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Blood, Vol. 92 No. 3 (August 1), 1998:
pp. 770-777
RAPID COMMUNICATION
Expression of Cyclin E and the Cyclin-Dependent Kinase Inhibitor
p27 in Malignant Lymphomas Prognostic Implications
Martin Erlanson,
Cajsa Portin,
Barbro Linderholm,
Jack Lindh,
Göran Roos, and
Göran Landberg
From the Departments of Oncology and Pathology, Umeå University,
Umeå, Sweden.
Cyclin E and the cyclin-dependent kinase inhibitor p27 are two
important regulators of the G1-S transition modulating the activity of
cyclin-dependent kinases. Aberrations in the cell cycle control are
often observed in tumors and might even be mandatory in tumor
development. To investigate the importance of cell-cycle defects in
malignant lymphomas we have characterized the expression of cyclin E
and p27 in 105 newly diagnosed lymphomas using immunohistochemistry. A
significant, inverse correlation between p27 and cyclin E expression was observed (rs = .24, P = .02) and
both proteins correlated with the S-phase fraction
(rs = .35, P < .001 and
rs = .45, P < .001, respectively). The
inverse relationship between p27 expression and proliferation was
abrogated in some lymphomas, suggesting that p27 downregulation can
represent a genuine aberration. Survival analysis was performed in 105 patients with a median observation time of 86 months. Low p27 and high
cyclin E expression were significantly associated with a poor prognosis
(P = .0001 and .03, respectively). In a multivariate Cox
analysis, p27 expression, stage, serum lactate dehydrogenase level,
grade, and age were independent prognostic factors, in contrast to
S-phase fraction and cyclin E expression. This is the first report
showing that p27 expression in malignant lymphomas has independent
prognostic significance, which necessitates future studies regarding
its more precise biological role in lymphoid tumorogenesis.
© 1998 by The American Society of Hematology.

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