Reduced expression of cell-cycle regulator p27(Kip1) correlates with a shortened survival in non-small cell lung

S Tsukamoto1, K Sugio, T Sakada

  • 1Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, Japan.

Abstract

Insights

Reduced expression of p27 protein, a cell cycle regulator, is linked to advanced non-small cell lung cancer. Lower p27 levels indicate a poorer prognosis and reduced survival rates in patients after surgical resection.

Area of Science:

  • Molecular Biology
  • Oncology
  • Cell Cycle Regulation

Background:

  • Cell cycle progression is controlled by cyclin-dependent kinases (CDKs), regulated by cyclins and phosphorylation.
  • p27, a cyclin-dependent kinase inhibitor (CKI), controls G1 to S phase transition by inhibiting cyclin/CDKs.
  • Reduced p27 expression, not mutations, may drive cancer progression.

Purpose of the Study:

  • To investigate the role of p27 protein expression in non-small cell lung cancer (NSCLC).
  • To determine if p27 expression levels correlate with clinicopathological features and patient prognosis.

Main Methods:

  • Analyzed surgically excised tissues from 161 Japanese NSCLC patients.
  • Assessed p27 protein expression using immunohistochemistry.

Main Results:

  • Reduced p27 expression was observed in 39.0% of cases.
  • Lower p27 levels correlated with advanced NSCLC stage.
  • Reduced p27 expression was an independent poor prognostic indicator, associated with significantly lower 5-year survival rates in patients with complete resection.

Conclusions:

  • p27 protein expression serves as a valuable prognostic biomarker in NSCLC.
  • It helps identify patient subsets with good or poor prognosis following surgical resection.

Related Concept Videos

Inhibition of Cdk Activity02:34

Inhibition of Cdk Activity

The orderly progression of the cell cycle depends on the activation of Cdk protein by binding to its cyclin partner. However, the cell cycle must be restricted when undergoing abnormal changes. Most cancers correlate to the deregulated cell cycle, and since Cdks are a central component of the cell cycle, Cdk inhibitors are extensively studied to develop anticancer agents. For instance, cyclin D associates with several Cdks, such as Cdk 4/6, to form an active complex. The cyclin D-Cdk4/6 complex...
Negative Regulator Molecules01:23

Negative Regulator Molecules

Positive regulators allow a cell to advance through cell cycle checkpoints. Negative regulators have an equally important role as they terminate a cell’s progression through the cell cycle—or pause it—until the cell meets specific criteria.
Abnormal Proliferation02:23

Abnormal Proliferation

Under normal conditions, most adult cells remain in a non-proliferative state unless stimulated by internal or external factors to replace lost cells. Abnormal cell proliferation is a condition in which the cell's growth exceeds and is uncoordinated with normal cells. In such situations, cell division persists in the same excessive manner even after cessation of the stimuli, leading to persistent tumors. The tumor arises from the damaged cells that replicate to pass the damage to the daughter...
DNA Damage Can Stall the Cell Cycle02:36

DNA Damage Can Stall the Cell Cycle

In response to DNA damage, cells can pause the cell cycle to assess and repair the breaks. However, the cell must check the DNA at certain critical stages during the cell cycle. If the cell cycle pauses before DNA replication, the cells will contain twice the amount of DNA. On the other hand, if cells arrest after DNA replication but before mitosis, they will contain four times the normal amount of DNA. With a host of specialized proteins at their disposal,cells must use the right protein at...
DNA Damage can Stall the Cell Cycle02:36

DNA Damage can Stall the Cell Cycle

In response to DNA damage, cells can pause the cell cycle to assess and repair the breaks. However, the cell must check the DNA at certain critical stages during the cell cycle. If the cell cycle pauses before DNA replication, the cells will contain twice the amount of DNA. On the other hand, if cells arrest after DNA replication but before mitosis, they will contain four times the normal amount of DNA. With a host of specialized proteins at their disposal,cells must use the right protein at...
Interactions Between Signaling Pathways01:19

Interactions Between Signaling Pathways

Signaling cascades usually lack linearity. Multiple pathways interact and regulate one another, allowing cells to integrate and respond to diverse environmental stimuli.
Convergence and divergence, and cross-talk between signaling pathways
Two distinct signaling pathways can converge on a single functional unit, which may either be a single protein or a complex of proteins. The response is either functionally distinct or synergistic between the two pathways but different from the response...