p21/WAF1 expression in human colorectal carcinoma: association with p53, transcription factor AP-2 and prognosis
1999

p21/WAF1 Expression in Colorectal Cancer and Its Prognostic Value

Sample size: 162 publication Evidence: moderate

Author Information

Author(s): Ropponen K M, Kellokoski J K, Lipponen P K, Pietiläinen T, Eskelinen M J, Alhava E M, Kosma V-M

Primary Institution: Department of Pathology and Forensic Medicine, University of Kuopio

Hypothesis

The study investigates the relationship between p21/WAF1 expression and p53, AP-2 expressions, and their association with prognosis in colorectal carcinoma patients.

Conclusion

The study found that p21 expression levels can help predict the outcomes for colorectal cancer patients.

Supporting Evidence

  • p21 expression was moderate or intense in 33% of the tumors.
  • 53% of the tumors had moderate or strong p53 staining intensity.
  • 89% of the tumors showed a weak cytoplasmic AP-2 signal.
  • p21 and p53 stainings were inversely related to each other.
  • There was a significant positive association between p21 and AP-2 expression levels.
  • p21 intensity and percentage were higher in Dukes' A and B stages.
  • Patients with low p21 signal had significantly lower cancer-related survival rates.
  • High p53 staining intensity predicted poor survival.

Takeaway

This study looked at a protein called p21 in cancer patients to see if it could help doctors understand how well patients might do after treatment.

Methodology

The study assessed p21 expression in colorectal carcinoma patients and its relation to p53 and AP-2 expressions, as well as survival outcomes.

Participant Demographics

Patients with colorectal carcinoma.

Statistical Information

P-Value

P < 0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1038/sj.bjc.6690662

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