Publication: Expression of p53 in endometrial polyps with special reference to the p53 signature
Authors
Sho, Tomoko ; Hachisuga, Toru ; Kawagoe, Toshinori ; Urabe, Rie ; Kurita, Tomoko ; Kagami, Seiji ; Shimajiri, Shohei ; Fujino, Yoshihisa
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Publisher
Universidad de Murcia. Departamento de BiologĂa Celular e HistologĂa
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DOI
DOI: 10.14670/HH-11-713
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info:eu-repo/semantics/article
Description
Abstract
We herein examined the significance of the
p53 expression in endometrial polyps (EMPs). A total of
133 EMPs, including 62 premenopausal and 71
postmenopausal women with EMP, were immunohistochemically studied for the expression of estrogen
receptor (ER)-alpha, Ki-67 and p53. Apoptotic cells
were identified using a TUNEL assay. A DNA sequence
analysis of TP53 exons 5 to 9 was performed. Among
the premenopausal EMPs, a multivariate analysis
showed the labeling index (LI) for Ki-67 to correlate
significantly with that for p53 (P<0.001), but not that for
apoptosis. On the contrary, among the postmenopausal
EMPs, the LI for Ki-67 correlated significantly with that
for apoptosis (P<0.001). The p53 signature (p53S) was
defined by endometrial epithelial cells, which are
morphologically benign in appearance but display 12 or
more consecutive epithelial cell nuclei with strong p53
immunostaining. The p53S was found in nine (12.7%)
postmenopausal EMPs (mean age: 70.2 years). The
median Ki-67 index for the p53S was 7%, with no
significant difference from that of the glands of the
postmenopausal EMPs without the p53S (P=0.058). The
median apoptotic index for the p53S was 0%, which was
significantly lower than that of the postmenopausal
EMPs without the p53S (P=0.002). Two of four p53Ss
showed TP53 mutations according to the DNA sequence
analysis. The presence of the p53S is not rare in
postmenopausal EMPs with an advanced age. Among
postmenopausal EMPs, the LI of Ki-67 significantly
correlates with that of apoptosis. However, such a
positive correlation between the LI of Ki-67 and
apoptosis is not observed in p53S.
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Citation
Histology and histopathology, Vol.31, nÂş7 (2016)
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