Cyclin D1 expression in transitional cell carcinoma of the bladder: correlation with p53, waf1, pRb and Ki67
2001

Cyclin D1 and Bladder Cancer

Sample size: 150 publication Evidence: moderate

Author Information

Author(s): Tut V M, Braithwaite K L, Angus B, Neal D E, Lunec J, Mellon J K

Primary Institution: University of Newcastle upon Tyne

Hypothesis

Can cyclin D1 expression levels in bladder cancer predict clinical outcomes?

Conclusion

Cyclin D1 expression is significantly higher in low-stage, well-differentiated bladder tumors and is an independent prognostic indicator of survival in muscle-invasive disease.

Supporting Evidence

  • Positive staining for cyclin D1 was found in 83% of tumors.
  • 89% of Ta/T1 tumors showed nuclear staining.
  • The median value for cyclin D1 staining was significantly higher in Ta/T1 tumors compared to T2–T4 tumors.
  • There was a significant positive correlation between expression of cyclin D1 and waf1 expression.
  • A cyclin D1 index ≥ 8% was associated with significantly better survival in muscle-invasive disease.

Takeaway

This study found that a protein called cyclin D1 is more common in less severe bladder cancers and can help predict how well patients will do.

Methodology

Immunohistochemistry was used to stain paraffin sections from bladder tumors, and multivariate analyses were performed to assess risk factors for tumor recurrence and survival.

Participant Demographics

150 newly diagnosed bladder cancer patients.

Statistical Information

P-Value

P<0.0001

Statistical Significance

p<0.005

Digital Object Identifier (DOI)

10.1054/bjoc.2000.1557

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