PMID- 22279954 OWN - NLM STAT- MEDLINE DCOM- 20120209 LR - 20190221 IS - 0003-4894 (Print) IS - 0003-4894 (Linking) VI - 120 IP - 12 DP - 2011 Dec TI - Expression of ABC transporters is an unfavorable prognostic factor in laryngeal squamous cell carcinoma. PG - 820-7 AB - OBJECTIVES: Two prominent and well-characterized representatives of adenosine triphosphate-binding cassette (ABC) transporter - breast cancer resistance protein (BCRP or ABCG2) and P-glycoprotein (P-gp or ABCB1) - are known to be membrane transporters associated with multidrug resistance. The aim of this study was to explore the correlation between ABC transporter expression and the clinicopathologic characteristics, proliferative index, and apoptotic index and their prognostic value in laryngeal squamous cell carcinoma (LSCC). METHODS: Paraffin sections of 98 human LSCC specimens were investigated with immunohistochemical techniques. The relationship between ABCG2 and ABCB1 expression and clinicopathologic parameters, proliferative activities, and apoptotic activities and their prognostic value in patients' overall survival rate were subsequently analyzed. RESULTS: Immunohistochemical analysis revealed positive expression of ABCG2 and ABCB1 in 52.0% and 41.8% of patients, respectively. There was a positive correlation between ABCG2 expression and ABCB1 expression. The presence of these two proteins was significantly related to clinical stage, lymph node metastasis, and overall survival in LSCC. Interestingly, up-regulation of ABCG2 expression was found to be associated with increased proliferation, but that of ABCB1 was not. Up-regulation of both ABCG2 expression and ABCB1 expression was associated with decreased apoptosis. CONCLUSIONS: The results of this study revealed that the presence of ABCG2 and/or ABCB1 is predictive for malignant progression and is an independent prognostic factor in LSCC. The mechanism of ABC transporters may contribute to chemotherapy resistance by promoting proliferation and/or suppressing apoptosis. FAU - Shen, Bin AU - Shen B AD - Department of Otolaryngology-Head and Neck Surgery, Shanghai Jiaotong University Affiliated First People's Hospital, Shanghai, China. FAU - Li, Dawei AU - Li D FAU - Dong, Pin AU - Dong P FAU - Gao, Shang AU - Gao S LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Ann Otol Rhinol Laryngol JT - The Annals of otology, rhinology, and laryngology JID - 0407300 RN - 0 (ABCB1 protein, human) RN - 0 (ABCG2 protein, human) RN - 0 (ATP Binding Cassette Transporter, Subfamily B) RN - 0 (ATP Binding Cassette Transporter, Subfamily B, Member 1) RN - 0 (ATP Binding Cassette Transporter, Subfamily G, Member 2) RN - 0 (ATP-Binding Cassette Transporters) RN - 0 (Neoplasm Proteins) SB - IM MH - ATP Binding Cassette Transporter, Subfamily B MH - ATP Binding Cassette Transporter, Subfamily B, Member 1/metabolism MH - ATP Binding Cassette Transporter, Subfamily G, Member 2 MH - ATP-Binding Cassette Transporters/*metabolism MH - Adult MH - Aged MH - Aged, 80 and over MH - Carcinoma, Squamous Cell/*metabolism/mortality/pathology MH - Disease Progression MH - Female MH - Head and Neck Neoplasms/*metabolism/mortality/pathology MH - Humans MH - Immunohistochemistry MH - Laryngeal Neoplasms/*metabolism/mortality/pathology MH - Lymphatic Metastasis MH - Male MH - Middle Aged MH - Neoplasm Proteins/metabolism MH - Neoplasm Staging MH - Prognosis MH - Squamous Cell Carcinoma of Head and Neck MH - Survival Analysis EDAT- 2012/01/28 06:00 MHDA- 2012/02/10 06:00 CRDT- 2012/01/28 06:00 PHST- 2012/01/28 06:00 [entrez] PHST- 2012/01/28 06:00 [pubmed] PHST- 2012/02/10 06:00 [medline] AID - 10.1177/000348941112001208 [doi] PST - ppublish SO - Ann Otol Rhinol Laryngol. 2011 Dec;120(12):820-7. doi: 10.1177/000348941112001208.