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Journal of Clinical Pathology 2001;54:533-538; doi:10.1136/jcp.54.7.533
Copyright © 2001 by the BMJ Publishing Group Ltd & Association of Clinical Pathologists.
J Clin Pathol 2001; 54:533-538
© 2001 Journal of Clinical Pathology

Expression of transcription factor AP-2 in colorectal adenomas and adenocarcinomas; comparison of immunohistochemistry and in situ hybridisation

K M Ropponen1, J K Kellokoski1,3, R T Pirinen1, K I Moisio1, M J Eskelinen2, E M Alhava2, V-M Kosma1

1 Department of Pathology and Forensic Medicine, University of Kuopio, PO Box 1627, FIN 70211, Kuopio University Hospital, Kuopio, Finland
2 Department of Surgery, University of Kuopio
3 Departments of Oral and Maxillofacial Unit and Oncology, Kuopio University Hospital

Correspondence to:
Dr Kosma VeliMatti.Kosma{at}uku.fi

Aims—To investigate whether the three different AP-2 isoforms are expressed differently in colorectal adenomas and carcinomas.

Methods—The study comprised 43 randomly selected patients diagnosed and treated at Kuopio University Hospital in 1996 for colorectal adenocarcinoma (n = 30) and colorectal adenoma (n = 13). The expression of AP-2{alpha}, AP-2ß, and AP-2{gamma} was analysed by immunohistochemistry (IHC) and the mRNA status of AP-2{alpha} was determined by in situ hybridisation (ISH) and confirmed by reverse transcription polymerase chain reaction (RT-PCR). AP-2 expression patterns were correlated with clinicopathological variables.

Results—In adenomas and carcinomas, AP-2ß cytoplasmic positivity was higher than that of AP-2{alpha} or AP-2{gamma}. AP-2{alpha} expression was reduced in advanced Dukes's stage carcinomas. In high grade carcinomas, both AP-2{alpha} and AP-2{gamma} expression was reduced. ISH demonstrated increased AP-2{alpha} values in high grade carcinomas. Seven of 30 carcinoma specimens displayed a moderate or strong mRNA signal, despite being negative for AP-2{alpha} protein. RT-PCR from AP-2{alpha} mRNA and protein positive tumours confirmed that the positive signal in ISH originated from the exon 2 of TFAP2A.

Conclusions—AP-2{alpha} was reduced in advanced Dukes's stage adenocarcinomas. Together with reduced AP-2{gamma} expression in high grade carcinomas, this might contribute to tumour progression. The discrepancy between mRNA and protein expression suggests that post-transcriptional regulatory mechanisms might modify the availability of functional AP-2{alpha} protein in colorectal carcinoma.

Key Words: AP-2 proteins • immunohistochemistry • in situ hybridisation • colorectal neoplasms


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