Ex-chromate workers are frequently afflicted with lung cancers, especially
central-type squamous cell carcinomas (SCCs) of the lung. However, little i
s known about the molecular and cellular biologic characteristics of chroma
te-induced lung cancers. We investigated expression of cyclin D1, bcl-2, an
d p53 proteins in chromate-induced lung cancers by immunohistochemistry, co
mpared with those in lung-cancers from nonexposed individuals and those in
individuals with pneumoconiosis. Of 19 chromate-induced lung cancers, 16 tu
mors were SCCs, including 11 central and 5 peripheral types. Eleven (69%) o
f 16 chromate SCCs showed cyclin D1 expression. In contrast, cyclin D1 expr
ession was observed in only 3 (12%) of 26 SCCs from nonexposed individuals
and 6 (16%) of 37 SCCs that developed in patients with pneumoconiosis, resp
ectively. The frequency of cyclin D1 expression proved to be significantly
higher in chromate-induced SCCs than in SCCs from nonexposed individuals an
d from those with pneumoconiosis (P < .001). When comparisons were extended
to all histologic types of lung cancer, cyclin D1 expression was observed
significantly more often in chromate-induced lung cancers than in lung canc
ers from nonexposed subjects and those from patients with pneumoconiosis (1
1 [58%] of 19 v 5 [10%] of 52, P < .0011 and 7 [11%] of 63, P < .001, respe
ctively). Frequencies of bcl-2 and p53 expression were not significantly di
fferent among lung cancers from ex-chromate workers, nonexposed individuals
and those with pneumoconiosis. The current study suggests that cyclin D1 e
xpression may be involved in the development of chromate-induced lung cance
rs, although its underlying mechanism remains to be determined. Copyright (
C) 2000 by W.B. Saunders Company.