Expression and significance of cell cycle-related proteins Cyclin Dl, CDK4, p27, E2F-l and Ets-1 in chondrosarcoma of the jaws
Introduction
Cancer cells differ from normal cells in many respects and their growth ability correlates well with their tumorigenicity. The investigation of tumor cell proliferative activity provides insights into tumor biology. Proliferative activity has been correlated with progression and prognosis in a variety of malignant tumors. Recent advances in cell biology have elucidated precise mechanisms of cell cycle regulatory systems and have shown that deregulated cellular proliferation is a common feature in many cancers [1], [2], [3]. Cell cycle progression is regulated not only by various cyclins and cyclin-dependent kinase (CDK) complex and by many CDK-inhibitors such as p27, but also by other cell cycle-associated proteins such as nuclear transcriptional factor E2F-l and Ets-l [2], [3], [4], [5], [6]. To make clear these proteins alterations is helpful in understanding the occurrence and development of tumors. Immunohistochemical assessment of cell proliferation has advantages over the other techniques such as flow cytometric and mitotic frequency analysis, because the tissue architecture is intact and proliferating cells can be visualized in relation to other histological characteristics.
Chondrosarcoma is the second most frequent primary malignant tumor of bone. A better understanding of the development of chondrosarcoma of the jaws is important for the establishment of new treatment strategies. Only a few investigations have described chondrosarcoma at the molecular or cellular proliferation levels. The aim of this study was to detect the different patterns of expression of several cell cycle-associated proteins, including Cyclin Dl, CDK4, p27, E2F-l and Ets-l, in chondrosarcorma of the jaws by immunohistochemistry and to elucidate their roles in its development.
Section snippets
Tissue preparation
Twenty biopsies of patients with chondrosarcoma of the jaws were collected from the files of the Department of Oral Pathology, Fourth Military Medical University, during the period 1991–1998. The clinical data was reviewed to record age and sex of patients and site of lesions. The age range was 11–54 years (average 36 years). The sex ratio was 1 (F, 9 cases): 1.2 (M, 11 cases). Tissue samples were obtained surgically from 11 upper jaws and 9 lower jaws. None of the patients had received any
Results
The positive cells of Cycin Dl, CDK4, p27, E2F-1 and Ets-1 were distributed focally or diffusely. Both of Cyclin Dl and CDK4 positive responses were located in the cytoplasm and/or the nuclei, mainly in the nuclei (Fig. 1a, b). p27 positive stain was observed dominantly in the nuclei (Fig. 1c). E2F-l and Ets-1 was exclusively expressed in the nuclei (Fig. 1d, e). The positive rate of Cycin Dl, CDK4, p27, E2F-l and Ets-1 in chonchosarcoma was 75% (15 of 20), 60% (12 of 20), 25% (5 of 20), 65%
Discussion
The development of a tumor is a complicated multistage process which involves various genetic aberrations. The growth of cancer cells is characterized by accelerated passage through the cell cycle, which is often caused by deregulation of the G1-S transition. At the G1-S transition of the cell cycle, it is decided whether cells continue to progress through the cell cycle or become quiescent [5], [6]. This decision is controlled in part by extracellular factors stimulating or inhibiting growth
Acknowledgements
We thank Professor Yan Jin, Department of Oral Pathology, Stomatological College, Fourth Military Medical University, for his kind help in this study. We also thank Dr. Lianjun Yang, Department of Pathology, Fourth Military Medical University, for providing some useful references.
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