The role of protein p16INK4a in non‑oropharyngeal head and neck squamous cell carcinoma in Southern China

  • Authors:
    • Hang Yang
    • Ye Cao
    • Zhi‑Ming Li
    • Ya‑Jun Li
    • Wen‑Qi Jiang
    • Yan‑Xia Shi
  • View Affiliations

  • Published online on: August 23, 2018     https://doi.org/10.3892/ol.2018.9353
  • Pages: 6147-6155
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Abstract

Cyclin‑dependent kinase inhibitor 2A (p16INK4a) protein is a surrogate immunohistochemical marker of human papillomavirus infection in oropharynx squamous cell carcinoma (OPSCC). However, the effects of p16INK4a in non‑OPSCC require additional analysis. In addition, major gaps remain in the literature, including small volumes of data for China. Therefore, the present study evaluated the frequency of p16INK4a positivity in patients with non‑OPSCC in Southern China, and assessed its prognostic value. p16INK4a expression status in patients with non‑OPSCC was determined by immunohistochemistry. p16INK4a‑positive expression was defined as a strong and diffuse staining in ≥70% of the tumor cells. Then, the diagnostic value of p16INK4a in predicting overall survival (OS) and disease‑free survival (DFS) rate was determined. The positive rate of p16INK4a was 26.3% in larynx cancer and 24.8% in oral cavity cancer. Multivariate analysis revealed that the protein status independently predicted improved OS rate, but not DFS rate (P=0.096). Comparing different disease stages, patients at an early stage with p16INK4a‑positive non‑OPSCC exhibited improved DFS and OS rates compared with those exhibited by patients who were negative. The p16INK4a‑positive rate in patients with non‑OPSCC was 25.1% [26.3% in Laryngeal squamous cell carcinoma (LSCC) and 24.8% in Oropharyngeal squamous cell carcinomas (OSCC)] in the present cohort from South China. The present study suggested that p16INK4a expression in non‑OPSCC predicts favorable clinical outcomes, particularly in early stage non‑OPSCC and oral cancer.
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November-2018
Volume 16 Issue 5

Print ISSN: 1792-1074
Online ISSN:1792-1082

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Spandidos Publications style
Yang H, Cao Y, Li ZM, Li YJ, Jiang WQ and Shi YX: The role of protein p16INK4a in non‑oropharyngeal head and neck squamous cell carcinoma in Southern China. Oncol Lett 16: 6147-6155, 2018.
APA
Yang, H., Cao, Y., Li, Z., Li, Y., Jiang, W., & Shi, Y. (2018). The role of protein p16INK4a in non‑oropharyngeal head and neck squamous cell carcinoma in Southern China. Oncology Letters, 16, 6147-6155. https://doi.org/10.3892/ol.2018.9353
MLA
Yang, H., Cao, Y., Li, Z., Li, Y., Jiang, W., Shi, Y."The role of protein p16INK4a in non‑oropharyngeal head and neck squamous cell carcinoma in Southern China". Oncology Letters 16.5 (2018): 6147-6155.
Chicago
Yang, H., Cao, Y., Li, Z., Li, Y., Jiang, W., Shi, Y."The role of protein p16INK4a in non‑oropharyngeal head and neck squamous cell carcinoma in Southern China". Oncology Letters 16, no. 5 (2018): 6147-6155. https://doi.org/10.3892/ol.2018.9353