1st Department of Pathology and Experimental Cancer Research and MTA-SE Tumor Progression Research Group, Semmelweis University, Ulloi ut 26, Budapest, 1085, Hungary.
Virchows Arch. 2014 May;464(5):603-12. doi: 10.1007/s00428-014-1570-1. Epub 2014 Mar 30.
Cell replication integrates aberrations of cell cycle regulation and diverse upstream pathways which all can contribute to melanoma development and progression. In this study, cell cycle regulatory proteins were detected in situ in benign and malignant melanocytic tumors to allow correlation of major cell cycle fractions (G1, S-G2, and G2-M) with melanoma evolution. Dysplastic nevi expressed early cell cycle markers (cyclin D1 and cyclin-dependent kinase 2; Cdk2) significantly more (p < 0.05) than common nevi. Post-G1 phase markers such as cyclin A, geminin, topoisomerase IIα (peaking at S-G2) and aurora kinase B (peaking at G2-M) were expressed in thin (≤1 mm) melanomas but not in dysplastic nevi, suggesting that dysplastic melanocytes engaged in the cell cycle do not complete replication and remain arrested in G1 phase. In malignant melanomas, the expression of general and post-G1 phase markers correlated well with each other implying negligible cell cycle arrest. Post-G1 phase markers and Ki67 but none of the early markers cyclin D1, Cdk2 or minichromosome maintenance protein 6 (Mcm6) were expressed significantly more often in thick (>1 mm) than in thin melanomas. Marker expression did not differ between metastatic melanomas and thick melanomas, with the exception of aurora kinase A of which the expression was higher in metastatic melanomas. Combined detection of cyclin A (post-G1 phase) with Mcm6 (replication licensing) and Ki67 correctly classified thin melanomas and dysplastic nevi in 95.9 % of the original samples and in 93.2 % of cross-validated grouped cases at 89.5 % sensitivity and 92.6 % specificity. Therefore, cell cycle phase marker detection can indicate malignancy in early melanocytic lesions and accelerated cell cycle progression during vertical melanoma growth.
细胞复制整合了细胞周期调控的异常和多种上游途径,这些都可能导致黑色素瘤的发生和发展。在这项研究中,检测了良性和恶性黑色素瘤细胞中的细胞周期调节蛋白,以将主要细胞周期分数(G1、S-G2 和 G2-M)与黑色素瘤的演变相关联。发育不良的痣中早期细胞周期标志物(细胞周期蛋白 D1 和细胞周期依赖性激酶 2;Cdk2)的表达显著更高(p < 0.05)于普通痣。G1 后期的标志物,如细胞周期蛋白 A、geminin、拓扑异构酶 IIα(在 S-G2 时达到峰值)和极光激酶 B(在 G2-M 时达到峰值),在薄(≤1 毫米)黑色素瘤中表达,但在发育不良的痣中不表达,这表明发育不良的黑色素细胞参与细胞周期但不能完成复制,仍停留在 G1 期。在恶性黑色素瘤中,一般和 G1 后期标志物的表达彼此之间具有很好的相关性,这意味着几乎没有细胞周期停滞。G1 后期标志物和 Ki67,但没有早期标志物细胞周期蛋白 D1、Cdk2 或微小染色体维持蛋白 6(Mcm6),在厚(>1 毫米)黑色素瘤中的表达明显更高。与厚黑色素瘤相比,转移性黑色素瘤中除了 Aurora 激酶 A 的表达较高外,Ki67 的表达在转移黑色素瘤和厚黑色素瘤之间没有差异。Cyclin A(G1 后期)与 Mcm6(复制许可)和 Ki67 的联合检测,在原始样本的 95.9%和交叉验证分组案例的 93.2%中正确分类了薄黑色素瘤和发育不良的痣,敏感性为 89.5%,特异性为 92.6%。因此,细胞周期相标志物的检测可以指示早期黑色素瘤病变中的恶性程度,并在垂直性黑色素瘤生长过程中加速细胞周期进程。