Distinct spatial expression patterns of AP-2alpha and AP-2gamma in non-neoplastic human breast and breast cancer

Mod Pathol. 2005 Mar;18(3):431-8. doi: 10.1038/modpathol.3800292.

Abstract

Although transcription factors AP-2alpha and AP-2gamma have been implicated in the control of estrogen receptor (ER) and ErbB-2, their impact for breast cancer is still controversial. To better understand the role of AP-2 proteins in mammary neoplasia, the analysis of their spatial expression pattern in normal breast and breast cancer is required. A total of 51 specimens of female breast cancer patients and a tissue microarray containing 93 additional female breast cancer cases were immunohistochemically stained for AP-2alpha, AP-2gamma, ER and ErbB-2. In 70 cases of the tissue microarray, survival data comprising a period of up to 30 years were present. In non-neoplastic breast tissue, AP-2alpha was expressed in the inner glandular cell layer while AP-2gamma was expressed in the outer myoepithelial cell layer. Ductal carcinoma in situ revealed strongly AP-2alpha-positive tumor cells surrounded by a layer of AP-2gamma-positive myoepithelial cells. In invasive carcinoma, expression of AP-2alpha and AP-2gamma was variable. High expression of ER and AP-2alpha showed better survival rates than low expression of these markers. AP-2gamma expression had no effect on survival. These results for the first time reveal a distinct spatial expression pattern of AP-2alpha and AP-2gamma in normal breast and in ductal carcinoma in situ with specific AP-2gamma expression in myoepithelium. High ER and AP-2alpha expression in invasive breast cancer showed favorable survival rates. Therefore, AP-2alpha expression seems to be associated with better prognosis of breast cancer. AP-2gamma expression has no influence on survival reflecting that myoepithelial cells are not involved in the neoplastic process.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Actins / analysis
  • Breast / chemistry*
  • Breast Neoplasms / metabolism*
  • Breast Neoplasms / pathology
  • DNA-Binding Proteins / biosynthesis*
  • Female
  • Humans
  • Immunohistochemistry
  • Keratins / analysis
  • Muscle, Smooth / chemistry
  • Receptor, ErbB-2 / analysis
  • Receptors, Estrogen / analysis
  • Survival Analysis
  • Transcription Factor AP-2
  • Transcription Factors / biosynthesis*

Substances

  • Actins
  • DNA-Binding Proteins
  • Receptors, Estrogen
  • TFAP2A protein, human
  • TFAP2C protein, human
  • Transcription Factor AP-2
  • Transcription Factors
  • Keratins
  • Receptor, ErbB-2