title: Expression patterns of p27Kip1 and Ki-67 in cholesteatoma epithelium.
abstract: OBJECTIVE
  The cell cycle must be involved in cell proliferation of the epithelium of middle ear cholesteatoma Cyclins and cyclin-dependent kinase (CDK) complexes have important regulatory roles during cell cycle progression. Cyclin-CDK complexes are in turn regulated by the cyclin-dependent kinase inhibitors (CDKIs), which generally inhibit cell cycle progression. One of the important CDKI members is p27(Kip1). The goal of this study is to evaluate the expression of p27(Kip1) and Ki-67, a proliferation marker, in cholesteatoma and in the skin of the external ear canal.
  
  
  METHODS
  The expressions of p27(Kip1) and Ki-67 in cholesteatoma epithelium (n = 20) and ear canal epithelium (n = 7) were investigated by an immunohistochemical technique.
  
  
  RESULTS
  In cholesteatoma epithelium specimens, the expression of p27(Kip1) was observed from the parabasal layer to the granular layer, but not in the basal layer. Ki-67 was expressed dominantly in the basal and parabasal cell layers. Their expressions tend to be increased compared with their expressions in the normal ear canal skin. The expression pattern of the proliferation marker Ki-67 in the epithelial layers of two groups was inversely related to the expression of p27(Kip1).
  
  
  CONCLUSIONS
  In cholesteatoma, the expressions of CDKI and Ki-67 were both increased in this study. The ability to inhibit proliferative activity was also increased in the cholesteatoma epithelium. The expression pattern of the proliferation marker Ki-67 in the epithelial layers was inversely related to the expression of p27(Kip1). Not only is the proliferation activity increased, but also the ability to inhibit hyperproliferation is increased in the cholesteatoma epidermis. Despite increased proliferative activity in the cholesteatoma epidermis, epithelial cells still retain the capability to prevent cell cycle arrest by means of p27(Kip1).
authors.affiliation: Department of Otolaryngology--Head and Neck Surgery, College of Medicine, Korea University, Guro Hospital, Seoul.
authors.forename: S W
authors.initials: SW
authors.lastname: Chae
authors.forename: J J
authors.initials: JJ
authors.lastname: Song
authors.forename: H K
authors.initials: HK
authors.lastname: Suh
authors.forename: H H
authors.initials: HH
authors.lastname: Jung
authors.forename: H H
authors.initials: HH
authors.lastname: Lim
authors.forename: S J
authors.initials: SJ
authors.lastname: Hwang
mesh_terms: D018797:Cell Cycle Proteins; D018424:Cholesteatoma, Middle Ear / Q000378:metabolism*; D050760:Cyclin-Dependent Kinase Inhibitor p27; D004848:Epithelium / Q000378:metabolism; D006801:Humans; D019394:Ki-67 Antigen / Q000378:metabolism*; D008869:Microtubule-Associated Proteins / Q000378:metabolism*; D009363:Neoplasm Proteins / Q000378:metabolism*; D025521:Tumor Suppressor Proteins
chemical_list: D018797:Cell Cycle Proteins; D019394:Ki-67 Antigen; D008869:Microtubule-Associated Proteins; D009363:Neoplasm Proteins; D025521:Tumor Suppressor Proteins; D050760:Cyclin-Dependent Kinase Inhibitor p27