Korean J Pathol.
1999 Dec;33(12):1120-1130.
Relationship among the Expression of Cyclin D1, p21, and p53 Protein, and Prognosis in Non-Small Cell Lung Carcinomas
- Affiliations
-
- 1Department of Pathology, Yonsei University Wonju College of Medicine.
- 2Department of Pathology, Yonsei University College of Medicine, Seoul 120-752, Korea.
- 3Department of Internal Medicine, Yonsei University College of Medicine, Seoul 120-752, Korea.
- 4Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine, Seoul 120-752, Korea.
Abstract
-
Recently, cell cycle regulators have been suggested as new prognostic factors of the
lung cancer. In this study, we evaluated the expression of cyclin D1, p21, and p53 using
the X2-test, with regard to the stage of the patients, histologic type, and histologic
differentiation in the 135 cases of non-small cell lung carcinomas (NSCLC). To evaluate
the confounding effects among cyclin D1, p21, and p53 on X2-test analysis, we used the
Mantel-Haenzel test. The NSCLC in this study included 82 cases of squamous cell
carcinoma and 53 cases of adenocarcinoma. Each nuclear staining of cyclin D1, p21, and
p53 was observed in 65 cases (48.1%), in 54 cases (40.0%), and in 81 cases (60.0%) of
NSCLCs, respectively. Only p53 expression was significantly associated with the stage
(stage I, II, IIIa) (p<0.05) and squamous cell carcinoma (p<0.05). On the other hand,
cyclin D1 expression was significantly associated with the histologic differentiation. The
confounding effects among cyclin D1, p21, and p53 revealed that only p21 expression
changed the relationship between p53 and stage. In this regard, further study is
needed.