Immunohistochemical analysis of the expression of the
cyclin kinase inhibitor p21WAF1/CIP1 in a panel of primary and metastatic human melanocytic
tumors was performed. It was found that, independent of the p53 status, approximately 30% of the primary
melanomas and 40% of the
metastases completely lacked expression of this cell cycle inhibitor. Some
tumors were also analyzed by Northern blotting, and in most of the cases a consistant correlation between
mRNA and
protein expression was observed. In four benign
nevi studied, WAF1/CIP1
mRNA was expressed whereas the
protein was not detected, suggesting a post-transcriptional regulation of the inhibitor in these cases. In superficial spreading
melanomas, a significant correlation between
protein expression and
tumor thickness was found, with thin lesions showing low
protein levels. Interestingly, by comparing primary and metastatic specimens obtained from the same patient, a reduction in p21WAF1/CIP1 antibody staining was observed in the latter, probably reflecting a more aggressive phenotype of the
metastases. In conclusion, our results demonstrate the complexity in the relationship between p21WAF1/CIP1 expression and
tumor phenotype and furthermore suggest that aberrant expression of the
cyclin-dependent kinase inhibitor may be of importance in the development and progression of sporadic
malignant melanoma.