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DOI: 10.1369/jhc.4A6544.2005
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Journal of Histochemistry and Cytochemistry
Volume 53 (5): 621-629, 2005
Copyright ©The Histochemical Society, Inc.

BRCA1 Gene Expression in Breast Cancer : A Correlative Study between Real-time RT-PCR and Immunohistochemistry

Fahd Al-Mulla1, Mahera Abdulrahman1, Govindarajulu Varadharaj, Nadeem Akhter and Jehoram T. Anim

Department of Pathology, Faculty of Medicine, Kuwait University, Kuwait

Correspondence to: Dr. Fahd Al-Mulla, Department of Pathology, Molecular Pathology Laboratory, Faculty of Medicine, Kuwait University, PO Box 24923, Safat 13110, Kuwait. E-mail: fahd{at}al-mulla.org

Breast cancer is a major cause of cancer-related mortality in women. There are major discrepancies concerning the usefulness of various antibodies in detecting breast cancer susceptibility gene 1 (BRCA1) protein and its subcellular localization. The aim of the present study was to determine the specificity and sensitivity of immunohistochemistry (IHC) as a screening method for demonstrating BRCA1 expression. BRCA1 gene expression in archival paraffin-embedded breast cancer tissues was studied simultaneously at the protein and mRNA levels, and the two findings were compared. Forty-eight archival paraffin-embedded breast cancer tissues were studied for BRCA1 gene expression at protein level by IHC using four different antibodies against different BRCA1 epitopes and at mRNA level using real-time RT-PCR. BRCA1 mRNA expression was reduced or absent in 79% of the samples, and this finding correlated significantly with loss of BRCA1 protein expression in 83% of breast cancer tissues using one BRCA1 antibody studied (AB-1, against N-terminus epitope). The specificity of this antibody was 91.3%, and its sensitivity was 66.6%. There was no significant correlation between BRCA1 mRNA and protein expression as demonstrated by the remaining three antibodies. Antibody 8F7 had the highest sensitivity of 100%, but its specificity was 30.4% if mRNA levels were considered as the reference standard. (J Histochem Cytochem 53:621–629, 2005)

Key Words: BRCA1 • breast cancer • immunohistochemistry • mRNA • protein • real-time RT-PCR


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