title: Histone deacetylase-1 and -3 protein expression in human breast cancer: a tissue microarray analysis.
abstract: Impaired histone acetylation was recognized to be involved in carcinogenesis. Furthermore, histone deacetylase (HDAC) inhibitors induce differentiation of breast cancer cells and inhibit tumour growth. These results prompted us to study HDAC-1 and -3 expression in breast tumours to establish their potential therapeutic and prognostic significance. HDAC-1 und HDAC-3 protein expression was analyzed immunohistochemically on a tissue microarray (TMA) containing 600 core biopsies from 200 patients. HDAC-1 and -3 expression was correlated to steroid hormone receptor-, Her2/neu- and proliferation status of tumours as well as to overall and disease free survival. Moderate or strong nuclear immunoreactivity for HDAC-1 was observed in 39.8% and for HDAC-3 in 43.9% of breast carcinomas. HDAC-1 and -3 expression correlated significantly with oestrogen and progesterone receptor expression (both p< 0.001). HDAC-1 expression predicted significantly better disease free survival (DFS: p=0.044), in particular, in patients with small tumours of all differentiation types (DFS: p=0.016). Multivariate analysis demonstrated that HDAC-1 is an independent prognostic marker. Our data suggest that evaluation of HDAC-1 protein expression enables a more precise assessment of the prognosis of breast cancer patients. Thus, HDAC-1 expression analysis might be clinically useful to facilitate an individual, risk-directed, adjuvant systemic therapy in breast cancer patients.
authors.affiliation: Department of Anatomy and Reproductive Biology, RWTH University of Aachen, Germany. ckrusche@ukaachen.de
authors.forename: Claudia A
authors.initials: CA
authors.lastname: Krusche
authors.forename: Pia
authors.initials: P
authors.lastname: Wülfing
authors.forename: Christian
authors.initials: C
authors.lastname: Kersting
authors.forename: Anne
authors.initials: A
authors.lastname: Vloet
authors.forename: Werner
authors.initials: W
authors.lastname: Böcker
authors.forename: Ludwig
authors.initials: L
authors.lastname: Kiesel
authors.forename: Henning M
authors.initials: HM
authors.lastname: Beier
authors.forename: Joachim
authors.initials: J
authors.lastname: Alfer
mesh_terms: D014408:Biomarkers, Tumor / Q000378:metabolism*; D001943:Breast Neoplasms / Q000401:mortality / Q000473:pathology*; D002454:Cell Differentiation; D018572:Disease-Free Survival; D005260:Female; D005500:Follow-Up Studies; D005858:Germany / Q000453:epidemiology; D006655:Histone Deacetylases / Q000378:metabolism*; D006801:Humans; D007150:Immunohistochemistry; D008875:Middle Aged; D016016:Proportional Hazards Models; D015996:Survival Rate; D046888:Tissue Array Analysis; D000099186:Histone Deacetylase 3
chemical_list: D014408:Biomarkers, Tumor; D006655:Histone Deacetylases; D000099186:Histone Deacetylase 3