Tumor risk markers in recurrent respiratory papillomatosis

Objectives: This study aims to investigate the pattern of immunoexpression of proteins p16, p53 and Ki-67 in RRP, as well as to evaluate its influence on the number of surgeries that patients have undergone to date and to analyze the benefit of immunohistochemistry in this disease. Methods: Clinical...

Full description

Bibliographic Details
Main Authors: Caroline Fernandes Rimoli, Rogerio Hamerschmidt, Evaldo Dacheux de Macedo Filho, Vanessa Mazanek Santos, Lucas Resende Lucinda Mangia, Bettina Carvalho
Format: Article
Language:English
Published: Elsevier 2023-03-01
Series:Brazilian Journal of Otorhinolaryngology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1808869422001720
_version_ 1797858796166447104
author Caroline Fernandes Rimoli
Rogerio Hamerschmidt
Evaldo Dacheux de Macedo Filho
Vanessa Mazanek Santos
Lucas Resende Lucinda Mangia
Bettina Carvalho
author_facet Caroline Fernandes Rimoli
Rogerio Hamerschmidt
Evaldo Dacheux de Macedo Filho
Vanessa Mazanek Santos
Lucas Resende Lucinda Mangia
Bettina Carvalho
author_sort Caroline Fernandes Rimoli
collection DOAJ
description Objectives: This study aims to investigate the pattern of immunoexpression of proteins p16, p53 and Ki-67 in RRP, as well as to evaluate its influence on the number of surgeries that patients have undergone to date and to analyze the benefit of immunohistochemistry in this disease. Methods: Clinical-demographic data and tumor samples were obtained from 33 patients with RRP. The expression of proteins p16, p53 and Ki-67 was analyzed by immunohistochemical method. Results: Most patients had already undergone more than one surgery. The p16 marker was negative in 24.2% of the cases, with little positivity in 27.3% of the cases, moderate in 36.4% and intense in 12.1%. The p53 marker was positive in all cases, with little immunoexpression in 39.4% of cases, moderate in 36.4% and intense in 24.2%. The Ki-67 marker showed nuclear positivity in all lesions, although in varying degrees, with a mean proliferative index ± SD (standard deviation) of 51.7 ± 26. Conclusions: The papillomatous lesions had varying degrees of immunoexpression of proteins p16, p53 and Ki-67, but no specific immunohistochemical pattern was observed. It was found, with statistical difference, that the number of surgeries was higher in cases with greater intensity of p53 expression, without correlation with the other markers. The benefit of immunohistochemistry in recurrent respiratory papillomatosis may lie in the prognostic assessment. However, further studies are needed to evaluate the use of this technique for this purpose. Level of evidence: : 4.
first_indexed 2024-04-09T21:20:14Z
format Article
id doaj.art-1b014b6c19f94e95a7287f645aee26cf
institution Directory Open Access Journal
issn 1808-8694
language English
last_indexed 2024-04-09T21:20:14Z
publishDate 2023-03-01
publisher Elsevier
record_format Article
series Brazilian Journal of Otorhinolaryngology
spelling doaj.art-1b014b6c19f94e95a7287f645aee26cf2023-03-28T06:45:32ZengElsevierBrazilian Journal of Otorhinolaryngology1808-86942023-03-01892285291Tumor risk markers in recurrent respiratory papillomatosisCaroline Fernandes Rimoli0Rogerio Hamerschmidt1Evaldo Dacheux de Macedo Filho2Vanessa Mazanek Santos3Lucas Resende Lucinda Mangia4Bettina Carvalho5Universidade Federal do Paraná (UFPR), Curitiba, PR, Brazil; Hospital IPO, Instituto Paranaense de Otorrinolaringologia, Departamento de Otorrinolaringologia, Curitiba, PR, Brazil; Corresponding author.Universidade Federal do Paraná (UFPR), Curitiba, PR, BrazilHospital IPO, Instituto Paranaense de Otorrinolaringologia, NEP, Curitiba, PR, BrazilUniversidade Federal do Paraná (UFPR), Curitiba, PR, Brazil; Hospital IPO, Instituto Paranaense de Otorrinolaringologia, NEP, Curitiba, PR, BrazilUniversidade Federal do Paraná (UFPR), Curitiba, PR, Brazil; Hospital IPO, Instituto Paranaense de Otorrinolaringologia, Departamento de Otorrinolaringologia, Curitiba, PR, BrazilUniversidade Federal do Paraná (UFPR), Curitiba, PR, Brazil; Hospital IPO, Instituto Paranaense de Otorrinolaringologia, Departamento de Otorrinolaringologia, Curitiba, PR, BrazilObjectives: This study aims to investigate the pattern of immunoexpression of proteins p16, p53 and Ki-67 in RRP, as well as to evaluate its influence on the number of surgeries that patients have undergone to date and to analyze the benefit of immunohistochemistry in this disease. Methods: Clinical-demographic data and tumor samples were obtained from 33 patients with RRP. The expression of proteins p16, p53 and Ki-67 was analyzed by immunohistochemical method. Results: Most patients had already undergone more than one surgery. The p16 marker was negative in 24.2% of the cases, with little positivity in 27.3% of the cases, moderate in 36.4% and intense in 12.1%. The p53 marker was positive in all cases, with little immunoexpression in 39.4% of cases, moderate in 36.4% and intense in 24.2%. The Ki-67 marker showed nuclear positivity in all lesions, although in varying degrees, with a mean proliferative index ± SD (standard deviation) of 51.7 ± 26. Conclusions: The papillomatous lesions had varying degrees of immunoexpression of proteins p16, p53 and Ki-67, but no specific immunohistochemical pattern was observed. It was found, with statistical difference, that the number of surgeries was higher in cases with greater intensity of p53 expression, without correlation with the other markers. The benefit of immunohistochemistry in recurrent respiratory papillomatosis may lie in the prognostic assessment. However, further studies are needed to evaluate the use of this technique for this purpose. Level of evidence: : 4.http://www.sciencedirect.com/science/article/pii/S1808869422001720Recurrent respiratory papillomatosisImmunohistochemistryProtein p16Protein 53Protein Ki-67
spellingShingle Caroline Fernandes Rimoli
Rogerio Hamerschmidt
Evaldo Dacheux de Macedo Filho
Vanessa Mazanek Santos
Lucas Resende Lucinda Mangia
Bettina Carvalho
Tumor risk markers in recurrent respiratory papillomatosis
Brazilian Journal of Otorhinolaryngology
Recurrent respiratory papillomatosis
Immunohistochemistry
Protein p16
Protein 53
Protein Ki-67
title Tumor risk markers in recurrent respiratory papillomatosis
title_full Tumor risk markers in recurrent respiratory papillomatosis
title_fullStr Tumor risk markers in recurrent respiratory papillomatosis
title_full_unstemmed Tumor risk markers in recurrent respiratory papillomatosis
title_short Tumor risk markers in recurrent respiratory papillomatosis
title_sort tumor risk markers in recurrent respiratory papillomatosis
topic Recurrent respiratory papillomatosis
Immunohistochemistry
Protein p16
Protein 53
Protein Ki-67
url http://www.sciencedirect.com/science/article/pii/S1808869422001720
work_keys_str_mv AT carolinefernandesrimoli tumorriskmarkersinrecurrentrespiratorypapillomatosis
AT rogeriohamerschmidt tumorriskmarkersinrecurrentrespiratorypapillomatosis
AT evaldodacheuxdemacedofilho tumorriskmarkersinrecurrentrespiratorypapillomatosis
AT vanessamazaneksantos tumorriskmarkersinrecurrentrespiratorypapillomatosis
AT lucasresendelucindamangia tumorriskmarkersinrecurrentrespiratorypapillomatosis
AT bettinacarvalho tumorriskmarkersinrecurrentrespiratorypapillomatosis