Sb. Liang et al., Reduced human mismatch repair protein expression in the development of precancerous skin lesions to squamous cell carcinoma, VIRCHOWS AR, 439(5), 2001, pp. 622-627
Citations number
23
Categorie Soggetti
Medical Research Diagnosis & Treatment
Journal title
VIRCHOWS ARCHIV-AN INTERNATIONAL JOURNAL OF PATHOLOGY
Loss of human mismatch repair (hMSH2) gene function has been linked to here
ditary non-polyposis colorectal cancer (HNPCC). Muir-Torre syndrome (NITS),
and sporadic cancers, excluding skin cancers unrelated to MTS. We immunohi
stochemically examined 125 squamous cell carcinomas (SCCs) using a monoclon
al antibody to the hMSH2 protein and compared the results with those for 10
6 precursor lesions of SCC, consisting of actinic keratosis (AK), Bowenoid
type of actinic keratosis (BAK), and Bowen's disease (BOD). In contrast to
the homogeneous immunoreactivity of proliferating cells composed of AK, BAK
, and BOD, heterogeneous and diminished immunostaining to hMSH2 was observe
d in tumor cells of SCCs examined. In addition, two SCCs (2 of 125; 1.6%) a
t multiple loci exhibited a complete lack of immunoreaction to hMSH2. Immun
ohistochemical staining of hMSH2 was semiquantitatively scored as 0 (0% of
total cells examined), 1 (less than 10%), 2 (10-50%), or 3 (more than 50%).
Percentage preservation of and average score for hMSH2 expression in norma
l, AK, BAK, BOD. and SCC were 56% and 2.06. 100% and 2.80, 94% and 2.88. 83
% and 2.78, 63% and 2.36, respectively. The percentage preservation of and
average scores for hMSH2 in AK, BAK, and BOD were significantly higher than
those in presumably normal skin (P <0.01). There were no significant diffe
rences in the percentage preservation of and average scores for hMSH2 betwe
en presumably normal skin and SCC. The score for hMSH2 expression was signi
ficantly correlated with score for sun exposure in presumably normal skin o
f each lesion (R=0.70). These findings for hMSH2 expression in precursor le
sions and SCC suggest that promotion or activation of hMSH2 expression may
be induced by the increased DNA damage caused by sun exposure and that dimi
nished expression of it might occur according to the transformation from pr
ecancerous lesions to SCC.