Association of TP53 rs1042522 Polymorphism with Clinicopathological Features of Breast Cancer in Patients from a Tertiary Care Center in Pakistan

Authors

  • Anum Sitai Author
  • Fouzia Shaikh Author
  • Rehan Imad Author
  • Ummiya Tahir Author
  • Zehra Ahmed Author

DOI:

https://doi.org/10.51985/

Keywords:

Breast Neoplasms, TP53 Protein, Polymorphism, Genetic, Polymerase Chain Reaction, Receptor

Abstract

 Objective: Breast cancer (BC) is the most common cancer among women worldwide and a leading cause of cancer-related mortality; Pakistan has one of the highest incidence rates in Asia, highlighting its significant public health burden. Mutations in a tumor suppressor gene TP53 have attracted much interest. Therefore, the aim of this study was to evaluate the association between clinicopathological characteristics of breast cancer patients and TP53 rs1042522 polymorphism.

 

Study Design & Setting: This cross-sectional study used non-probability consecutive sampling, including cases with adequate FFPE tissue and complete clinicopathological data. Collected variables comprised age at diagnosis, tumor laterality, histological type, tumor grade, pathological stage, and hormone receptor status, recorded according to standardized pathology reporting criteria. Genomic DNA was extracted from FFPE blocks using the Quick-DNA™ FFPE MiniPrep Kit, and DNA concentration and quality were assessed by spectrophotometry.

 

Methodology: Formalin-fixed paraffin-embedded (FFPE) tissue samples and clinical records of 48 histologically diagnosed breast carcinoma cases were analyzed. TP53 rs1042522 genotyping was performed using tetra-amplification refractory mutation system polymerase chain reaction (T-ARMS-PCR). Associations between genotypes and clinicopathological variables were analyzed using Chi-square.

 

Results: Total of 48 female breast cancer patients were included. Invasive ductal carcinoma was the predominant histological subtype. TP53 rs1042522 genotypes were variably distributed across tumor grades, stages, and hormone receptor status and the results showed no statistically significant association (p > 0.05).

 

Conclusion: Study concluded with statement that, TP53 rs1042522 polymorphism showed variable distribution without significant association with clinicopathological features, suggesting a descriptive rather than predictive role in this population 

References

1. Arnold M, Morgan E, Rumgay H, Mafra A, Singh D,

Laversanne M, et al. Current and future burden of breast

cancer: global statistics for 2020 and 2040. Breast. 2022;

66:15–23. DOI: https://doi.org/10.1016/j.breast.2022.08.0102. Pink Ribbon Pakistan. The alarming rise of breast cancer

deaths in Pakistan [Internet]. Karachi: Pink Ribbon Pakistan;

2024 [cited 2025 Dec 21]. Available from: https://

pinkribbon.org. pk/the-alarming-rise-of-breast-cancer-deathsin-pakistan/

3. Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram

I, Jemal A, et al. Global cancer statistics 2020: GLOBOCAN

estimates of incidence and mortality worldwide for 36 cancers

in 185 countries. CA Cancer J Clin. 2021;71(3):209–249.

DOI: https://doi.org/10.3322/caac.21660

4. Hanna TP, King WD, Thibodeau S, Jalink M, Paulin GA,

Harvey-Jones E, et al. Mortality due to cancer treatment delay:

systematic review and meta-analysis. BMJ. 2020;371:m4087.

DOI: https://doi.org/10.1136/bmj.m4087

5. Harbeck N, Penault-Llorca F, Cortes J, Gnant M, Houssami

N, Poortmans P, et al. Breast cancer. Nat Rev Dis Primers.

2019; 5:66. DOI: https://doi.org/10.1038/s41572-019-0111-

2

6. Syeed N, Husain SA, Sameer AS, Abdullah S, Qadri Q,

Siddiqi MA. TP53 R72P polymorphism in breast cancer

patients of Kashmir. Asian Pac J Cancer Prev.

2011;12(3):621–625.

7. Blondeaux E, Arecco L, Punie K, Graffeo R, Toss A, De

Angelis C, Trevisan L, Buzzatti G, Linn SC, Dubsky P, Cruellas

M. Germline TP53 pathogenic variants and breast cancer: a

narrative review. Cancer Treat Rev. 2023; 114:102522.

8. Nausheen H, Ahmed R, Khan S, Fatima S, et al.

Clinicopathological characteristics of molecularly classified

groups of invasive ductal breast carcinoma in Pakistani women.

Pak J Med Dent. 2022;11(2):3–8.

9. Sandoval RL, Bottosso M, Tianyu L, Polidorio N, Bychkovsky

BL, Verret B, Gennari A, Cahill S, Achatz MI, Caron O,

Imbert-Bouteille M. TP53-associated early breast cancer: new

observations from a large cohort. JNCI: Journal of the National

Cancer Institute. 2024 Aug;116(8):1246-54.

10. World Health Organization. WHO classification of tumours

of the breast. 5th ed. Lyon: International Agency for Research

on Cancer; 2019.

11. Bonin S, Hlubek F, Benhattar J, Denkert C, Dietel M,

Fernandez PL, et al. Multicentre validation study of acids

extraction from FFPE tissues. Virchows Arch.

2010;457(3):309–17

12. Bass BP, Engel KB, Greytak SR, Moore HM. A review of

preanalytical factors affecting molecular, protein, and

histopathological analysis of FFPE tissue: how well do you

know your specimen? Arch Pathol Lab Med.

2014;138(11):1520–30. doi:10.5858/arpa.2013-0691-RA.

13. Afzaljavan F, Alizadeh E, Ghaderian SMH, Akbari MT. TP53

codon 72 polymorphism (rs1042522) and breast cancer risk:

case-control study and meta-analysis. Sci Rep. 2019; 9:12776.

doi: https://10.1038/s41598-019-49120-1

14. Syeed N, Husain SA, Sameer AS, Abdullah S, Qadri Q,

Siddiqi MA. TP53 R72P polymorphism in breast cancer

patients of Kashmir. Asian Pac J Cancer Prev.

2011;12(3):621–625.

15. Nausheen H, Ahmed R, Khan S, Fatima S, et al.

Clinicopathological characteristics of molecularly classified

groups of invasive ductal breast carcinoma in Pakistani women.

Pak J Med Dent. 2022;11(2):3–816. Wu D, Zhang Z, Chu H, Li H, Wang M, Zhang Z. Intron 3

sixteen base pair duplication polymorphism of TP53 contributes

to breast cancer susceptibility. PLoS One. 2013;8(4): e61662.

doi: https://10.1371/journal.pone.0061662

17. Wu D, Zhang Z, Chu H, Li H, Wang M, Zhang Z. Intron 3

sixteen base pair duplication polymorphism of TP53 contributes

to breast cancer susceptibility. PLoS One. 2013;8(4): e61662.

doi: https://10.1371/journal.pone.0061662

18. Icen-Taskin I, Calik M, Ates O. TP53 rs1042522 polymorphism

and early-onset breast cancer risk in Turkish women. J Res

Med Sci. 2020; 25:25. doi: https://10.4103/jrms.JRMS_652_19

19. Cheng H, Ma B, Huang W, Wang X, Wang Y. Combined

effects of MDM2 SNP309 and TP53 R72P polymorphisms

on breast cancer risk. Mol Biol Rep. 2012;39(10):9781–9788.

doi: https://10.1007/s11033-012-1842-4

20. Shahbandi A, Nguyen HD, Jackson JG. TP53 mutations and

outcomes in breast cancer: reading beyond the headlines.

T r e n d s C a n c e r . 2 0 2 0 ; 6 ( 2 ) : 9 8 – 1 1 0 . d o i :

https://10.1016/j.trecan.2019.11.007

21. Grote I, Bartels S, Kandt L, Bollmann L, Christgen H,

Gronewold M, et al. TP53 mutations are associated with

primary endocrine resistance in luminal early breast cancer.

C a n c e r M e d . 2 0 2 1 ; 1 0 ( 2 3 ) : 8 5 8 1 – 8 5 9 4 . d o i :

https://10.1002/cam4.4361

22. Shahbandi A, Nguyen HD, Jackson JG. TP53 mutations and

outcomes in breast cancer: reading beyond the headlines.

T r e n d s C a n c e r . 2 0 2 0 ; 6 ( 2 ) : 9 8 – 1 1 0 . d o i :

https://10.1016/j.trecan.2019.11.007

Downloads

Published

2026-04-21

Issue

Section

Original Articles

How to Cite

Association of TP53 rs1042522 Polymorphism with Clinicopathological Features of Breast Cancer in Patients from a Tertiary Care Center in Pakistan. (2026). Journal of Bahria University Medical and Dental College, 16(02), 601-608. https://doi.org/10.51985/

Similar Articles

1-10 of 13

You may also start an advanced similarity search for this article.