title: Expression of the p38 MAPK, NF-kappaB and cyclin D1 in extramammary Paget's disease.
abstract: BACKGROUND
  The p38 mitogen-activated protein kinase (MAPK)/nuclear factor kappaB (NF-kappaB)/cyclin D1 signaling pathway has recently been shown to play an important part in the pathogenesis of many human tumors. However, the role of this signal transduction pathway in extramammary Paget's disease (EMPD) remains unknown.
  
  
  OBJECTIVE
  This study was designed to investigate the expression of phosphorylated p38 MAP kinasealpha (p-p38 MAPKalpha), phosphorylated NF-kappa B p65 (p-NF-kappaB p65) and cyclin D1 proteins in EMPD and to evaluate the relationship among them.
  
  
  METHODS
  Thirty-five tissue samples from 30 primary EMPD cases were analyzed by immunohistochemical staining in formalin-fixed, paraffin-embedded tissue sections for p-p38 MAPKalpha, p-NF-kappaB p65 and cyclin D1.
  
  
  RESULTS
  Among the 35 specimens of EMPD, p-p38 MAPKalpha, p-NF-kappaB p65 and cyclin D1 were expressed in 30, 28 and 27, respectively. Moreover, in five metastatic lymph node specimens, all were positive for p-p38 MAPKalpha and p-NF-kappaB p65, four were positive for cyclin D1. There were significant correlations between expression of p-p38 MAPKalpha, p-NF-kappaB p65, and cyclin D1 in EMPD.
  
  
  CONCLUSIONS
  This study provides evidence that p-p38 MAPKalpha, p-NF-kappaB p65, and cyclin D1 was overexpressed in EMPD, suggesting that the p38 MAPK/NF-kappaB/cyclin D1 signaling pathway might participate in the oncogenesis of EMPD.
authors.affiliation: Department of Dermatology, Graduate School of Medical Sciences, Kyushu University, Maidashi 3-1-1, Higashiku, Fukuoka 812-8582, Japan.
authors.forename: Nengxing
authors.initials: N
authors.lastname: Lin
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Uchi
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Moroi
authors.forename: Noriko
authors.initials: N
authors.lastname: Fukiwake
authors.forename: Teruki
authors.initials: T
authors.lastname: Dainichi
authors.forename: Satoshi
authors.initials: S
authors.lastname: Takeuchi
authors.forename: Masakazu
authors.initials: M
authors.lastname: Takahara
authors.forename: Yating
authors.initials: Y
authors.lastname: Tu
authors.forename: Masutaka
authors.initials: M
authors.lastname: Furue
authors.forename: Kazunori
authors.initials: K
authors.lastname: Urabe
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D056741:Cyclin D; D016213:Cyclins / Q000378:metabolism*; D005260:Female; D006801:Humans; D007150:Immunohistochemistry; D020935:MAP Kinase Signaling System; D008297:Male; D008875:Middle Aged; D010145:Paget Disease, Extramammary / Q000378:metabolism* / Q000473:pathology; D012878:Skin Neoplasms / Q000378:metabolism* / Q000473:pathology; D051996:Transcription Factor RelA / Q000378:metabolism*; D048051:p38 Mitogen-Activated Protein Kinases / Q000378:metabolism*
chemical_list: D056741:Cyclin D; D016213:Cyclins; D051996:Transcription Factor RelA; D048051:p38 Mitogen-Activated Protein Kinases