title: Comparison of topoisomerase II alpha and MIB-1 expression in uterine cervical squamous lesions.
abstract: The aim of this study was to assess the role of MIB-1 in the classification of cervical squamous lesions and to compare it with a novel proliferation marker, topoisomerase II alpha (TP II alpha). We classified 46 archival uterine cervical cases into 6 groups: normal (n = 3); human papillomavirus (n = 15); mild (n = 10), moderate (n = 7), and severe (n = 6) cervical intra-epithelial neoplasia; and invasive carcinoma (n = 5). The formalin-fixed, paraffin-embedded tissue sections were stained with monoclonal antibodies to Ki-67 (MIB-1) and TP II alpha with a standard streptavidin immunohistochemical technique, with antigen retrieval to assess enzyme presence. The results were based on nuclear staining and percentage of positivity. We found that the mean percentage of positive nuclei increased from normal through increasing grades of dysplasia to its maximal level in invasive carcinoma. The level of positive nuclei in the epithelium also generally increased from basal to full thickness with progression of the lesions. The correlation between the percentage of nuclei positive for both antibodies with the use of linear regression was close, with an r value of 0.85. Our conclusions were that MIB-1 is an adjunct in the classification of squamous lesions of the uterine cervix and that TP II alpha is a useful proliferation marker in this setting.
authors.affiliation: Department of Pathology and Laboratory Medicine, Mallory Institute of Pathology, Boston University School of Medicine, Massachusetts 02118, USA.
authors.forename: D
authors.initials: D
authors.lastname: Gibbons
authors.forename: F
authors.initials: F
authors.lastname: Fogt
authors.forename: J
authors.initials: J
authors.lastname: Kasznica
authors.forename: J
authors.initials: J
authors.lastname: Holden
authors.forename: S
authors.initials: S
authors.lastname: Nikulasson
mesh_terms: D000951:Antigens, Neoplasm / Q000378:metabolism; D034961:Antigens, Nuclear; D015415:Biomarkers / Q000032:analysis; D001706:Biopsy; D002294:Carcinoma, Squamous Cell / Q000378:metabolism / Q000473:pathology; D004250:DNA Topoisomerases, Type II / Q000378:metabolism*; D004268:DNA-Binding Proteins; D005260:Female; D006801:Humans; D007527:Isoenzymes / Q000378:metabolism*; D019394:Ki-67 Antigen; D009687:Nuclear Proteins / Q000378:metabolism*; D027383:Papillomaviridae; D030361:Papillomavirus Infections / Q000378:metabolism / Q000473:pathology; D011379:Prognosis; D012189:Retrospective Studies; D014412:Tumor Virus Infections / Q000378:metabolism / Q000473:pathology; D002577:Uterine Cervical Diseases / Q000378:metabolism*; D002578:Uterine Cervical Dysplasia / Q000175:diagnosis / Q000378:metabolism* / Q000473:pathology; D002583:Uterine Cervical Neoplasms / Q000378:metabolism / Q000473:pathology
chemical_list: D000951:Antigens, Neoplasm; D034961:Antigens, Nuclear; D015415:Biomarkers; D004268:DNA-Binding Proteins; D007527:Isoenzymes; D019394:Ki-67 Antigen; D009687:Nuclear Proteins; D004250:DNA Topoisomerases, Type II