title: Expression of p21WAF1/CIP1 in bladder cancer: relation to schistosomiasis.
abstract: Cell cycle regulation is mediated in part through expression of the cyclin-dependent kinase inhibitor p21WAF1/CIP1. Loss of p21WAF1/CIP1 expression may, therefore, contribute partially to schistosomal carcinogenesis in the urinary bladder. We compared p21WAF1/CIP1 expression in schistosomal and nonschistosomal bladder cancer to explore possible differences in p21WAF1/CIP1 expression between the two subtypes and the possible association between schistosomiasis and loss of p21WAF1/CIP1 expression. Tumor specimens were obtained from 130 patients who underwent transurethral biopsy or cystectomy. p21WAF1/CIP1 was determined by immunodot blot, Western blot, and enzyme immunoassay (EIA). We validated a highly sensitive quantitative EIA assay for determination of p21WAF1/CIP1 in cell lysates. Precision, analytical recovery, and linearity were all excellent. Our results did not show any correlation between p21WAF1/CIP1 expression and most clinicopathologic variables. Lower expression of p21WAF1/CIP1 was evident in squamous cell carcinoma (SCC) and schistosomal subtype than in transitional cell carcinoma and nonschistosomal tumors. Our data suggest a potential role for p21WAF1/CIP1 alteration in schistosomal carcinogenesis.
authors.affiliation: Biochemistry Department, Ain Sahms Faculty of Medicine, Abbassia, Cairo, Egypt.
authors.forename: S
authors.initials: S
authors.lastname: Eissa
authors.forename: M
authors.initials: M
authors.lastname: Swelam
authors.forename: Y
authors.initials: Y
authors.lastname: Shaker
authors.forename: M
authors.initials: M
authors.lastname: Abdel-Fattah
authors.forename: A
authors.initials: A
authors.lastname: Khalifa
mesh_terms: D000328:Adult; D000368:Aged; D050759:Cyclin-Dependent Kinase Inhibitor p21; D018844:Cyclin-Dependent Kinases / Q000037:antagonists & inhibitors; D016213:Cyclins / Q000032:analysis* / Q000096:biosynthesis; D004791:Enzyme Inhibitors / Q000032:analysis; D005260:Female; D006801:Humans; D015151:Immunoblotting; D007124:Immunoenzyme Techniques; D008297:Male; D008875:Middle Aged; D015203:Reproducibility of Results; D012552:Schistosomiasis / Q000150:complications* / Q000473:pathology; D012680:Sensitivity and Specificity; D001749:Urinary Bladder Neoplasms / Q000150:complications* / Q000378:metabolism / Q000473:pathology* / Q000601:surgery
chemical_list: C493956:CDKN1A protein, human; D050759:Cyclin-Dependent Kinase Inhibitor p21; D016213:Cyclins; D004791:Enzyme Inhibitors; D018844:Cyclin-Dependent Kinases