Summary
A number of histochemical methods for sex steroid receptors, especially estrogen receptors, have been proposed to replace standard biochemical receptor methods used to predict hormone responsiveness in breast cancer. This discussion addresses a number of serious concerns as to whether these histochemical procedures do in fact adequately detect receptors in situ, and concludes that most of the observed results can be explained by Type II and Type III non-receptor binding. Until further studies are performed, it is not valid to consider the histochemical localization of binding in cancer specimens as indicating the presence of steroid receptor proteins.
References
Barrows GH, Stroupe SB, Riehm JD: Nuclear uptake of ethyl-succinamide bridged 17ß estradiol-fluorescein as a marker of estrogen activity. Am J Clin Pathol 73: 330–339, 1980
Beatson GT: On the treatment of inoperable cases of carcinoma of the mammae: Suggestions for alternative method of treatment with illustrative cases. Lancet 2: 104–107, 1896
Blamey RW, Bishops HM, Blake JRS, Doyle PV, Elston CW, Haybittle JL, Nicholson RI, Griffiths K: Relationships between primary breast tumor receptor status and patient survival. Cancer 46: 2765–2769, 1980
Bojar H, Staib W, Beck K, Pelaski J: Investigation on the thermostability of steroid hormone receptors in lyophilized calf uterine powder. Cancer 46: 2270–2774, 1980
Castaneda E, Liao S: The use of anti-steroid antibodies in the characterization of steroid receptors. J Biol Chem 250: 883, 1975
Chamness GC, McGuire WL: Methods for analyzing steroid receptors in breast cancer.In WL McGuire (ed): Breast Cancer, Vol 3. Plenum Press, New York, 1979, pp 149–197
Chamness GC, Mercer WD, McGuire WL: Are histochemical methods for estrogen receptor valid? J Histochem Cytochem 28: 792–798, 1980
Clark JH, Hardin JW, Upchurch S, Eriksson H: Heterogeneity of estrogen binding sites in the cytosol of the rat uterus. J Biol Chem 253: 7630–7634, 1978
Costlow ME, Buschow RA, McGuire WL: Prolactin receptors in an estrogen receptor-deficient mammary carcinoma. Science 184: 85–86, 1974
Dandliker WB, Brawn RJ, Hsu M-L, Brawn PN, Levin J, Meyers CY, Kolb VM: Investigations of hormone-receptor interactions by means of fluorescence labelling. Cancer Res 38: 4212–4224, 1978
Dandliker WB, Levison SA, Brown RJ: Hormone binding by cells and cell fragments as visualized by fluorescence microscopy. Res Commun Chem Pathol Pharmacol 14: 103–110, 1976
Dao TL, Nemoto T: Steroid receptors and response to endocrine ablations in women with metastatic cancer of the breast. Cancer 46: 2779–2782, 1980
De Sombre ER, Jensen EV: Estrophilin assays in breast cancer: Quantitative features and application to the mastectomy specimen. Cancer 46: 2783–2788, 1980
Feherty P, Farrer-Brown G, Kellie AE: Receptors in carcinoma and benign disease of the breast: An in vitro assay. Brit J Cancer 25: 697–710, 1971
Fisher B, Gunduz N, Zheng S, Saffer E: Fluoresceinated Estrone Binding by Human and Mouse Breast Cancer Cells. Cancer Res 42: 540–549, 1982
Fishman J, Fishman JH: Competitive binding assay for estradiol receptor using immobilized antibody. J Clin Endocrinol Metab 39: 603–606, 1974
Folca PJ, Glascock RF, Irving WT: Studies with tritiumlabeled hexoestrol in advanced breast cancer. Lancet 2: 796–798, 1961
Furmanski P, Saunders DE, Brooks SC, Rich MA, and the Breast Cancer Prognostic Study Clinical and Pathology Associates: The prognostic value of estrogen receptor in patients with primary breast cancer. Cancer 46: 2794–2796, 1980
Ghosh L, Ghosh BC, DasGupta TK: Immunocytological localization of estrogen in human mammary carcinoma cells by horseradish-antihorseradish peroxidase complex. J Surg Oncol 10: 221–224, 1978
Godefroi VC, Brooks SC: Improved gel filtration method for analysis of estrogen binding. Anal Biochem 51: 335–344, 1973
Greene GL, Closs LE, Flemming H, De Sombre ER, Jensen EV: Antibodies to estrogen receptor; immunochemical similarity of estrophilin from various mammalian species. Proc Natl Acad Sci US 74: 3681–3685, 1977
Harris HS, Spratt JS: Bilateral adrenalectomy in metastatic mammary cancer. An analysis of 64 cases. Cancer 23: 145–151, 1969
Huggins C, Bergenstal DM: Inhibition of human mammary and prostatic cancer by adrenalectomy. Cancer Res 12: 134–141, 1952
Jensen EV, De Sombre ER: Estrogen-receptor interaction. Science 182: 126–134, 1973
Jensen EV, Block GE, Smith S, Kyser K, De Sombre ER: Estrogen receptors and breast cancer response to adrenalectomy. Natl Cancer Inst Monog 34: 55–79, 1971
Jensen EV, Jacobson HI: Fate of steroid receptors in target tissue.In G Pincus and EP Vollmer (eds): Biological Activities of Steroids in Relation to Cancer. Academic Press, New York, 1960, pp 161–178
Jensen EV, De Sombre ER, Jungblut PWP: Estrogen receptors in hormone-responsive tissue and tumors. U of Chicago Press, 1967
King RJB: Quality control of estradiol receptor analysis: The United Kingdom experience. Cancer 46: 2822–2824, 1980
Knight WA, Livingston RB, Gregory EJ, McGuire WL: Estrogen receptor as an independent prognostic factor for early recurrence in breast cancer. Cancer Res 37: 4669–4671, 1977
Korenman SG and Dukes BA: Specific estrogen binding by cytoplasm of human breast carcinomas. J Clin Endocrinol Metal 30: 639–645, 1970
Kurzon RM, Sternberger LA: Estrogen receptor immunocytochemistry. J Histochem Cytochem 26: 803–808, 1978
Kute TE, Heidemann P, Wittliff JL: Molecular heterogenicity of cytosol forms of estrogen receptor from human breast tumors. Cancer Res 38: 4307–4313, 1978
Lee SH: Cytochemical study of estrogen receptor in human mammary cancer. Am J Clin Pathol 70: 197–203, 1978
Lee SH: Hydrophilic macromolecules of steroid derivatives for the detection of cancer cell receptors. Cancer 46: 2825–2828, 1980
Lee YJ, Notides AC, Tsay Y-G, and Kende AS: Coumestrol, NBD-norhexestrol, and dansyl-norhexestrol fluorescent probes for estrogen-binding proteins. Biochem 16: 2896–2901, 1977
Lee SH: Cancer cell estrogen receptor of human mammary carcinoma. Cancer 44: 1–12, 1979
Lee SH: The histochemistry of estrogen receptor. Histochem 71: 491–500, 1981
Leung BS, Moseley HS, Davenport CE, Krippaehne WW, Fletcher WS: Prognostic value of estrogen receptor to endocrine ablation in cancer of the breast. Surg Gynecol Obstet 139: 525–528, 1974
Levison SA, Dandliker WB, Brawn RJ, Vanderlaan WP: Fluorescence polarization measurement of the hormone-binding site interaction. Endocrinology 99: 1129–1143, 1976
Lippman ME, Allegra JC: Receptors in breast cancer. New Engl J Med 299: 930–933, 1978
Lippman ME, Huff K: A demonstration of androgen and estrogen receptor in human breast cancer using a new protamine sulfate assay. Cancer 38: 868–874, 1976
Luft R, Olivecrona H: Hypophysectomy in man: Experience in metastatic cancer of the breast. Cancer 8: 261–270, 1955
Maass H, Jonat W, Stolzenbach G, Trams G: The problem of nonresponding estrogen receptor-positive patients with advanced breast cancer. Cancer 46: 2835–2837, 1980
Maynard PV, Davies CJ, Blamey RW, Elston CW, Johnson J, Griffiths K: Relationship between oestrogenreceptor content and histologic grade in human primary breast tumors. Br J Cancer 38: 745–748, 1978
McCarty KS Jr, Woodard BH, Nichols DE, Wilkinson W, McCarty KS Sr: Comparison of biochemical and histochemical techniques for estrogen receptor analysis in mammary carcinoma. Cancer 46: 2842–2845, 1980
McCarty KS Jr, Grant JW, Georgiade N, Wilkinson W, Graham R, Ferguson BJ, Deubner D, McCarty KS Sr, Seigler HF: Immunoglobulin localization in benign and malignant lesions of the human mammary gland. Cancer 48: 69–75, 1981
McCarty KS Jr, McCarty KS Sr: Steroid hormone receptors in the regulation of differentiation. Am J Pathol 86: 705–744, 1977
McCarty KS Jr, Cox C, Silva JS, Woodard BH, Mossler JA, Haagensen DE Jr, Barton T, McCarty KS Sr, Wells SA Jr: Comparison of sex steroid receptor analysis and carcinoembryonic antigen with clinical response to hormone therapy. Cancer 46: 2846–2850, 1980
McCarty KS Jr, Barton TK, Fetter BF, Woodard BH, Mossler JA, Reeves W, Daly J, Wilkinson WE, McCarty KS Sr: Correlation of estrogen and progesterone receptors with histologic differentiation in mammary carcinoma. Cancer 46: 2851–2888, 1980
McGuire WL, Horwitz KB, Pearson OH, Segaloff A: Current status of estrogen and progesterone receptors in breast cancer. Cancer 39: 2934–2947, 1977
McGuire WL, Vollmer EP, Carbone PP (eds): Estrogen Receptors in Human Breast Cancer. Raven Press, New York, 1975
McGuire WL, Julian JA: Comparison of macromolecular binding of estradiol in hormone-dependent and hormone independent rat mammary carcinoma. Cancer Res 31: 1440–1445, 1971
McGuire WL: Estrogen receptor in human breast cancer. J Clin Invest 52: 73–77, 1973
Mercer WD, Carlsen CA, Wahl TM, Teague PO: Identification of estrogen receptor in mammary carcinoma cells by immunofluorescence. Am J Clin Path 70: 330, 1978
Mercer WD, Edwards DP, Chamness GC, McGuire WL: Failure of estradiol immunofluorescence in MCF-7 breast cancer cells to detect estrogen receptors. Cancer Res 41: 4644–4652, 1981
Meyer JS, Rao BR, Stevens SC, White WL: Low incidence of estrogen receptor in breast carcinoma with rapid rates of cellular replication. Cancer 40: 2209–2298, 1977
Morrow B, Leav I, Delellis RA, Raam S: Use of polyestradiol phosphate and anti-17ß estradiol antibodies for the localization of estrogen receptor in target tissues: a critique. Cancer 46: 2872–2879, 1980
Nenci I, Beccati MD, Pagnini CA: Estrogen receptors and post receptor markers in human breast cancer: a reappraisal. Tumori 64: 161–174, 1978
Nenci I: Receptor and nucleolar pathways of steroid action in normal and neoplastic cells. Cancer Res 38: 4204–4211, 1978
Nenci I, Beccati MD, Piffanelli A, Lanza G: Detection and dynamic localization of estradiol-receptor complexes in intact target cells by immunofluorescence technique. J Steroid Biochem: 7: 505–510, 1976
Nenci I, Dandliker WB, Meyers CY, Marchetti E, Marzola A, Fabris G: Estrogen receptor cytochemistry by fluorescent estrogen. J Histochem Cytochem 28: 1081–1088, 1980
O'Malley BW, Means AR: Female steroid hormones and target cell nuclei. Science 183: 610–620, 1974
Panko WB, Mattioli C, Wheeler T: A histochemical assay for estrogen receptor using a 6-linked estrogen: lack of correlation with the biochemical assay. Worcester Foundation Symposium on Cancer and Hormones, March 1980
Pertschuk LP, Tobin EH, Gaetjens E, Carter AC, Degenshein GA, Bloom ND, Brigati DJ: Histochemical assay of estrogen and progesterone receptor in breast cancer: Correlation with biochemical assays and patient response to endocrine therapies. Cancer 46: 2896–2901, 1980
Pertschuk LP, Gaetjens E, Carter AC, Brigati DJ, Kim DS, Tobin EH: Histochemistry of steroid receptors in breast cancer. Ann Clin Lab Sci (in press)
Pertschuk LP, Tobin EH, Brigati DJ, Kim DS, Bloom ND, Gaetjens E, Berman PJ, Carter AC, Degenshein GA: Immunofluorescent detection of estrogen receptors in breast cancer: comparison with dextran-coated charcoal and sucrose gradient assays. Cancer 41: 907–911, 1978
Pertschuk LP: Detection of estrogen binding in human mammary carcinoma by immunofluorescence: a new technique utilizing the binding hormone in a polymerized state. Res Commun Chem Pathol Pharmacol 17: 771–774, 1976
Pertschuk LP, Gaetjens E, Carter AC, Brigati DJ, Kim DS, Fealey TE: An improved histochemical method for detection of estrogen receptors in mammary cancer. Am J Clin Pathol 71: 504–508, 1979
Pertschuk LP, Tobin EH, Tanapat P, Gaetjens E, Carter AC, Bloom ND, Macchia RJ, Eisenberg KB: Histochemical analysis of steroid hormone receptors in breast and prostatic carcinoma. J Histochem Cytochem 28: 799–810, 1980
Poulsen HS: Oestrogen receptor assay — limitation of the method. Eur J Cancer 17: 495–501, 1981
Rosenbaum C, Marsland TA, Stolbach LL, Raam S, Cohen JL: Estrogen receptor status and response to chemotherapy in advanced breast cancer. Cancer 46: 2919–2921, 1980
Rubens RD, Hayward JL: Estrogen receptors and response to endocrine therapy and cytotoxic chemotherapy in advanced breast cancer. Cancer 46: 2922–2924, 1980
Samal BA, Brooks SC, Cummings G, Franco L, Hire EA, Martino S, Singhakowinta A, Vaitkevicius VK: Estrogen receptors and responsiveness of advanced breast cancer to chemotherapy. Cancer 46: 2925–2927, 1980
Singhakowinta A, Saunders DE, Brooks SC, Samal B, Vaitkevicius VK: Clinical application of estrogen receptor in breast cancer. Cancer 46: 2932–2938, 1980
Skinner LG, Barnes DM, Ribeiro GG: The clinical value of multiple steroid receptor assays in breast cancer management. Cancer 46: 2939–2945, 1980
Smith RG: Quality control in steroid hormone receptor assays. Cancer 46: 2946–2949, 1980
Thompson JA, Haven MC, Langdon SM, Haven GT: Estrogen receptor protein: stability of 8S molecular form in frozen cytosols and practical criteria for confirmation. Am J Clin Pathol 73: 340–344, 1980
Toft D, Gorski J: A receptor molecule for estrogens: isolation from the rat uterus and preliminary characterization. Proc Natl Acad Sci USA 55: 1574–1581, 1966
Walker RA, Cove DH, Howell A: Histological detection of oestrogen receptor in human breast carcinomas. Lancet 1: 174, 1980
Walt AJ, Singhakowinta A, Brooks SC, Cortez A: The surgical implications of estrophile protein estimations in carcinoma of the breast. Surgery 80: 506–512, 1976
Young PCM, Ehrlich CE, Einhorn LH: Relationship between steroid receptors and response to endocrine therapy and cytotoxic chemotherapy in metastatic breast cancer. Cancer 46: 2961–2963, 1980
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Address for reprints: Dr. K.S. McCarty, Jr., Departments of Pathology and Medicine, Duke University Medical Center, Durham, NC 27710, USA.
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McCarty, K.S., Reintgen, D.S., Seigler, H.F. et al. Cytochemistry of sex steroid receptors: A critique. Breast Cancer Res Tr 1, 315–325 (1981). https://doi.org/10.1007/BF01806747
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DOI: https://doi.org/10.1007/BF01806747