Department of Anatomical Pathology, Laboratory Medicine Program, University Health Network and University of Toronto, Toronto, Ontario, Canada.
Department of Anatomical Pathology, Laboratory Medicine Program, University Health Network and University of Toronto, Toronto, Ontario, Canada
J Clin Pathol. 2018 Oct;71(10):853-858. doi: 10.1136/jclinpath-2018-205216. Epub 2018 Aug 3.
The gene belongs to family of genes and is made up of four members: p16 , p15 , p18 and p19 , all of which share biological properties, namely, inhibition of cell growth and tumour suppression. After , is the second most common tumour suppressor gene. It has been regarded as the familial melanoma gene. Immunohistochemistry for p16 has a well-defined role in distinct pathological scenarios. It is used to distinguish desmoplastic melanoma from reactive fibrous proliferation, with former showing strong nuclear positivity. In other types of melanoma, p16 protein expression is lost. Spitz nevi show retention of nuclear staining for p16. Benign mesothelial proliferations tend to retain nuclear p16 immunoreactivity, while malignant mesotheliomas lose expression. However, fluorescent in-situ hybridisation analysis is recommended in the workup of malignant mesothelioma. Another common application of p16 immunohistochemistry is as an indicator for human papillomavirus (HPV) infection and p16 protein is overexpressed in HPV-associated tumours. In this context, p16 immunopositivity should be strong, diffuse, nuclear or nuclear and cytoplasmic in location. Another use for p16 is demonstration of p16 immunopositivity in well-differentiated and dedifferentiated liposarcoma.
该基因属于基因家族,由四个成员组成:p16、p15、p18 和 p19,它们都具有抑制细胞生长和肿瘤抑制的生物学特性。p16 是继 p53 之后第二常见的肿瘤抑制基因。它被认为是家族性黑色素瘤基因。p16 的免疫组化在明确的病理情况下具有明确的作用。它用于区分促结缔组织增生性黑色素瘤与反应性纤维增生,前者表现为强烈的核阳性。在其他类型的黑色素瘤中,p16 蛋白表达缺失。Spitz 痣保留核染色的 p16。良性间皮增生倾向于保留核 p16 免疫反应性,而恶性间皮瘤则丧失表达。然而,建议在恶性间皮瘤的研究中使用荧光原位杂交分析。p16 免疫组化的另一个常见应用是作为人乳头瘤病毒(HPV)感染的指标,HPV 相关肿瘤中 p16 蛋白过表达。在这种情况下,p16 免疫阳性应强烈、弥漫、核或核质。p16 的另一个用途是在分化良好和去分化脂肪肉瘤中显示 p16 免疫阳性。