Our experimental methodology including antigen retrieval, choice of the antibody, and detection system was in concordance with previously http://www.selleckchem.com/products/nu7441.html reported studies. Stained sections were scored by a pathologist who was masked for patient’s clinicopathologic parameters and outcomes. Slides were scored using Allred guidelines [35]. In brief, entire slide of each sample was evaluated using Olympus BX41 microscope at × 100 and × 200 magnifications. First, proportion of positively stained

tumor cells (0, none; 1, < 1/100; 2, 1/100 to 1/10; 3, 1/10 to 1/3; 4, 1/3 to 2/3; and 5, > 2/3) was estimated. Next, an intensity score that represented the average intensity of positive tumor cells (1, weak; 2, intermediate; and 3, strong) was estimated. The proportion and intensity scores were then added to obtain a total score, which ranged from 0 to 8. Nuclear staining for AR and cytoplasmic staining for pAkt and pPTEN with a total score of ≥ 3 were considered positive. Frequencies of different markers including AR, pAkt, and pPTEN with 95% confidence intervals (CIs) were generated for the expression of these markers. Descriptive statistics was determined

for continuous (mean ± SE) and categorical (percentages) variables. The associations of AR, pAkt, and pPTEN expression with demographical data, details of treatment regimen, and clinicopathologic parameters like tumor type, grade, size, status of lymph node, ER, PR, and HER2 were assessed by χ2 test if appropriate; otherwise, Fisher exact test was applied. OS were computed using Kaplan-Meier method. Means and SE of OS time were reported for clinicopathologic selleck parameters. The association of different survival times by these markers was obtained using log-rank test. A P value < .05 (two sided) was considered statistically significant. SPSS (version 18.0, IBM Company, Chicago, IL) Ureohydrolase was used for all statistical analysis. Mean

(± SE) age of patients at diagnosis was 54.8 (± 10.5) years, of which 39% were younger than 50 years. Most of the tumors (95.5%) were ductal, followed by lobular (3%) and mucinous carcinomas (1.5%). More than half of the tumors (56.5%) were of grade II, 54.5% of tumors were 2 to 5 cm in size, and 53.0% of the primary tumors had no lymph node involvement at diagnosis. Among 121 cases of ER-positive tumor, 115 (95%) patients received endocrine therapy. Majority of them (89.5%) received tamoxifen as first option, whereas the remainder (10.5%) received either Femara (Novartis, Basel, Switzerland) or Arimidex (ICI Pakistan Ltd., Karachi, Pakistan). Expression of AR, pAkt, and pPTEN was observed in 47.5% (95% CI = 40.6%-54.4%), 81.3% (95% CI = 75.4%-87.2%), and 50.6% (95% CI = 42.9%-58.3%) of patients, respectively. The percentage of tumors that expressed AR, pAkt, pPTEN, ER, PR, and HER2 are shown in Table 1. AR expression was predominantly found to be localized in the nuclei, whereas pAkt and pPTEN were predominantly found to be localized in the cytoplasm.