The correlations between alteration of p16 gene and clinicopathological factors and prognosis in squamous cell carcinomas of the buccal mucosa

J Oral Pathol Med (2012) 41: 463–469 Objective:  To evaluate relationships between the alteration of p16 gene and the clinical status and prognosis of the patients with squamous cell carcinoma of the buccal mucosa. Methods:  Thirty buccal cancers were included in the analysis. Deletion analysis was...

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Veröffentlicht in:Journal of oral pathology & medicine 2012-07, Vol.41 (6), p.463-469
Hauptverfasser: Dong, Yuying, Wang, Jie, Dong, Fusheng, Wang, Xu, Zhang, Yinghuai
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creator Dong, Yuying
Wang, Jie
Dong, Fusheng
Wang, Xu
Zhang, Yinghuai
description J Oral Pathol Med (2012) 41: 463–469 Objective:  To evaluate relationships between the alteration of p16 gene and the clinical status and prognosis of the patients with squamous cell carcinoma of the buccal mucosa. Methods:  Thirty buccal cancers were included in the analysis. Deletion analysis was performed by PCR. Point mutation analysis was used by PCR‐SSCP and direct sequencing. Methylation‐specific PCR methods were adopted for the evaluation of p16 methylation. The correlation between alteration of p16 gene and clinicopathological factors buccal cancer was evaluated by Fisher’s exact test. Kaplan–Meier and Cox regression were used to investigate the relationship between p16 alteration and survival time. Results:  The frequency of p16 alteration was 63.3% in buccal carcinomas. P16 deletion was associated significantly with tumor size (P = 0.01). P16 point mutation was associated significantly with differentiation (P = 0.006). P16 methylation was associated significantly with nodes metastasis (P = 0.027). The overall survival rate of 30 buccal carcinomas was 53.3%. The Log‐rank test (P = 0.021) and univariate Cox regression analysis (P = 0.030) revealed that p16 methylation was significantly associated with the overall survival rate. Multivariate analysis showed that p16 deletion, p16 mutation, and p16 methylation were not statistically significant. Conclusions:  The alterations of p16 gene may play a major role in malignancy and development and metastases of buccal carcinoma and may be an excellent marker of aggressive clinical behavior. P16 methylation has a prognostic value in buccal carcinoma but not an independent prognosis factor. P16 point mutation and p16 deletion have not prognostic significance in buccal carcinoma.
doi_str_mv 10.1111/j.1600-0714.2012.01132.x
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Methods:  Thirty buccal cancers were included in the analysis. Deletion analysis was performed by PCR. Point mutation analysis was used by PCR‐SSCP and direct sequencing. Methylation‐specific PCR methods were adopted for the evaluation of p16 methylation. The correlation between alteration of p16 gene and clinicopathological factors buccal cancer was evaluated by Fisher’s exact test. Kaplan–Meier and Cox regression were used to investigate the relationship between p16 alteration and survival time. Results:  The frequency of p16 alteration was 63.3% in buccal carcinomas. P16 deletion was associated significantly with tumor size (P = 0.01). P16 point mutation was associated significantly with differentiation (P = 0.006). P16 methylation was associated significantly with nodes metastasis (P = 0.027). The overall survival rate of 30 buccal carcinomas was 53.3%. The Log‐rank test (P = 0.021) and univariate Cox regression analysis (P = 0.030) revealed that p16 methylation was significantly associated with the overall survival rate. Multivariate analysis showed that p16 deletion, p16 mutation, and p16 methylation were not statistically significant. Conclusions:  The alterations of p16 gene may play a major role in malignancy and development and metastases of buccal carcinoma and may be an excellent marker of aggressive clinical behavior. P16 methylation has a prognostic value in buccal carcinoma but not an independent prognosis factor. P16 point mutation and p16 deletion have not prognostic significance in buccal carcinoma.</description><identifier>ISSN: 0904-2512</identifier><identifier>EISSN: 1600-0714</identifier><identifier>DOI: 10.1111/j.1600-0714.2012.01132.x</identifier><identifier>PMID: 22429295</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Biological and medical sciences ; buccal mucosa ; Carcinoma, Squamous Cell - genetics ; Carcinoma, Squamous Cell - pathology ; Carcinoma, Squamous Cell - secondary ; Cell Differentiation - genetics ; Cell Nucleus - ultrastructure ; Cytoplasm - ultrastructure ; Dentistry ; Dermatology ; DNA Methylation ; Exons - genetics ; Female ; Follow-Up Studies ; Gene Deletion ; Genes, p16 ; Homozygote ; homozygous deletion ; Humans ; Lymphatic Metastasis - genetics ; Lymphatic Metastasis - pathology ; Male ; Medical sciences ; methylation ; Middle Aged ; Mouth Mucosa - pathology ; Mouth Neoplasms - genetics ; Mouth Neoplasms - pathology ; Neoplasm Staging ; Otorhinolaryngology. Stomatology ; p16 gene ; point mutation ; Point Mutation - genetics ; Polymorphism, Single-Stranded Conformational - genetics ; Prognosis ; Promoter Regions, Genetic - genetics ; Sequence Analysis, DNA ; squamous cell carcinoma ; Survival Rate ; Tumors of the skin and soft tissue. Premalignant lesions</subject><ispartof>Journal of oral pathology &amp; medicine, 2012-07, Vol.41 (6), p.463-469</ispartof><rights>2012 John Wiley &amp; Sons A/S</rights><rights>2015 INIST-CNRS</rights><rights>2012 John Wiley &amp; Sons A/S.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5362-70bf36fb027dcdb34401656b8e564410b514558172083fc1cbb48562be24e3c53</citedby><cites>FETCH-LOGICAL-c5362-70bf36fb027dcdb34401656b8e564410b514558172083fc1cbb48562be24e3c53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1600-0714.2012.01132.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1600-0714.2012.01132.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=26103407$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22429295$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dong, Yuying</creatorcontrib><creatorcontrib>Wang, Jie</creatorcontrib><creatorcontrib>Dong, Fusheng</creatorcontrib><creatorcontrib>Wang, Xu</creatorcontrib><creatorcontrib>Zhang, Yinghuai</creatorcontrib><title>The correlations between alteration of p16 gene and clinicopathological factors and prognosis in squamous cell carcinomas of the buccal mucosa</title><title>Journal of oral pathology &amp; medicine</title><addtitle>J Oral Pathol Med</addtitle><description>J Oral Pathol Med (2012) 41: 463–469 Objective:  To evaluate relationships between the alteration of p16 gene and the clinical status and prognosis of the patients with squamous cell carcinoma of the buccal mucosa. Methods:  Thirty buccal cancers were included in the analysis. Deletion analysis was performed by PCR. Point mutation analysis was used by PCR‐SSCP and direct sequencing. Methylation‐specific PCR methods were adopted for the evaluation of p16 methylation. The correlation between alteration of p16 gene and clinicopathological factors buccal cancer was evaluated by Fisher’s exact test. Kaplan–Meier and Cox regression were used to investigate the relationship between p16 alteration and survival time. Results:  The frequency of p16 alteration was 63.3% in buccal carcinomas. P16 deletion was associated significantly with tumor size (P = 0.01). P16 point mutation was associated significantly with differentiation (P = 0.006). P16 methylation was associated significantly with nodes metastasis (P = 0.027). The overall survival rate of 30 buccal carcinomas was 53.3%. The Log‐rank test (P = 0.021) and univariate Cox regression analysis (P = 0.030) revealed that p16 methylation was significantly associated with the overall survival rate. Multivariate analysis showed that p16 deletion, p16 mutation, and p16 methylation were not statistically significant. Conclusions:  The alterations of p16 gene may play a major role in malignancy and development and metastases of buccal carcinoma and may be an excellent marker of aggressive clinical behavior. P16 methylation has a prognostic value in buccal carcinoma but not an independent prognosis factor. P16 point mutation and p16 deletion have not prognostic significance in buccal carcinoma.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>buccal mucosa</subject><subject>Carcinoma, Squamous Cell - genetics</subject><subject>Carcinoma, Squamous Cell - pathology</subject><subject>Carcinoma, Squamous Cell - secondary</subject><subject>Cell Differentiation - genetics</subject><subject>Cell Nucleus - ultrastructure</subject><subject>Cytoplasm - ultrastructure</subject><subject>Dentistry</subject><subject>Dermatology</subject><subject>DNA Methylation</subject><subject>Exons - genetics</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gene Deletion</subject><subject>Genes, p16</subject><subject>Homozygote</subject><subject>homozygous deletion</subject><subject>Humans</subject><subject>Lymphatic Metastasis - genetics</subject><subject>Lymphatic Metastasis - pathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>methylation</subject><subject>Middle Aged</subject><subject>Mouth Mucosa - pathology</subject><subject>Mouth Neoplasms - genetics</subject><subject>Mouth Neoplasms - pathology</subject><subject>Neoplasm Staging</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>p16 gene</subject><subject>point mutation</subject><subject>Point Mutation - genetics</subject><subject>Polymorphism, Single-Stranded Conformational - genetics</subject><subject>Prognosis</subject><subject>Promoter Regions, Genetic - genetics</subject><subject>Sequence Analysis, DNA</subject><subject>squamous cell carcinoma</subject><subject>Survival Rate</subject><subject>Tumors of the skin and soft tissue. Premalignant lesions</subject><issn>0904-2512</issn><issn>1600-0714</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkc1uEzEUhS0EoqHwCsgbJDYTfP03kwULqGgBVS0SRbCzbMeTOszYqT2jpi_BM-NJQliCN7Z8v3Pv0T0IYSBzKOfNeg6SkIrUwOeUAJ0TAEbn20dodiw8RjOyILyiAugJepbzmhCoGYen6IRSThd0IWbo182twzam5Do9-BgyNm64dy5g3Q0u7f5wbPEGJF654LAOS2w7H7yNGz3cxi6uvNUdbrUdYsq7-ibFVYjZZ-wDznej7uOYsXVdh61O1ofY6zx1HcpwM9pJ3482Zv0cPWl1l92Lw32Kvp1_uDn7WF1eX3w6e3dZWcEkrWpiWiZbQ2i9tEvDOCcghTSNE5JzIEYAF6KBmpKGtRasMbwRkhpHuWOlxyl6ve9brN6NLg-q93kyqIMrXhXUggkGsuH_RgktaFkmFLTZozbFnJNr1Sb5XqeHAqkpOLVWUz5qykdNwaldcGpbpC8PU0bTu-VR-CepArw6ADqXfbVJB-vzX04CYZzUhXu75-595x7-24D6fP1lehV9tdf7PLjtUa_TTyVrVgv1_epCySvC6fmPr-o9-w2Cg8Mr</recordid><startdate>201207</startdate><enddate>201207</enddate><creator>Dong, Yuying</creator><creator>Wang, Jie</creator><creator>Dong, Fusheng</creator><creator>Wang, Xu</creator><creator>Zhang, Yinghuai</creator><general>Blackwell Publishing Ltd</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>RC3</scope></search><sort><creationdate>201207</creationdate><title>The correlations between alteration of p16 gene and clinicopathological factors and prognosis in squamous cell carcinomas of the buccal mucosa</title><author>Dong, Yuying ; Wang, Jie ; Dong, Fusheng ; Wang, Xu ; Zhang, Yinghuai</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5362-70bf36fb027dcdb34401656b8e564410b514558172083fc1cbb48562be24e3c53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>buccal mucosa</topic><topic>Carcinoma, Squamous Cell - genetics</topic><topic>Carcinoma, Squamous Cell - pathology</topic><topic>Carcinoma, Squamous Cell - secondary</topic><topic>Cell Differentiation - genetics</topic><topic>Cell Nucleus - ultrastructure</topic><topic>Cytoplasm - ultrastructure</topic><topic>Dentistry</topic><topic>Dermatology</topic><topic>DNA Methylation</topic><topic>Exons - genetics</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gene Deletion</topic><topic>Genes, p16</topic><topic>Homozygote</topic><topic>homozygous deletion</topic><topic>Humans</topic><topic>Lymphatic Metastasis - genetics</topic><topic>Lymphatic Metastasis - pathology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>methylation</topic><topic>Middle Aged</topic><topic>Mouth Mucosa - pathology</topic><topic>Mouth Neoplasms - genetics</topic><topic>Mouth Neoplasms - pathology</topic><topic>Neoplasm Staging</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>p16 gene</topic><topic>point mutation</topic><topic>Point Mutation - genetics</topic><topic>Polymorphism, Single-Stranded Conformational - genetics</topic><topic>Prognosis</topic><topic>Promoter Regions, Genetic - genetics</topic><topic>Sequence Analysis, DNA</topic><topic>squamous cell carcinoma</topic><topic>Survival Rate</topic><topic>Tumors of the skin and soft tissue. Premalignant lesions</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dong, Yuying</creatorcontrib><creatorcontrib>Wang, Jie</creatorcontrib><creatorcontrib>Dong, Fusheng</creatorcontrib><creatorcontrib>Wang, Xu</creatorcontrib><creatorcontrib>Zhang, Yinghuai</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><jtitle>Journal of oral pathology &amp; medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dong, Yuying</au><au>Wang, Jie</au><au>Dong, Fusheng</au><au>Wang, Xu</au><au>Zhang, Yinghuai</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The correlations between alteration of p16 gene and clinicopathological factors and prognosis in squamous cell carcinomas of the buccal mucosa</atitle><jtitle>Journal of oral pathology &amp; medicine</jtitle><addtitle>J Oral Pathol Med</addtitle><date>2012-07</date><risdate>2012</risdate><volume>41</volume><issue>6</issue><spage>463</spage><epage>469</epage><pages>463-469</pages><issn>0904-2512</issn><eissn>1600-0714</eissn><abstract>J Oral Pathol Med (2012) 41: 463–469 Objective:  To evaluate relationships between the alteration of p16 gene and the clinical status and prognosis of the patients with squamous cell carcinoma of the buccal mucosa. Methods:  Thirty buccal cancers were included in the analysis. Deletion analysis was performed by PCR. Point mutation analysis was used by PCR‐SSCP and direct sequencing. Methylation‐specific PCR methods were adopted for the evaluation of p16 methylation. The correlation between alteration of p16 gene and clinicopathological factors buccal cancer was evaluated by Fisher’s exact test. Kaplan–Meier and Cox regression were used to investigate the relationship between p16 alteration and survival time. Results:  The frequency of p16 alteration was 63.3% in buccal carcinomas. P16 deletion was associated significantly with tumor size (P = 0.01). P16 point mutation was associated significantly with differentiation (P = 0.006). P16 methylation was associated significantly with nodes metastasis (P = 0.027). The overall survival rate of 30 buccal carcinomas was 53.3%. The Log‐rank test (P = 0.021) and univariate Cox regression analysis (P = 0.030) revealed that p16 methylation was significantly associated with the overall survival rate. Multivariate analysis showed that p16 deletion, p16 mutation, and p16 methylation were not statistically significant. Conclusions:  The alterations of p16 gene may play a major role in malignancy and development and metastases of buccal carcinoma and may be an excellent marker of aggressive clinical behavior. P16 methylation has a prognostic value in buccal carcinoma but not an independent prognosis factor. P16 point mutation and p16 deletion have not prognostic significance in buccal carcinoma.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>22429295</pmid><doi>10.1111/j.1600-0714.2012.01132.x</doi><tpages>7</tpages></addata></record>
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subjects Adult
Aged
Biological and medical sciences
buccal mucosa
Carcinoma, Squamous Cell - genetics
Carcinoma, Squamous Cell - pathology
Carcinoma, Squamous Cell - secondary
Cell Differentiation - genetics
Cell Nucleus - ultrastructure
Cytoplasm - ultrastructure
Dentistry
Dermatology
DNA Methylation
Exons - genetics
Female
Follow-Up Studies
Gene Deletion
Genes, p16
Homozygote
homozygous deletion
Humans
Lymphatic Metastasis - genetics
Lymphatic Metastasis - pathology
Male
Medical sciences
methylation
Middle Aged
Mouth Mucosa - pathology
Mouth Neoplasms - genetics
Mouth Neoplasms - pathology
Neoplasm Staging
Otorhinolaryngology. Stomatology
p16 gene
point mutation
Point Mutation - genetics
Polymorphism, Single-Stranded Conformational - genetics
Prognosis
Promoter Regions, Genetic - genetics
Sequence Analysis, DNA
squamous cell carcinoma
Survival Rate
Tumors of the skin and soft tissue. Premalignant lesions
title The correlations between alteration of p16 gene and clinicopathological factors and prognosis in squamous cell carcinomas of the buccal mucosa
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