Table 1 Overview of the design and most important results of studies focusing on the prognostic and/or predictive value of basal cytokeratin expression in invasive breast cancer
AuthorsSource of tissueClinical dataType of basal cytokeratinThreshold for the expression of basal cytokeratinsConclusion
Rakha et al51TMANot specified in detailCk 5/6 and/or Ck 1410%Expression of Ck 5/6 and/or Ck 14 is sufficient for the definition of basal breast cancer
Jumpannen et al40TMANo adjuvant treatmentCk 5/Ck 14/p63 antibody cocktail20%No impact on overall survival in ER-negative breast cancers
Abd El-Rehim et al28TMANot specified in detailCk 5/6 and/or Ck 14Any positive cellExpression of basal cytokeratins is an independent prognostic marker At least four different immunohistochemical phenotypes can be defined
Laakso et al39Tissue sections(a) without adjuvant treatment (b) dose-escalated adjuvant chemotherapyCk 5/Ck 14/p63 antibody cocktail5% 70% for the “true” basal subtypeThe true basal breast cancer subtype in contrast to the basoluminal subtype is not associated with HER2-amplifications and showed a significantly different prognosis No prognostic value of the expression of basal cytokeratins in high-risk patients
Van de Rijn et al79TMAPatients with and without adjuvant chemotherapy, and anti-hormone therapy, respectivelyCk 17 and/or Ck 5/6Invasive tumour cells with strong stainingBasal cytokeratin expression was an independent prognostic marker in node-negative breast cancer
Nielsen et al45TMAPatients with adjuvant and neoadjuvant chemotherapy, anti-hormone therapy, respectivelyCk 17 and/or Ck 5/6Invasive tumour cells with <20% of weak stainingA panel of 4 antibodies (ER, Ck 5/6, HER2 and EGFR) can accurately identify basal-like tumours
Jones et al38Tissue sections of grade 3 breast cancersNot specified in detailCk 14Any positive cellBasal carcinomas have a decreased overall survival and show a distinct chromosomal alteration pattern
Fulford et al42Tissue sections of grade 3 breast cancersNot specified in detailCk 14At least 1% of invasive tumour cellsBasal carcinomas develop less bone and liver metastasis. Overall survival was improved in basal grade 3 carcinomas compared to non-basal grade 3 carcinomas. In metastatic disease the prognosis was decreased
Banerjee et al80Tissue sections of grade 3 breast cancersNot specified in detailCk 5/6, Ck 14, Ck 17Any positive cellSignificantly increased recurrence rate and overall survival Adjuvant anthracyline-based chemotherapy seems less effective compared to grade matched controls
  • TMA, tissue microarray.