title: Loss of cytokeratins in breast cancer cells using multiparameter DNA flow cytometry is related to both cellular factors and preparation procedure.
abstract: In breast carcinomas, S-phase fraction calculated after flow cytometric selection of epithelial cells improves the prediction of distant recurrence. However, the presence of DNA aneuploid cells registered as non-epithelial cells and the intertumoural variation of cytokeratin positivity may cause selective loss of tumour cells in flow cytometric analysis. In the present study, the expression of cytokeratins 8 and 18 was examined by both immunohistochemistry and flow cytometry. The proportion of cytokeratin-positive cells was decreased by 25% when estimated by flow cytometry compared with immunohistochemistry; however, the correlation between these two methods was significant (P < 0.01). Fewer cells were cytokeratin-positive in DNA hypodiploid tumours compared with DNA diploid and DNA aneuploid tumours (P = 0.006). Also, rapidly proliferating tumours tended to have a smaller proportion of cytokeratin-positive tumour cells. Our results indicate that loss of cytokeratins in breast cancer cells is related to both cellular factors and the preparation procedure.
authors.affiliation: Department of Oncology, Faculty of Health Sciences, Linköping University Hospital, Sweden.
authors.forename: S
authors.initials: S
authors.lastname: Wingren
authors.forename: C
authors.initials: C
authors.lastname: Guerrieri
authors.forename: B
authors.initials: B
authors.lastname: Frånlund
authors.forename: O
authors.initials: O
authors.lastname: Stål
mesh_terms: D001943:Breast Neoplasms / Q000737:chemistry* / Q000473:pathology; D002277:Carcinoma / Q000737:chemistry* / Q000473:pathology; D004273:DNA, Neoplasm / Q000032:analysis*; D005434:Flow Cytometry / Q000379:methods / Q000592:standards; D006801:Humans; D007150:Immunohistochemistry; D007633:Keratins / Q000032:analysis*; D015203:Reproducibility of Results
chemical_list: D004273:DNA, Neoplasm; D007633:Keratins