Publication: p63 expression in benign and malignant breast lesions
Authors
Stefanou, D. ; Batistatou, Anna ; Nonni, A. ; Arkoumani, E. ; Agnantis, N.J.
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Publisher
Murcia : F. Hernández
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DOI
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info:eu-repo/semantics/article
Description
Abstract
The p63 gene encodes six protein isoforms.
The transactivating isoforms have similar actions with
p53, while the N-isoforms inhibit transcription activation
by p53 and transactivating isoforms. p63 is expressed in
stratified epithelia and in basal cells of the prostate and
salivary glands. In mammary epithelium p63 has been
shown to be expressed only in the myoepithelial layer. In
the present study we investigated the immunohistochemical
expression of p63, in benign and
malignant breast lesions, and compared it with known
myoepithelial cell markers. Our material consisted of
140 benign and 126 malignant breast lesions. We used
the antibodies anti-p63, anti-a-smooth muscle actin,
anti-S-100 protein and anti-cytokeratin 14. In all benign
lesions, p63 immunoreactivity was noted in the
myoepithelial cell layer surrounding the luminal
epithelial cells. A less continuous peripheral rim of
myoepithelial cells was also highlighted with p63-
staining in all situ carcinomas. All invasive breast
carcinomas were devoided of peripheral p63 staining.
Interestingly, strong nuclear p63 immunoreactivity was
noted in a small fraction (5-15%) of epithelial cells in all
cases of papillomatosis, in 62.5% of in situ ductal
papillary-type carcinomas and in 33.3% of invasive
papillary carcinomas. Comparable staining was observed
with S-100. The stromal cells were unreactive to p63.
Our findings suggest that p63 is a sensitive and specific
myoepithelial marker, and may be included in
immunohistochemical panels aiming to identify
myoepithelial cells in problematic breast lesions.
Regarding papillary neoplasms, it is possible that tumor
cells acquire and exhibit at least in part a myoepithelial
differentiation program.
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