PMID- 30881503 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 1792-1074 (Print) IS - 1792-1082 (Electronic) IS - 1792-1074 (Linking) VI - 17 IP - 4 DP - 2019 Apr TI - p53 overexpression is a prognosticator of poor outcome in esophageal cancer. PG - 3826-3834 LID - 10.3892/ol.2019.10020 [doi] AB - Immunohistochemistry studies on p53 inactivation in esophageal cancer are available with inconclusive results. Data on the combined effect of p53 protein accumulation and TP53 genomic deactivation in large scale studies for esophageal cancer are currently lacking. A tissue microarray with 691 esophageal cancer samples was analyzed by p53 immunohistochemistry and fluorescence in situ hybridization (FISH). Nuclear p53 accumulation was observed in 45.9% of patients with adenocarcinoma (AC) and in 40.0% in squamous cell carcinoma (SCC). Heterozygous TP53 deletions occurred in 40.9% in AC and in 19.4% in SCC. Homozygous deletions did not occur at all. High-level p53 immunostaining was associated with shortened overall survival in AC and SCC while TP53 deletions alone showed no correlation with survival. High-level p53 immunostaining in patients with AC was associated with advanced tumor (P=0.019) and Union for International Cancer Control stages (P=0.004), grading (P=0.027) and the resection margin status (P=0.006). Associations between p53 immunostaining and SCC were not found. TP53 deletions were found to be associated with advanced tumor stages (P=0.028) and the presence of lymph node metastasis (P=0.009) in SCC. In conclusion, strong p53 immunostaining, but not TP53 deletion alone, is associated with unfavorable outcomes and may therefore represent a clinically useful molecular marker in esophageal cancer. FAU - Melling, Nathaniel AU - Melling N AD - Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, D-20246 Hamburg, Germany. FAU - Norrenbrock, Sonja AU - Norrenbrock S AD - Institute for Pathology, University Medical Center Hamburg-Eppendorf, D-20246 Hamburg, Germany. FAU - Kluth, Martina AU - Kluth M AD - Institute for Pathology, University Medical Center Hamburg-Eppendorf, D-20246 Hamburg, Germany. FAU - Simon, Ronald AU - Simon R AD - Institute for Pathology, University Medical Center Hamburg-Eppendorf, D-20246 Hamburg, Germany. FAU - Hube-Magg, Claudia AU - Hube-Magg C AD - Institute for Pathology, University Medical Center Hamburg-Eppendorf, D-20246 Hamburg, Germany. FAU - Steurer, Stefan AU - Steurer S AD - Institute for Pathology, University Medical Center Hamburg-Eppendorf, D-20246 Hamburg, Germany. FAU - Hinsch, Andrea AU - Hinsch A AD - Institute for Pathology, University Medical Center Hamburg-Eppendorf, D-20246 Hamburg, Germany. FAU - Burandt, Eike AU - Burandt E AD - Institute for Pathology, University Medical Center Hamburg-Eppendorf, D-20246 Hamburg, Germany. FAU - Jacobsen, Frank AU - Jacobsen F AD - Institute for Pathology, University Medical Center Hamburg-Eppendorf, D-20246 Hamburg, Germany. FAU - Wilczak, Waldemar AU - Wilczak W AD - Institute for Pathology, University Medical Center Hamburg-Eppendorf, D-20246 Hamburg, Germany. FAU - Quaas, Alexander AU - Quaas A AD - Institute for Pathology, University Hospital Cologne, D-50937 Cologne, Germany. FAU - Bockhorn, Maximillian AU - Bockhorn M AD - Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, D-20246 Hamburg, Germany. FAU - Grupp, Katharina AU - Grupp K AD - Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, D-20246 Hamburg, Germany. FAU - Tachezy, Michael AU - Tachezy M AD - Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, D-20246 Hamburg, Germany. FAU - Izbicki, Jakob AU - Izbicki J AD - Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, D-20246 Hamburg, Germany. FAU - Sauter, Guido AU - Sauter G AD - Institute for Pathology, University Medical Center Hamburg-Eppendorf, D-20246 Hamburg, Germany. FAU - Gebauer, Florian AU - Gebauer F AD - Department of Surgery, University Hospital Cologne, D-50937 Cologne, Germany. LA - eng PT - Journal Article DEP - 20190206 PL - Greece TA - Oncol Lett JT - Oncology letters JID - 101531236 PMC - PMC6403495 OTO - NOTNLM OT - esophageal cancer OT - outcome OT - p53 expression EDAT- 2019/03/19 06:00 MHDA- 2019/03/19 06:01 PMCR- 2019/02/06 CRDT- 2019/03/19 06:00 PHST- 2018/07/10 00:00 [received] PHST- 2019/01/15 00:00 [accepted] PHST- 2019/03/19 06:00 [entrez] PHST- 2019/03/19 06:00 [pubmed] PHST- 2019/03/19 06:01 [medline] PHST- 2019/02/06 00:00 [pmc-release] AID - OL-0-0-10020 [pii] AID - 10.3892/ol.2019.10020 [doi] PST - ppublish SO - Oncol Lett. 2019 Apr;17(4):3826-3834. doi: 10.3892/ol.2019.10020. Epub 2019 Feb 6.