ISSN:
1365-2559
Source:
Blackwell Publishing Journal Backfiles 1879-2005
Topics:
Medicine
Notes:
Combined examination of p27Kip1, p21Waf1/Cip1 and p53 expression allows precise estimation of prognosis in patients with gastric carcinoma Aims: In order to estimate the prognostic values of p27Kip1, p21Waf1/Cip1, and p53, alone and in combination, we investigated immunohistochemically the expression of p27Kip1, p21Waf1/Cip1, and p53 proteins in gastric carcinomas. Methods and results: The expression of p27Kip1, p21Waf1/Cip1, and p53 was immunohistochemically examined in 140 gastric carcinomas. Positive expression of p27Kip1 and p21Waf1/Cip1 correlated significantly with a favourable prognosis (P 〈 0.05), whereas, positive expression of p53 tended to correlate with poor prognosis. Multivariate survival analysis revealed that TNM stage of tumour (P 〈 0.001), lymph node state (P=0.005), and p27Kip1 expression (P=0.006) were independent prognostic factors. A striking stratification of mortality rate was found when patients were divided into four groups according to the expression of p21Waf1/Cip1 and p27Kip1. The mortality rate was higher in patients with both p21Waf1/Cip1- and p27Kip1-negative gastric carcinoma than in patients with one or both positive carcinomas (P 〈 0.01). In addition, if the four p21Waf1/Cip1/p27Kip1 groups were compared based on p53 status, p53+ cases tended to have a higher mortality rate than p53- cases. Conclusion: Our results suggest that low expression of both p27Kip1 and p21Waf1/Cip1 could be useful as markers of poorer prognosis, and the combined examination of p27Kip1, p21Waf1/Cip1 and p53 expression allows reliable estimation of prognosis for patients with gastric carcinoma.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1046/j.1365-2559.2001.01283.x
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