The Immunoexpression of Glucocorticoid Receptors in Breast Carcinomas, Lactational Change, and Normal Breast Epithelium and Its Possible Role in Mammary Carcinogenesis

The role of estrogen and progesterone receptors in breast cancer biology is well established. In contrast, other steroid hormones are less well studied. Glucocorticoids (GCs) are known to play a role in mammary development and differentiation; thus, it is of interest to attempt to delineate their im...

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Main Authors: Raja Alyusuf, Javed Fayyaz Wazir, Urmil Prabha Brahmi, Abdul Rahman Fakhro, Moiz Bakhiet
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:International Journal of Breast Cancer
Online Access:http://dx.doi.org/10.1155/2017/1403054
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author Raja Alyusuf
Javed Fayyaz Wazir
Urmil Prabha Brahmi
Abdul Rahman Fakhro
Moiz Bakhiet
author_facet Raja Alyusuf
Javed Fayyaz Wazir
Urmil Prabha Brahmi
Abdul Rahman Fakhro
Moiz Bakhiet
author_sort Raja Alyusuf
collection DOAJ
description The role of estrogen and progesterone receptors in breast cancer biology is well established. In contrast, other steroid hormones are less well studied. Glucocorticoids (GCs) are known to play a role in mammary development and differentiation; thus, it is of interest to attempt to delineate their immunoexpression across a spectrum of mammary epithelia. Aim. To delineate the distribution pattern of glucocorticoid receptors (GRs) in malignant versus nonmalignant epithelium with particular emphasis on lactational epithelium. Materials and Methods. Immunohistochemistry (IHC) for GRs was performed on archival formalin-fixed paraffin-embedded tissue blocks of 96 cases comprising 52 invasive carcinomas, 21 cases with lactational change, and 23 cases showing normal mammary tissue histology. Results. Results reveal an overexpression of GRs in mammary malignant epithelium as compared to both normal and lactational groups individually and combined. GR overexpression is significantly more pronounced in HER-2-negative cancers. Discussion. This is the first study to compare GR expression in human lactating epithelium versus malignant and normal epithelium. The article discusses the literature related to the pathobiology of GCs in the breast with special emphasis on breast cancer. Conclusion. The lactational epithelium did not show overexpression of GR, while GR was overexpressed in mammary NST (ductal) carcinoma, particularly HER-2-negative cancers.
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publishDate 2017-01-01
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series International Journal of Breast Cancer
spelling doaj-art-3ff2744ba5d04f42aca072c64e92859c2025-02-03T05:46:18ZengWileyInternational Journal of Breast Cancer2090-31702090-31892017-01-01201710.1155/2017/14030541403054The Immunoexpression of Glucocorticoid Receptors in Breast Carcinomas, Lactational Change, and Normal Breast Epithelium and Its Possible Role in Mammary CarcinogenesisRaja Alyusuf0Javed Fayyaz Wazir1Urmil Prabha Brahmi2Abdul Rahman Fakhro3Moiz Bakhiet4Department of Pathology, Salmaniya Medical Complex and Royal College of Surgeons in Ireland, Manama, BahrainDepartment of Pathology, Southend University Hospital, Prittlewell Chase, Westcliff-on-Sea, Essex SS0 0RY, UKDepartment of Pathology, Arabian Gulf University, Manama, BahrainFakhro Medical City, Manama, BahrainDepartment of Molecular Medicine, Arabian Gulf University, Manama, BahrainThe role of estrogen and progesterone receptors in breast cancer biology is well established. In contrast, other steroid hormones are less well studied. Glucocorticoids (GCs) are known to play a role in mammary development and differentiation; thus, it is of interest to attempt to delineate their immunoexpression across a spectrum of mammary epithelia. Aim. To delineate the distribution pattern of glucocorticoid receptors (GRs) in malignant versus nonmalignant epithelium with particular emphasis on lactational epithelium. Materials and Methods. Immunohistochemistry (IHC) for GRs was performed on archival formalin-fixed paraffin-embedded tissue blocks of 96 cases comprising 52 invasive carcinomas, 21 cases with lactational change, and 23 cases showing normal mammary tissue histology. Results. Results reveal an overexpression of GRs in mammary malignant epithelium as compared to both normal and lactational groups individually and combined. GR overexpression is significantly more pronounced in HER-2-negative cancers. Discussion. This is the first study to compare GR expression in human lactating epithelium versus malignant and normal epithelium. The article discusses the literature related to the pathobiology of GCs in the breast with special emphasis on breast cancer. Conclusion. The lactational epithelium did not show overexpression of GR, while GR was overexpressed in mammary NST (ductal) carcinoma, particularly HER-2-negative cancers.http://dx.doi.org/10.1155/2017/1403054
spellingShingle Raja Alyusuf
Javed Fayyaz Wazir
Urmil Prabha Brahmi
Abdul Rahman Fakhro
Moiz Bakhiet
The Immunoexpression of Glucocorticoid Receptors in Breast Carcinomas, Lactational Change, and Normal Breast Epithelium and Its Possible Role in Mammary Carcinogenesis
International Journal of Breast Cancer
title The Immunoexpression of Glucocorticoid Receptors in Breast Carcinomas, Lactational Change, and Normal Breast Epithelium and Its Possible Role in Mammary Carcinogenesis
title_full The Immunoexpression of Glucocorticoid Receptors in Breast Carcinomas, Lactational Change, and Normal Breast Epithelium and Its Possible Role in Mammary Carcinogenesis
title_fullStr The Immunoexpression of Glucocorticoid Receptors in Breast Carcinomas, Lactational Change, and Normal Breast Epithelium and Its Possible Role in Mammary Carcinogenesis
title_full_unstemmed The Immunoexpression of Glucocorticoid Receptors in Breast Carcinomas, Lactational Change, and Normal Breast Epithelium and Its Possible Role in Mammary Carcinogenesis
title_short The Immunoexpression of Glucocorticoid Receptors in Breast Carcinomas, Lactational Change, and Normal Breast Epithelium and Its Possible Role in Mammary Carcinogenesis
title_sort immunoexpression of glucocorticoid receptors in breast carcinomas lactational change and normal breast epithelium and its possible role in mammary carcinogenesis
url http://dx.doi.org/10.1155/2017/1403054
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