Low Expression of p27 Protein Combined with Altered p53 and Rb/p16 Expression Status Is Associated with Increased Expression of Cyclin A and Cyclin B1 in Diffuse Large B-Cell Lymphomas

The expression of the cyclin-dependent kinase inhibitor (CDKI) p27 protein was investigated in relation to (1) the expression of the cell cycle regulators p53, Rb and p16 and (2) the proliferation profile as determined by the expression of Ki67, cyclin A, and cyclin B1 in 80 cases of de novo diffuse...

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Veröffentlicht in:Modern pathology 2001-11, Vol.14 (11), p.1105-1113
Hauptverfasser: Bai, Maria, Vlachonikolis, John, Agnantis, Niki J, Tsanou, Elena, Dimou, Sofia, Nicolaides, Constatinos, Stefanaki, Stella, Pavlidis, Nicolaos, Kanavarous, Panagiotis
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container_end_page 1113
container_issue 11
container_start_page 1105
container_title Modern pathology
container_volume 14
creator Bai, Maria
Vlachonikolis, John
Agnantis, Niki J
Tsanou, Elena
Dimou, Sofia
Nicolaides, Constatinos
Stefanaki, Stella
Pavlidis, Nicolaos
Kanavarous, Panagiotis
description The expression of the cyclin-dependent kinase inhibitor (CDKI) p27 protein was investigated in relation to (1) the expression of the cell cycle regulators p53, Rb and p16 and (2) the proliferation profile as determined by the expression of Ki67, cyclin A, and cyclin B1 in 80 cases of de novo diffuse large B-cell lymphomas (DLBCL). P27 expression was low/null in large tumor cells in 58/80 cases and intermediate/high in 22/80 cases. Increased expression of p53 protein was observed in 39/80 cases. Decreased expression of Rb and p16 proteins was mutually exclusive and was observed in 5/80 and 14/80 cases, respectively. The analysis of the p27 expression status (low/null versus intermediate/high) with respect to the p53 and/or Rb/p16 expression status showed that low/null p27 expression was significantly correlated with increased p53 expression (P = .018) and showed a strong trend for correlation with concurrent increased p53 expression and decreased Rb or p16 expression (P = .050). These findings suggest a tendency for concurrent alterations of the cell cycle regulators p27, p53, and Rb or p16 in DLBCL, which might result in impaired tumor growth control. Indeed, the analysis of the combined p27/p53/Rb/p16 expression status with respect to the proliferation profile showed that (1) three alterations in the combined p27/p53/Rb/p16 status (i.e., low/null P27 expression, increased expression of p53, and decreased expression of Rb or p16) were significantly correlated with increased expression of cyclin B1 (P = .005) and (2) two or three alterations were significantly correlated with increased expression of cyclin A (P = .014). These findings suggest combined impairment of a complex cell-cycle control network involving the CDK inhibitor p27, the P53 pathway, and the Rb1 pathway, which exerts a cooperative effect resulting in enhanced tumor cell proliferation.
doi_str_mv 10.1038/modpathol.3880444
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P27 expression was low/null in large tumor cells in 58/80 cases and intermediate/high in 22/80 cases. Increased expression of p53 protein was observed in 39/80 cases. Decreased expression of Rb and p16 proteins was mutually exclusive and was observed in 5/80 and 14/80 cases, respectively. The analysis of the p27 expression status (low/null versus intermediate/high) with respect to the p53 and/or Rb/p16 expression status showed that low/null p27 expression was significantly correlated with increased p53 expression (P = .018) and showed a strong trend for correlation with concurrent increased p53 expression and decreased Rb or p16 expression (P = .050). These findings suggest a tendency for concurrent alterations of the cell cycle regulators p27, p53, and Rb or p16 in DLBCL, which might result in impaired tumor growth control. 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subjects Analysis of Variance
B-cell lymphoma
Biomarkers - analysis
Cell cycle
Cell Cycle Proteins - biosynthesis
Cell Division
Cell growth
Cyclin A - biosynthesis
Cyclin B - biosynthesis
Cyclin B1
Cyclin-Dependent Kinase Inhibitor p16 - biosynthesis
Cyclin-Dependent Kinase Inhibitor p27
Cyclin-dependent kinases
Genes
Humans
Immuno-histochemistry
Immunohistochemistry
Kinases
Laboratory Medicine
Lymphoma
Lymphoma, B-Cell - metabolism
Lymphoma, B-Cell - pathology
Lymphoma, Large B-Cell, Diffuse - metabolism
Lymphoma, Large B-Cell, Diffuse - pathology
Medicine
Medicine & Public Health
original-article
Pathology
Phosphorylation
Proteins
Retinoblastoma Protein - biosynthesis
Tumor Suppressor Protein p53 - biosynthesis
Tumor Suppressor Proteins - biosynthesis
title Low Expression of p27 Protein Combined with Altered p53 and Rb/p16 Expression Status Is Associated with Increased Expression of Cyclin A and Cyclin B1 in Diffuse Large B-Cell Lymphomas
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