Carbohydrates expression analysis in stroma of breast invasive ductal carcinoma and its correlation with clinical and histopathological datas

Abstract

Objectives: To analyze the carbohydrates profile in the stroma of invasive ductal carcinoma, using lectin histochemistry, and correlate the findings with clinical and histopathological data. Methods: Retrospective study based on analysis of 30 cases from patients previously diagnosed with invasive ductal carcinoma during the period from May to October 2008. Tumour samples were subjected to the lectin histochemistry technique, in which the peroxidase-conjugated lectins were used: PNA-Per, 25 mg/mL, UEA-I-Per, 40 mg/mL e Con A-Per, 40 mg/mL specifics for D-galactose, L-fucose and glucose/mannose respectively. Subsequently the histochemical findings were correlated with clinical and histopathological data (age, lymph node invasion, status to p53, tumor size and histological variant) of the patients. Results: In lectin histochemistry, the Con A stained the extracellular matriz of 53.33% of cases, while the PNA and UEA-I recognized 30 and 40% of the ECM, respectively. The blood vessels endothelium was most recognized by the lectin UEA-I (40%) than Con A (10%). Biopsies from patients with ECM stained by Con A were also positive for p53 (p = 0.029), and all positive cases to p53 (p = 0.041) had the respective endothelium recognized by the same lectin. The ECM staining by the UEA-I in relation to poorly differentiated histological variant showed a significant difference (p = 0.034) between the variants analyzed. Conclusions: The results indicated the potential of lectins as efficient probres and stromal glycoconjugates as biomarker or source of information in the diagnosis of invasive ductal carcinoma.