Differential Expression of Ki-67 and P27 in Cholesteatoma Compared to Skin Tissue Predicts the Prognosis of Adult Acquired Cholesteatoma

The aim of this study was to compare the differential Ki-67 and p27 staining properties of acquired cholesteatoma in adult patients for prognostic analysis. Forty-two adult patients with acquired cholesteatoma were enrolled. The cholesteatoma and matched meatal skin tissues of the patients were immu...

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Veröffentlicht in:Journal of International Advanced Otology 2021-07, Vol.17 (4), p.306-312
Hauptverfasser: Turkili, Serkan, Gorur, Kemal, Ismi, Onur, Serinsoz Linke, Ebru, Vaysioglu, Yusuf, Ozcan, Cengiz
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container_title Journal of International Advanced Otology
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creator Turkili, Serkan
Gorur, Kemal
Ismi, Onur
Serinsoz Linke, Ebru
Vaysioglu, Yusuf
Ozcan, Cengiz
description The aim of this study was to compare the differential Ki-67 and p27 staining properties of acquired cholesteatoma in adult patients for prognostic analysis. Forty-two adult patients with acquired cholesteatoma were enrolled. The cholesteatoma and matched meatal skin tissues of the patients were immunostained with Ki-67 and p27 antibodies. Canal wall down mastoidectomy was performed in all patients. The differential staining properties--positive staining in the cholesteatoma and negative staining in the skin tissue (C+S-), negative staining in the cholesteatoma and positive staining in the skin tissue(C-S+)--were compared for bone erosion scores (BES), stage, and recurrence rates. Isolated findings in the cholesteatoma tissues, without matching with the skin tissues, demonstrated that stage and recurrence rates were not related to findings in the cholesteatoma tissues (P > .05). However, C+S- for Ki-67 and C-S+ for p27 are risk factors for worse prognosis including advanced stage (P < .001 for Ki-67 and P = .008 for p27), BES values (P < .001 for Ki-67 and P = .001 for p27), and recurrence rates (P < .001 for Ki-67 and P = .037 for p27). This is the first paper assessing the cholesteatoma prognosis according to the differential Ki-67 and p27 staining properties of cholesteatoma and healthy skin tissues. Cellular proliferation rate in the cholesteatoma is important but insufficient by itself for predicting the prognosis of cholesteatoma patients. Patients having lower basal levels of cellular proliferation rate and higher cellular activity in the cholesteatoma tissue are prone to worse prognosis with increased stage, recurrence rates, and degree of bone erosion.
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Forty-two adult patients with acquired cholesteatoma were enrolled. The cholesteatoma and matched meatal skin tissues of the patients were immunostained with Ki-67 and p27 antibodies. Canal wall down mastoidectomy was performed in all patients. The differential staining properties--positive staining in the cholesteatoma and negative staining in the skin tissue (C+S-), negative staining in the cholesteatoma and positive staining in the skin tissue(C-S+)--were compared for bone erosion scores (BES), stage, and recurrence rates. Isolated findings in the cholesteatoma tissues, without matching with the skin tissues, demonstrated that stage and recurrence rates were not related to findings in the cholesteatoma tissues (P &gt; .05). However, C+S- for Ki-67 and C-S+ for p27 are risk factors for worse prognosis including advanced stage (P &lt; .001 for Ki-67 and P = .008 for p27), BES values (P &lt; .001 for Ki-67 and P = .001 for p27), and recurrence rates (P &lt; .001 for Ki-67 and P = .037 for p27). This is the first paper assessing the cholesteatoma prognosis according to the differential Ki-67 and p27 staining properties of cholesteatoma and healthy skin tissues. Cellular proliferation rate in the cholesteatoma is important but insufficient by itself for predicting the prognosis of cholesteatoma patients. Patients having lower basal levels of cellular proliferation rate and higher cellular activity in the cholesteatoma tissue are prone to worse prognosis with increased stage, recurrence rates, and degree of bone erosion.</description><identifier>ISSN: 2148-3817</identifier><identifier>ISSN: 1308-7649</identifier><identifier>EISSN: 2148-3817</identifier><identifier>DOI: 10.5152/iao.2021.9453</identifier><identifier>PMID: 34309550</identifier><language>eng</language><publisher>Turkey: AVES</publisher><subject>Adult ; Adults ; Antibodies ; Cell cycle ; Cholesteatoma ; Cholesteatoma, Middle Ear - surgery ; Comparative analysis ; Cyclin-Dependent Kinase Inhibitor p27 ; Cyclin-dependent kinases ; Humans ; Ki-67 Antigen ; Labeling ; Mastoidectomy ; Medical research ; Medicine, Experimental ; Original ; Pathogenesis ; Patients ; Prognosis ; Recurrence ; Skin ; Statistical analysis ; Surgery</subject><ispartof>Journal of International Advanced Otology, 2021-07, Vol.17 (4), p.306-312</ispartof><rights>COPYRIGHT 2021 AVES</rights><rights>Copyright Mediterranean Society for Otology and Audiology Jul 2021</rights><rights>2021 authors 2021 authors</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c643t-b3d895de254c14aff105944fe2e4baee90713e5a845a542c06e6a70f42e5e773</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8975409/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8975409/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34309550$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Turkili, Serkan</creatorcontrib><creatorcontrib>Gorur, Kemal</creatorcontrib><creatorcontrib>Ismi, Onur</creatorcontrib><creatorcontrib>Serinsoz Linke, Ebru</creatorcontrib><creatorcontrib>Vaysioglu, Yusuf</creatorcontrib><creatorcontrib>Ozcan, Cengiz</creatorcontrib><creatorcontrib>Deparment of Medical Pathology, Pathology and Molecular Diagnostic Institution, Augsburg, Germany</creatorcontrib><creatorcontrib>Clinic of Otorhinolaryngology, Mersin State Hospital, Mersin, Turkey</creatorcontrib><creatorcontrib>Department of Otorhinolaryngology, Mersin University School of Medicine, Mersin, Turkey</creatorcontrib><title>Differential Expression of Ki-67 and P27 in Cholesteatoma Compared to Skin Tissue Predicts the Prognosis of Adult Acquired Cholesteatoma</title><title>Journal of International Advanced Otology</title><addtitle>J Int Adv Otol</addtitle><description>The aim of this study was to compare the differential Ki-67 and p27 staining properties of acquired cholesteatoma in adult patients for prognostic analysis. Forty-two adult patients with acquired cholesteatoma were enrolled. The cholesteatoma and matched meatal skin tissues of the patients were immunostained with Ki-67 and p27 antibodies. Canal wall down mastoidectomy was performed in all patients. The differential staining properties--positive staining in the cholesteatoma and negative staining in the skin tissue (C+S-), negative staining in the cholesteatoma and positive staining in the skin tissue(C-S+)--were compared for bone erosion scores (BES), stage, and recurrence rates. Isolated findings in the cholesteatoma tissues, without matching with the skin tissues, demonstrated that stage and recurrence rates were not related to findings in the cholesteatoma tissues (P &gt; .05). 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Forty-two adult patients with acquired cholesteatoma were enrolled. The cholesteatoma and matched meatal skin tissues of the patients were immunostained with Ki-67 and p27 antibodies. Canal wall down mastoidectomy was performed in all patients. The differential staining properties--positive staining in the cholesteatoma and negative staining in the skin tissue (C+S-), negative staining in the cholesteatoma and positive staining in the skin tissue(C-S+)--were compared for bone erosion scores (BES), stage, and recurrence rates. Isolated findings in the cholesteatoma tissues, without matching with the skin tissues, demonstrated that stage and recurrence rates were not related to findings in the cholesteatoma tissues (P &gt; .05). However, C+S- for Ki-67 and C-S+ for p27 are risk factors for worse prognosis including advanced stage (P &lt; .001 for Ki-67 and P = .008 for p27), BES values (P &lt; .001 for Ki-67 and P = .001 for p27), and recurrence rates (P &lt; .001 for Ki-67 and P = .037 for p27). This is the first paper assessing the cholesteatoma prognosis according to the differential Ki-67 and p27 staining properties of cholesteatoma and healthy skin tissues. Cellular proliferation rate in the cholesteatoma is important but insufficient by itself for predicting the prognosis of cholesteatoma patients. Patients having lower basal levels of cellular proliferation rate and higher cellular activity in the cholesteatoma tissue are prone to worse prognosis with increased stage, recurrence rates, and degree of bone erosion.</abstract><cop>Turkey</cop><pub>AVES</pub><pmid>34309550</pmid><doi>10.5152/iao.2021.9453</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Adult
Adults
Antibodies
Cell cycle
Cholesteatoma
Cholesteatoma, Middle Ear - surgery
Comparative analysis
Cyclin-Dependent Kinase Inhibitor p27
Cyclin-dependent kinases
Humans
Ki-67 Antigen
Labeling
Mastoidectomy
Medical research
Medicine, Experimental
Original
Pathogenesis
Patients
Prognosis
Recurrence
Skin
Statistical analysis
Surgery
title Differential Expression of Ki-67 and P27 in Cholesteatoma Compared to Skin Tissue Predicts the Prognosis of Adult Acquired Cholesteatoma
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