Author/Editor     Gale, Nina; Kambič, V; Poljak, Mario; Coer, A; Velkavrh, D; Mlačak, B
Title     Chromosomes 7,17 polysomies and overexpression of epidermal growth factor receptor and p53 protein in epithelial hyperplastic laryngeal lesions
Type     članek
Source     Oncology
Vol. and No.     Letnik 58
Publication year     2000
Volume     str. 117-25
Language     eng
Abstract     Purpose:To visualize directly a sequence of genetic changes underlying the entire spectrum of epithelial hyperplastic laryngeal lesions (EHLL) and laryngeal cancer by the use of non-isotopic in situ hybridization (ISH) for chromosomes 7 and 17 in correlation with overexpression of p53 protein and epidermal growth factor receptor (EGFR). The specific aim was to compare the results and prognostic significance between the two types of EHLL: isolated, mainly atypical hyperplasia or risky epithelium, and EHLL associated with squamous cell carcinoma (SCC). Patients and Methods: 59 tissue specimens of EHLL obtained from 34 patients, graded according to the Ljubljana classification into simple (SH), abnormal (AbH) and atypical hyperplasia (AtH), and carcinoma in situ (CIS) were included in the study. Non-fluorescent ISH for chromosomes 7 and 17 was performed by biotinylated a-satellite DNA probes. Immunohistochemical staining for EGFR and p53 protein was analyzed on the same tissue samples. Results: Polysomy for both chromosomes increased in correlation with progressive grades of EHLL. The most important finding was the statistically significant difference in chromosome copy numbers between the isolated AtH and AtH associated with SCC. Overexpression of EGFR and p53 protein was found in 61 (36/59) and 52% (31/59) of cases, respectively. The immunoreactivity for both markers increased with the grade of lesions, but the staining pattern was not so uniform in isolated EHLL. On the other hand, the immunoreactivity was expressed more constantly in EHLL adjacent to SCC. Conclusions: Numerical changes in chromosomes 7 and 17 might be associated with an upregulation of EGFR and p53 genes, and could contribute to critical events in laryngeal carcinogenesis. (Abstract truncated at 2000 characters.)
Descriptors     LARYNGEAL DISEASES
HYPERPLASIA
LARYNGEAL NEOPLASMS
RECEPTORS, EPIDERMAL GROWTH FACTOR-UROGASTRONE
PROTEIN P53
IN SITU HYBRIDIZATION
IMMUNOHISTOCHEMISTRY
CHROMOSOMES, HUMAN, PAIR 7
CHROMOSOMES, HUMAN, PAIR 17
CARCINOMA IN SITU
DNA PROBES