Journal of Oral Science Research ›› 2016, Vol. 32 ›› Issue (10): 1051-1055.DOI: 10.13701/j.cnki.kqyxyj.2016.10.012

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Expression and Significance of Bmi-1 and P16 in Oral Carcinogenesis.

LI Yong1, WANG Chun-feng1, ZHAO Guang-ye1, LIU Yi-long1, HUANG Yuan-qing1*, CAI Yang2*.   

  1. 1. Department of Stomatology, Hunan University of Medicine, Huaihua 418000, China;
    2. Department of Oral Medicine, the Affiliated Hospital of Guizhou Medical University, Guiyang 550004, China.
  • Received:2016-03-23 Online:2016-10-26 Published:2016-10-26

Abstract: Objective: To investigate the expression of Bmi-1 and P16 proteins in oral precancerous lesions and oral squamous cell carcinomas (OSCC), and elucidate their possible roles pathway in oral carcinogenesis.Methods: The tissues of 10 cases of normal oral epithelium, 31 cases of different-degree epithelium dysplasia and 61 cases of OSCC with different differentiation were collected and investigated for the expression of Bmi-1 and P16 proteins by using immunohistochemistry. The clinical and pathological significance of Bmi-1 over-expression in oral carcinogenesis was statistically analyzed by SPSS11.5.Results: The percentages of positive staining for Bmi-1 were 0 % in normal oral mucosa, 29% (9/31) in epithelial dysplasia and 62.3% (38/61) in OSCC, respectively. The percentages of positive staining for P16 were 100% (10/10) in normal oral mucosa, 77.4% (24/31) in epithelial dysplasia and 47.5% (29/61) in OSCC, respectively. The percentage of Bmi-1 over-expression with negative P16 staining in OSCC was significantly higher than that in OSCC with positive P16 staining (P<0.05), and there was a negative correlation between the expression of Bmi-1 and P16 in OSCC (r=-0.414, P<0.05). In addition, the over-expression of Bmi-1 and low-expression of P16 were positively correlated with TNM stage and lymph node metastasis in OSCC (P<0.05).Conclusion: Up-regulation of Bmi-1 was an early event in oral carcinogenesis, and might be caused by the down-regulation of P16 in OSCC, closely correlated with TNM stage and lymph node metastasis. Bmi-1 could be used as a marker for assessing the progression and prognosis of OSCC patients.

Key words: Bmi-1, P16, Precancerous lesion, Oral squamous cell carcinoma

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