Nuclear Saccharin site staining (I) and positive nuclear staining (J). ATM serine/Alpha-Synuclein Inhibitors MedChemExpress threonine Kinase negative nuclear staining (K) and constructive nuclear staining (L).BRIT1, cytoplasmic localization was observed. Nuclear staining of BRIT1 was observed sometimes, but it was not regarded in our study. For ATM and PARP-1, nuclear localization was observed. For CHEK2 and BRCA1, nuclear localization was mostly examined, cytoplasmic staining was also not considered in our study. Table three summarizes the expression status of different markers in 3 groups. ATM expression was related in these groups, whilst the positive expression of CHEK2 was more regularly seen in BRCA2-associated cancers (84.6 ) than BRCA1 (51.six ) and non-BRCA1/2 (53.4 ) breast cancers (p = 0.040). The proportion of optimistic cytoplasmic staining of RAD51 in BRCA2 tumors (69.two ) washttps://doi.org/10.4048/jbc.2018.21.emuch greater than in BRCA1 (34.eight ) and non-BRCA1/2 (37.1 ) tumors. BRCA1 expression was drastically reduced in non-BRCA1/2 (71.9 ) tumors versus BRCA1 (51.9 ) and BRCA2 (40.0 ) tumors (p = 0.008). Optimistic nuclear staining for PARP-1 in BRCA1 (56.three ) and BRCA2 (53.eight ) mutated breast cancers have been larger than non-BRCA1/2 (30.8 ) mutated breast cancer (p= 0.003). The outcomes of multivariate regression analysis of DNA damage repair biomarkers and clinicopathologic findings are presented in Tables four and five. For familial breast cancers, optimistic cytoplasmic BRIT1 expression was associated with BRCA1 genetic mutations. High nuclear grade, ER unfavorable, andhttp://ejbc.krTable 3. DNA repair proteins expression in three groupsProtein BRIT1 Positive Adverse BRCA1 Positive Damaging CHEK2 Constructive Adverse RAD51 Positive Unfavorable PARP-1 Good Negative ATM Optimistic Adverse BRCA1 mutation No. ( ) 16 (64.0) six (36.0) 13 (48.1) 14 (51.9) 16 (51.six) 15 (48.4) 8 (34.eight) 15 (65.2) 18 (56.3) 14 (43.eight) five (16.1) 26 (83.9) BRCA2 mutation No. ( ) 4 (36.4) 7 (56.4) six (60.0) 4 (40.0) 11 (84.six) two (15.4) 9 (69.two) 4 (30.8) 7 (53.8) six (46.2) 11 (84.6) 2 (15.four) Non-BRCA1/2 mutation No. ( ) 38 51 (39.two) 59 80 (60.eight) 0.024 36 (28.1) 92 (71.9) 0.087 71 (53.4) 62 (46.six) 0.070 46 (37.1) 78 (62.9) 0.012 41 (30.eight) 92 (69.two) 0.423 31 (25.six) 90 (74.4) 0.267 0.416 0.007 0.092 0.833 0.036 0.859 0.040 0.042 0.035 p-value 0.020 p-value 0.007 p-value 0.Xinyi Zhu, et al.p-value0.0.0.0.0.0.BRIT1= microcephalin 1; CHEK2= checkpoint kinase 2; RAD51= RAD51 recombinase; PARP-1= poly (ADP-ribose) polymerase 1; ATM= ATM serine/threonine kinase. The p-value involving BRCA1 and BRCA2 and non-BRCA1/2 mutation; The p-value amongst BRCA1 and non-BRCA1/2 mutation; The p-value involving BRCA2 and non-BRCA1/2 mutation; �The p-value in between BRCA1/2 and non-BRCA1/2 mutation.Table 4. Multivariate regression logistic evaluation for DNA repair proteins linked with BRCA1/2 mutationProtein BRIT1 BRCA1 CHEK2 RAD51 PARP-1 ATM BRCA1 Hazard ratio 7.709 2.042 0.657 0.308 three.032 0.589 p-value 0.002 0.230 0.487 0.107 0.058 0.398 Hazard ratio 0.182 four.232 8.039 five.707 2.383 0.455 BRCA2 p-value 0.080 0.107 0.095 0.037 0.305 0.514 two.521 1.969 1.182 0.909 three.071 0.421 BRCA1/2 Hazard ratio p-value 0.047 0.152 0.729 0.840 0.018 0.BRIT1= microcephalin 1; CHEK2= checkpoint kinase two; RAD51= RAD51 recombinase; PARP-1= poly (ADP-ribose) polymerase 1; ATM= ATM serine/threonine kinase.Table five. Multivariate regression logistic analysis for clinicopathologic elements related with BRCA1/2 mutationCharacteristic Nuclear grade ER PR HER2 Ki-67 CK5/6 BRCA1 Hazard ratio 8.