Determination of the prognostic significance of cyclin B1 overexpression in patients with esophageal squamous cell carcinoma

• Published in: Virchows Archiv : an international journal of pathology Vol. 434; no. 2; pp. 153 - 158
• Main Authors: MURAKAMI, H, FURIHATA, M, OHTSUKI, Y, OGOSHI, S
• Format: Journal Article
• Language: English
• Published: Berlin Springer 01-02-1999
• Subjects: Adult; Aged; Biological and medical sciences; Carcinoma, Squamous Cell - chemistry; Carcinoma, Squamous Cell - mortality; Carcinoma, Squamous Cell - pathology; Cyclin B - analysis; Cyclin B - immunology; Cyclin B1; Esophageal Neoplasms - chemistry; Esophageal Neoplasms - mortality; Esophageal Neoplasms - pathology; Esophagus; Female; Gastroenterology. Liver. Pancreas. Abdomen; Humans; Immunohistochemistry; Male; Medical sciences; Middle Aged; Prognosis; Survival Rate; Tumors; Human; Immunohistochemistry; Squamous cell carcinoma; Prognosis; Esophageal disease; Cyclin; Gene overexpression; Malignant tumor; Multivariate analysis; Gene expression; Statistical study; Esophagus; Pathology; Cell cycle; Digestive diseases
• ISSN: 0945-6317; 1432-2307
• DOI: 10.1007/s004280050319

Recent studies have identified a family of proteins referred to as cyclins, which control the cell cycle. Cyclin B1 activates cdc2, which regulates cell progression through the G2 and M phases. The main aim of this study was to examine the relationships between the cyclin B1 expression in human esophageal squamous cell carcinoma (SCC) and clinicopathological factors and prognosis of the patients. Eighty-seven cases of primary human SCC consecutively obtained at esophagectomy were immunohistochemically studied using an anti-human cyclin B1 protein antibody (2H1-H6). The relationship between cyclin B1 expression and clinicopathological factors, including prognosis, were also statistically assessed. Positive immunostaining of cancer cells, mainly in the cytoplasm, was detected in 72.4% (63/87): heterogeneous pattern in 37.9% (33/87) and homogeneous pattern in 34.5% (30/87). The prevalence of cyclin B1 expression was significantly higher in cases with invasion deeper than the muscularis propria (P<0.005) and with venous invasion (P<0.01) than in other cases. Patients whose SCCs expressed high levels of cyclin B1 protein had a significantly poorer prognosis than did the other patients (P<0.05). Multivariate analysis demonstrated that cyclin B1 status was an important factor affecting survival (P<0.05). These findings demonstrated that overexpression of cyclin B1 protein is associated with tumor behavior and prognosis for patients with human esophageal SCC.