P27 as a prognostic factor of early cervical carcinoma.

OBJECTIVE: The aim of this study was to clarify whether the evaluation of cell-cycle regulatory protein p27 can serve as a prognostic factor in patients with International Federation of Gynecology and Obstetrics (FIGO) stage IB cervical carcinoma. PATIENTS AND METHODS: A retrospective study was performed on 130 surgically treated patients with FIGO stage IB cervical carcinoma with at least a 5-year follow-up. The expression of p27 was investigated independently by 2 experienced pathologists using immunohistochemistry. The prognostic significance of established prognostic factors and p27 expression were analyzed using univariate and multivariate analyses. RESULTS: In a univariate analysis, lymph node status, tumor diameter, Gynecologic Oncology Group (GOG) score, lymph vascular space invasion, and p27 expression were significant prognostic factors for overall survival (OS). We found a correlation between p27 expression and lymph node status, tumor diameter, invasion, and GOG score. The p27 expression was a statistically significant prognostic factor for OS in a univariate analysis (log-rank test, P = 0.03). In a multivariate analysis, only lymph node status and tumor diameter were statistically significant prognostic factors for OS. CONCLUSIONS: This study demonstrated that a low p27 expression is associated with lymph node metastasis, deep stromal invasion, tumor diameter more than 20 mm, and high GOG score and had a prognostic influence on OS in a univariate analysis in a series of 130 women with FIGO stage IB cervical carcinoma. Lymph node status and the diameter of the tumor were the only statistically significant prognostic factors in multivariate analysis.

Significance of nuclear hTra2-beta1 expression in cervical cancer.

OBJECTIVE: Human Tra2-beta1, a member of the serine/arginine-rich splicing factors, is involved in C/A-dependent mRNA processing and regulation of gene expression. Since several genes involved in cervical carcinogenesis are alternatively spliced and contain C/A rich elements, we aimed to analyze hTra2-beta1 expression and subcellular localization in tumor tissue of women with cervical cancer and to determine its clinical significance. DESIGN: Retrospective study. SETTING: Tertiary-care academic medical center. SAMPLE: One hundred and five patients with cervical cancer and a mean follow up time of 73.1 months. METHODS: Immunohistochemistry of paraffin-embedded tissues was performed and hTra2-beta1 expression was correlated with clinico-pathological variables including patient outcome. RESULTS: Cytoplasmic hTra2-beta1 protein expression was found in 20% of cases, while all tumors revealed nuclear immunoreactivity with strong expression in 54.3% of cases. There was a significant inverse correlation between nuclear and cytoplasmic protein expression, suggesting a potentially relevant shuttle process of hTra2-beta1 between both cellular compartments. Patients with weak expressing hTra2-beta1 tumors showed an improved survival with a tumor-related death rate of 8.3% compared to 23.7% in patients with moderate and high intranuclear hTra2-beta1 expression, respectively. CONCLUSIONS: Our data support the hypothesis of a biological relevance for hTra2-beta1 expression in cervical cancer. The observed shuttle process of this splicing factor with higher concentrations in the nucleus should have pronounced effects on the cellular function and tumor biology of the affected tumors, leading to the worse patient outcome.