Previous studies of oral cancer have suggested that alterations of the p53 tumour suppressor gene occur early in the precancerous stage of development. However, these observations have been based on cross-sectional assessment of abnormal p53 protein staining by immunohistochemistry and may not neces
p53 GENE ALTERATIONS AND p53 PROTEIN IN ORAL EPITHELIAL DYSPLASIA AND SQUAMOUS CELL CARCINOMA
β Scribed by KUSAMA, KAORU; OKUTSU, SEIJIRO; TAKEDA, AKIO; HIMIYA, TAKAO; KOJIMA, AKIRA; KIDOKORO, YOSHIHIRO; CHU, LING; IWANARI, SHINKICHI; KUDO, ITSURO; MORO, ITARU
- Publisher
- John Wiley and Sons
- Year
- 1996
- Tongue
- English
- Weight
- 654 KB
- Volume
- 178
- Category
- Article
- ISSN
- 0022-3417
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β¦ Synopsis
To examine the expression of p53 protein and gene alterations in oral epithelial lesions including epithelial dysplasias and primary squamous cell carcinomas, immunohistochemical and temperature gradient gel electrophoresis (TGGE) methods were applied to formalin-fixed and paraffin-embedded tissues. Morphologically normal mucosal epithelium stained negatively for p53 protein. Three out of 11 (27.3 per cent) epithelial dysplasias and 19 out of 57 (33-3 per cent) primary squamous cell carcinomas stained positively for p53 protein. Although more than half of the cases were positive for p53 protein in stage I, the positive cancer cases were found at other stages with variable frequency. Immunoreactive products were localized in the nucleus, especially in the basal and suprabasal layers. The analysis by TGGE revealed gene alterations in exons 5-8 in 3 out of 3 epithelial dysplasias and 17 out of 19 (89.5 per cent) primary squamous cell carcinomas which were immunohistochemically positive for p53 protein. These results suggest that p53 gene mutation may be involved in carcinogenesis in the oral squamous epithelium even in the early stage of the dysplasia-carcinoma sequence.
KEY woRDs-immunohistochemish.y; p53 protein; p53 gene; mouth; squamous cell carcinoma
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