Clinico-pathological association of BCL2 in invasive breast carcinoma: A study from tertiary care health centre in Northern India

Background: B-cell lymphoma 2 (Bcl-2) is an antiapoptotic protein and an important clinical breast cancer prognostic marker. The aim of this study was to evaluate the relationship between the BCL2 expression and clinico-pathological parameters in breast cancer. Materials and Methods: Present study i...

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Main Authors: Sarjana Tiwari, Kanwalpreet Kaur
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-04-01
Series:Indian Journal of Pathology and Microbiology
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Online Access:https://journals.lww.com/10.4103/ijpm.ijpm_259_24
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author Sarjana Tiwari
Kanwalpreet Kaur
author_facet Sarjana Tiwari
Kanwalpreet Kaur
author_sort Sarjana Tiwari
collection DOAJ
description Background: B-cell lymphoma 2 (Bcl-2) is an antiapoptotic protein and an important clinical breast cancer prognostic marker. The aim of this study was to evaluate the relationship between the BCL2 expression and clinico-pathological parameters in breast cancer. Materials and Methods: Present study is observational cross-sectional study of 100 biopsy proven cases of breast cancer, and cases with resection specimens were included. IHC analyses for ER, PR, Her2neu, Ki67 and Bcl2 were performed in each case. Results: Bcl2 expression was seen in 52% cases. BCL2-positive expression was associated with lower histological grade (0.026), low Ki-67 level (<14%, P < 0.001), hormone receptor positivity (P < 0.001) and luminal breast cancer (P < 0.001) but no association with tumour size, lymphovascular invasion, perineural invasion and TNM stage. Conclusion: Expression of Bcl-2, an antiapoptotic protein, is associated with low-grade, slowly proliferating, luminal A-type BC. IHC analysis of Bcl-2 is simple, inexpensive, readily available test to stratify early-stage hormone-positive patients who can be included in clinical trials for Bcl-2 inhibitors.
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spelling doaj-art-3da70443ad1f4536b9a28f00a9bd0a992025-08-20T03:59:26ZengWolters Kluwer Medknow PublicationsIndian Journal of Pathology and Microbiology0377-49290974-51302025-04-0168232432710.4103/ijpm.ijpm_259_24Clinico-pathological association of BCL2 in invasive breast carcinoma: A study from tertiary care health centre in Northern IndiaSarjana TiwariKanwalpreet KaurBackground: B-cell lymphoma 2 (Bcl-2) is an antiapoptotic protein and an important clinical breast cancer prognostic marker. The aim of this study was to evaluate the relationship between the BCL2 expression and clinico-pathological parameters in breast cancer. Materials and Methods: Present study is observational cross-sectional study of 100 biopsy proven cases of breast cancer, and cases with resection specimens were included. IHC analyses for ER, PR, Her2neu, Ki67 and Bcl2 were performed in each case. Results: Bcl2 expression was seen in 52% cases. BCL2-positive expression was associated with lower histological grade (0.026), low Ki-67 level (<14%, P < 0.001), hormone receptor positivity (P < 0.001) and luminal breast cancer (P < 0.001) but no association with tumour size, lymphovascular invasion, perineural invasion and TNM stage. Conclusion: Expression of Bcl-2, an antiapoptotic protein, is associated with low-grade, slowly proliferating, luminal A-type BC. IHC analysis of Bcl-2 is simple, inexpensive, readily available test to stratify early-stage hormone-positive patients who can be included in clinical trials for Bcl-2 inhibitors.https://journals.lww.com/10.4103/ijpm.ijpm_259_24bcl2 expressionbreast cancermolecular subtypes
spellingShingle Sarjana Tiwari
Kanwalpreet Kaur
Clinico-pathological association of BCL2 in invasive breast carcinoma: A study from tertiary care health centre in Northern India
Indian Journal of Pathology and Microbiology
bcl2 expression
breast cancer
molecular subtypes
title Clinico-pathological association of BCL2 in invasive breast carcinoma: A study from tertiary care health centre in Northern India
title_full Clinico-pathological association of BCL2 in invasive breast carcinoma: A study from tertiary care health centre in Northern India
title_fullStr Clinico-pathological association of BCL2 in invasive breast carcinoma: A study from tertiary care health centre in Northern India
title_full_unstemmed Clinico-pathological association of BCL2 in invasive breast carcinoma: A study from tertiary care health centre in Northern India
title_short Clinico-pathological association of BCL2 in invasive breast carcinoma: A study from tertiary care health centre in Northern India
title_sort clinico pathological association of bcl2 in invasive breast carcinoma a study from tertiary care health centre in northern india
topic bcl2 expression
breast cancer
molecular subtypes
url https://journals.lww.com/10.4103/ijpm.ijpm_259_24
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AT kanwalpreetkaur clinicopathologicalassociationofbcl2ininvasivebreastcarcinomaastudyfromtertiarycarehealthcentreinnorthernindia