Invasive ductal carcinomas with a non-invasive component (IDC-DCIS) are
classified as a group of invasive breast carcinomas, together with pure
invasive ductal carcinomas of the breast (IDC). MicroRNA-21 (miR-21) has been
characterized as a factor of breast cancer invasiveness, however the
difference in miR-21 expression levels between IDC-DCIS and pure IDC tumors
and the correlations with standard diagnostic and prognostic parameters
inside the IDC-DCIS group are unknown. Our aim was to determine if miR-21 had
the ability to distinguish these two invasive breast cancer groups. Levels of
miR-21 expression were measured by a stem-loop quantitative Real-Time PCR
(RT-qPCR) method. Expression levels of estrogen receptor (ER), progesterone
receptor (PR), human epidermal growth factor receptor 2 (Her-2) and
proliferative index Ki-67 were evaluated by immunohistochemistry. IDC-DCIS
tumors had significantly lower levels of miR-21 expression in grade 2
(P=0.003, Mann-Whitney U test), ER positive (P=0.025, Mann-Whitney U test)
and PR positive tumors (P=0.024, Mann-Whitney U test) than pure IDCs. miR-21
levels showed a different pattern of expression in IDC-DCIS compared to IDC
tumors, which is based on the difference in miR-21 expression between Her-2
negative and Her-2 positive IDC-DCIS tumors (P=0.030, Mann-Whitney U test)
and high negative correlation of miR-21 levels with PR levels (?=-0.886,
P=0.006, Spearman correlation). According to our results, IDC-DCIS breast
carcinomas act in a different manner in pure IDC tumors with regard to the
relations between miR-21 expression levels and the standard diagnostic and
prognostic parameters, such as Her-2 status, ER and PR status and protein
levels.