title: Topoisomerase II alpha and telomerase expression in papillary thyroid carcinomas.
abstract: BACKGROUND
  Altered topoisomerase II alpha (Topo II alpha) expression and telomerase activity (TA) reflect tumour cell growth and malignant transformation.
  
  
  METHODS
  We examined TA by using a TRAP assay and expression of Topo II alpha by immunohistochemical analysis in a series of 27 cases of papillary thyroid carcinoma (PTC).
  
  
  RESULTS
  Topo II alpha labelling index (LI) ranged from 0.1 to 4.2% and was significantly associated with patient age (r=-0.42, p=0.003), with higher levels of Topo II alpha in patients under 40 years. There was no relationship between Topo II alpha LI, AGES score or other clinical outcome. TA was detected in 14 PTC, with relative levels ranging from 1.2 to 102 units. A significant positive correlation between the multiplicity of tumoral foci and the TA levels (p<10(-2)) was noted.
  
  
  CONCLUSIONS
  We concluded that Topo II alpha cannot be used as a marker of tumour aggressiveness. Furthermore, enhanced Topo II alpha expression in PTCs from patients less than 40 years old suggests that this age group might benefit from Topo II inhibitor chemotherapy.
authors.affiliation: Laboratoire de Protéines et Inflammation, CHU la Milétrie, 86021 Poitiers Cedex, France.
authors.forename: L
authors.initials: L
authors.lastname: Karayan-Tapon
authors.forename: E
authors.initials: E
authors.lastname: Menet
authors.forename: J
authors.initials: J
authors.lastname: Guilhot
authors.forename: P
authors.initials: P
authors.lastname: Levillain
authors.forename: C J
authors.initials: CJ
authors.lastname: Larsen
authors.forename: J L
authors.initials: JL
authors.lastname: Kraimps
mesh_terms: D000328:Adult; D000368:Aged; D000951:Antigens, Neoplasm; D002291:Carcinoma, Papillary / Q000201:enzymology* / Q000473:pathology; D004250:DNA Topoisomerases, Type II / Q000378:metabolism*; D004268:DNA-Binding Proteins; D006801:Humans; D007150:Immunohistochemistry; D008875:Middle Aged; D019098:Telomerase / Q000378:metabolism*; D013964:Thyroid Neoplasms / Q000201:enzymology* / Q000473:pathology
chemical_list: D000951:Antigens, Neoplasm; D004268:DNA-Binding Proteins; D019098:Telomerase; D004250:DNA Topoisomerases, Type II