990)
[4]  
Hall, Levison, Woods, Proliferating cell nuclear antigen (PCNA) immunolocalization in paraffin sections: an index of cell proliferation with evidence of deregulated expression in some neoplasms, J Pathol, 162, pp. 285-294, (1990)
[5]  
Bravo, Celis, A search for differential polypeptide synthesis throughout the cell cycle, J Cell Biol, 84, pp. 795-802, (1980)
[6]  
Miyachi, Fritzler, Tam, Autoantibody to a nuclear antigen in proliferating cells, J Immunol, 121, pp. 2228-2234, (1978)
[7]  
Bravo, Frank, Blundell, MacDonald Bravo, Cyclin/PCNA is the auxiliary protein of DNA polymerase alpha, Nature, 326, pp. 515-517, (1987)
[8]  
Celis, Celis, Cell cycle dependent variations in the distribution of the nuclear protein cyclin proliferating cell nuclear antigen in cultured cells: subdivision of S phase, Proc Natl Acad Sci USA, 82, pp. 3262-3266, (1985)
[9]  
Yu, Hall, Fletcher, Et al., Immunohistochemical staining with a monoclonal antibody to proliferating cell nuclear antigen may be a good indicator of prognosis in haemangiopericytomas (Abstract), J Pathol, 161, (1990)
[10]  
Woods, Hanby, Hall, Waseem, Lane, Levison, The prognostic value of PCNA (proliferating cell nuclear antigen) immunostaining in gastro-intestinal lymphomas (Abstract), J Pathol, 161, (1990)