Abstract |
p53 tumor-suppressor gene has a dual role as a trigger of apoptosis and as an initiator of DNA repair. The cyclin-dependent kinase inhibitor WAF/1-p21 is induced by wild-type p53 and has been implicated as a downstream mediator of the growth-suppressing and apoptosis-promoting function of wild-type p53, suggesting an impact on the effectiveness of chemotherapy. This study was designed to assess the significance of p53 and WAF/1-p21 expression in the prognosis of patients and the efficacy of adjuvant chemotherapy for resectable invasive ductal carcinoma (IDC) of the pancreas. A total of 58 patients with primary IDC of the pancreas underwent pancreatectomy between 1982 and 1996: 28 patients underwent surgery alone, and 30 patients received postsurgical adjuvant chemotherapy. p53 and WAF/1-p21 were stained immunohistochemically with anti-p53 monoclonal antibody (mAb) and anti-WAF/1-p21 mAb. p53 was positively expressed in 29 (50%) of 58 primary lesions, and p21 was expressed in 24 (41%) lesions; however, p21 expression did not necessarily correlate with p53 expression. The survival curve of the patients with p53(+) IDC was significantly lower than that of those with p53(-) IDC, and p21(+) patients showed a higher survival curve than did p21(-) patients, but this difference was not statistically significant. When p53 and p21 expression were analyzed in combination, the patients with p53(+)p21(-) IDC were found to have a significantly poorer prognosis than others. On the other hand, the survival curve of the adjuvant chemotherapy group was also higher than that of the surgery-alone group, but this difference was not significant. In a multivariate analysis, p21 expression was a significantly low risk factor for death due to IDC overall, and adjuvant chemotherapy was found to decrease the risk of death from IDC in p53(+) patients. Evaluation of expression of p53 and WAF/1-p21 may be beneficial in the prediction of the patient's prognosis as well as prediction of the effects of adjuvant chemotherapy in pancreatic cancer patients.
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Authors | Y Nio, M Dong, K Uegaki, N Hirahara, Y Minari, S Sasaki, M Takamura, C Iguchi, K Tamura |
Journal | Pancreas
(Pancreas)
Vol. 18
Issue 2
Pg. 117-26
(Mar 1999)
ISSN: 0885-3177 [Print] United States |
PMID | 10090408
(Publication Type: Comparative Study, Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- CDKN1A protein, human
- Cyclin-Dependent Kinase Inhibitor p21
- Cyclins
- Tumor Suppressor Protein p53
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Topics |
- Adult
- Age Factors
- Aged
- Aged, 80 and over
- Carcinoma
(diagnosis, metabolism, mortality, pathology, therapy)
- Chemotherapy, Adjuvant
- Cyclin-Dependent Kinase Inhibitor p21
- Cyclins
(biosynthesis)
- Female
- Humans
- Immunohistochemistry
- Male
- Middle Aged
- Pancreatectomy
- Pancreatic Ducts
(pathology)
- Pancreatic Neoplasms
(diagnosis, metabolism, mortality, pathology, therapy)
- Prognosis
- Survival Rate
- Tumor Suppressor Protein p53
(biosynthesis)
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