cyclin D1 和 D3 在黑色素细胞皮肤病变中的表达。
Cyclin D1 and D3 expression in melanocytic skin lesions.
机构信息
Department of Dermatology, Jagiellonian University Medical College, Kraków, Poland.
出版信息
Arch Dermatol Res. 2010 Sep;302(7):545-50. doi: 10.1007/s00403-010-1054-3. Epub 2010 May 23.
Cyclins, cyclin-dependent kinases, as well as proteins cooperating with them are responsible for cell cycle regulation which is crucial for normal development, injury repair, and tumorigenesis. D-type cyclins regulate G1 cell cycle progression by enhancing the activities of cyclin-dependent kinases, and their expression is frequently altered in tumors. Disturbances in cyclin expression were also reported in melanocytic skin lesions. The objective of the study was to evaluate the expression of cyclins D1 and D3 in common, dysplastic, and malignant melanocytic skin lesions. Forty-eight melanocytic skin lesions including common nevi (10), dysplastic nevi (24), and melanomas (14) were diagnosed by dermoscopy and excised. Expression of cyclin D1 and D3 was detected by immunohistochemistry and quantified as percentage of immunostained cell nuclei in each sample. In normal skin, expression of cyclins D1 and D3 was not detected. The mean percentage of cyclin D1-positive nuclei was 7.75% for melanoma samples, 5% for dysplastic nevi samples, and 0.34% for common nevi samples. For cyclin D3, the respective values were 17.8, 6.4, and 1.8%. Statistically significant differences in cyclin D1 expression were observed between melanomas and common nevi as well as between dysplastic and common nevi (p = 0.0001), but not between melanomas and dysplastic nevi. Cyclin D3 expression revealed significant differences between all investigated lesion types (p = 0.0000). The mean cyclin D1 and D3 scores of melanomas with Breslow thickness <1 mm and >1 mm were not significantly different. G1/S abnormalities are crucial for the progression of malignant melanoma, and enhanced cyclin D1 and D3 expression leading to increased melanocyte proliferation is observed in both melanoma and dysplastic nevi. In histopathologically ambiguous cases, lower cyclin D3 expression in dysplastic nevi can be a diagnostic marker for that lesion type.
细胞周期蛋白、细胞周期蛋白依赖性激酶以及与之合作的蛋白质负责细胞周期的调节,这对于正常发育、损伤修复和肿瘤发生至关重要。D 型细胞周期蛋白通过增强细胞周期蛋白依赖性激酶的活性来调节 G1 细胞周期的进展,其表达在肿瘤中经常发生改变。黑色素细胞皮肤病变中也报道了细胞周期蛋白表达的紊乱。本研究的目的是评估常见、发育不良和恶性黑色素细胞皮肤病变中细胞周期蛋白 D1 和 D3 的表达。通过皮肤镜检查和切除诊断了 48 例黑色素细胞皮肤病变,包括普通痣(10 例)、发育不良痣(24 例)和黑色素瘤(14 例)。通过免疫组织化学检测细胞周期蛋白 D1 和 D3 的表达,并将每个样本中免疫染色细胞核的百分比量化。在正常皮肤中,未检测到细胞周期蛋白 D1 和 D3 的表达。黑色素瘤样本中细胞周期蛋白 D1 阳性核的平均百分比为 7.75%,发育不良痣样本为 5%,普通痣样本为 0.34%。对于细胞周期蛋白 D3,相应的值分别为 17.8%、6.4%和 1.8%。细胞周期蛋白 D1 表达在黑色素瘤和普通痣以及发育不良痣和普通痣之间存在统计学显著差异(p = 0.0001),但在黑色素瘤和发育不良痣之间无差异。细胞周期蛋白 D3 的表达在所有研究的病变类型之间均存在显著差异(p = 0.0000)。Breslow 厚度<1mm 和>1mm 的黑色素瘤的平均细胞周期蛋白 D1 和 D3 评分无显著差异。G1/S 异常对恶性黑色素瘤的进展至关重要,在黑色素瘤和发育不良痣中均观察到细胞周期蛋白 D1 和 D3 表达增强导致黑素细胞增殖增加。在组织学上有疑问的病例中,发育不良痣中细胞周期蛋白 D3 表达降低可作为该病变类型的诊断标志物。