title: An immunohistochemical study of the expression of cell-cycle-regulated proteins p53, cyclin D1, RB, p27, Ki67 and MSH2 in gallbladder carcinoma and its precursor lesions.
abstract: Gallbladder carcinomas are rare but highly lethal neoplasms. We examined the expression of five cell-cycle-related molecules (p53, RB, cyclin D1, p27, Ki-67), and MSH2, in 46 carcinomas, 14 adenomas, 15 low-grade dysplasias, 9 intestinal metaplasias and 20 normal gallbladder epithelia. The expression of these molecules was altered in gallbladder carcinomas and adenomas. In gallbladder carcinomas we observed increased expression of p53, cyclin D1, Ki-67, and MSH2 together with decreased expression of RB and p27 protein. Aberrant expression of cyclin D1 and reduced expression of RB were noted in adenomas, and expression of cyclin D1 was elevated in low-grade dysplasias. However, there was no change in the levels of these cell-cycle molecules in metaplasia. Expression of p53, p27, Ki-67, and MSH2 was correlated with clinical stage (P<0.05) and there was also a correlation between the expression of Ki-67 and MSH-2 and patient age (P<0.05). These results suggest that altered expression of cell-cycle molecules p53, cyclin D1, RB, p27, and of MSH-2 is involved in the progression of gallbladder carcinomas.
authors.affiliation: Department of Pathology, Chungbuk National University College of Medicine, Chungbuk, South Korea.
authors.forename: Y H
authors.initials: YH
authors.lastname: Xuan
authors.forename: Y L
authors.initials: YL
authors.lastname: Choi
authors.forename: Y K
authors.initials: YK
authors.lastname: Shin
authors.forename: M C
authors.initials: MC
authors.lastname: Kook
authors.forename: S W
authors.initials: SW
authors.lastname: Chae
authors.forename: S M
authors.initials: SM
authors.lastname: Park
authors.forename: H B
authors.initials: HB
authors.lastname: Chae
authors.forename: S H
authors.initials: SH
authors.lastname: Kim
mesh_terms: D000368:Aged; D002277:Carcinoma / Q000235:genetics / Q000378:metabolism* / Q000503:physiopathology; D018797:Cell Cycle Proteins / Q000096:biosynthesis / Q000235:genetics*; D019938:Cyclin D1 / Q000096:biosynthesis / Q000235:genetics; D004268:DNA-Binding Proteins / Q000096:biosynthesis / Q000235:genetics; D005260:Female; D005706:Gallbladder Neoplasms / Q000235:genetics / Q000378:metabolism* / Q000503:physiopathology; D006801:Humans; D007150:Immunohistochemistry; D019394:Ki-67 Antigen / Q000096:biosynthesis / Q000235:genetics; D008297:Male; D051718:MutS Homolog 2 Protein; D018809:Proliferating Cell Nuclear Antigen / Q000096:biosynthesis / Q000235:genetics; D011518:Proto-Oncogene Proteins / Q000096:biosynthesis / Q000235:genetics; D016160:Retinoblastoma Protein / Q000096:biosynthesis / Q000235:genetics; D016159:Tumor Suppressor Protein p53 / Q000096:biosynthesis / Q000235:genetics
chemical_list: D018797:Cell Cycle Proteins; D004268:DNA-Binding Proteins; D019394:Ki-67 Antigen; D018809:Proliferating Cell Nuclear Antigen; D011518:Proto-Oncogene Proteins; D016160:Retinoblastoma Protein; D016159:Tumor Suppressor Protein p53; C413374:p27 antigen; D019938:Cyclin D1; C497172:MSH2 protein, human; D051718:MutS Homolog 2 Protein