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Consistent with the findings in the other groups, patients with partially inactive p53 pathways had a longer BCSS and DFS than cases with completely inactive p53 pathways [(HR 3.97; 95% CI 2.2�C7.2; p MDM2, Bcl2, p21 and low Bax, indicating partially inactive p53 transcription pathways. BCSS, DSF and MFS of cases with concomitant expression of p53 and Chaetocin nmr MDM4 (p53+/MDM4+/MDM2��/Bcl2��/p21��) were similar to those with a p53?/MDM4+ phenotype, despite the fact that the latter group included a higher percentage of ER+ (p cancers (p Daprodustat mw and tuclazepam favourable clinicopathological characteristics indistinguishable from those with exclusive MDM4 over-expression (p53��/MDM4+/MDM2?/Bcl2��/p21��). When Nottingham/Tenovus cases with concomitant negative expression of MDM4 and MDM2 were stratified according to p53, Bcl2 and p21 co-expressions, six phenotypes with four clinical outcomes ranging from moderate to extremely poor prognosis were identified: (a) Patients with p53?/MDM4?/MDM2?/Bcl2+/p21�� tumours were characterized by moderate prognosis and favourable clinicopathological features. Compared to patients with tumours displaying a p53?/MDM4?/MDM2?/Bcl2?/p21? phenotype, they were associated with slightly better prognosis (HR 1.47; p = 0.035), lower histological grade (p