PMID- 7672797 OWN - NLM STAT- MEDLINE DCOM- 19951018 LR - 20190722 IS - 0046-8177 (Print) IS - 0046-8177 (Linking) VI - 26 IP - 9 DP - 1995 Sep TI - Patterns of p53, erbB-2, and EGF-r expression in premalignant lesions of the urinary bladder. PG - 970-8 AB - Frequent recurrences and multicentricity of bladder cancer suggest that alterations of the urothelium distant from the tumor may be relevant to prognosis. In this study immunohistochemistry and fluorescence in situ hybridization (FISH) were used to examine expression of p53, erbB-2, and epidermal growth factor receptor (EGF-r), genomic aberrations, and tumor cell proliferation (Ki67 LI) in normal and dysplastic urothelium. Biopsy specimens examined included normal urothelium (n = 40), mild dysplasia (n = 34), moderate dysplasia (n = 18) and carcinoma in situ (CIS; n = 20). Several different oncogene expression patterns were found, only some of which were associated with dysplasia. EGF-r expression was equally frequent in normal and dysplastic urothelium and showed a strong association with Ki67 LI (P < .0001). A purely superficial erbB-2 positivity was present in both normal and dysplastic biopsies. However, diffuse erbB-2 positivity and p53 overexpression were both associated with advanced dysplasia (P < .0001 each). FISH analysis showed erbB-2 gene amplification and p53 deletions in selected CIS, as well as a marked chromosome 17 copy number heterogeneity in all six CIS examined. These findings indicate a considerable genomic instability in bladder CIS. They show that both erbB-2 and p53 are altered during malignant transformation. Detectable oncogene expression alone, however, is not diagnostic of malignancy in bladder urothelium. FAU - Wagner, U AU - Wagner U AD - Institute of Pathology, University of Basel, Switzerland. FAU - Sauter, G AU - Sauter G FAU - Moch, H AU - Moch H FAU - Novotna, H AU - Novotna H FAU - Epper, R AU - Epper R FAU - Mihatsch, M J AU - Mihatsch MJ FAU - Waldman, F M AU - Waldman FM LA - eng GR - CA47537/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Hum Pathol JT - Human pathology JID - 9421547 RN - 0 (Tumor Suppressor Protein p53) RN - EC 2.7.10.1 (ErbB Receptors) RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Child MH - Child, Preschool MH - ErbB Receptors/*metabolism MH - Female MH - Gene Amplification MH - Gene Deletion MH - Humans MH - Immunohistochemistry MH - Infant MH - Male MH - Middle Aged MH - Precancerous Conditions/*metabolism/pathology MH - Receptor, ErbB-2/genetics/*metabolism MH - Tumor Suppressor Protein p53/genetics/*metabolism MH - Urinary Bladder Neoplasms/*metabolism/pathology EDAT- 1995/09/01 00:00 MHDA- 1995/09/01 00:01 CRDT- 1995/09/01 00:00 PHST- 1995/09/01 00:00 [pubmed] PHST- 1995/09/01 00:01 [medline] PHST- 1995/09/01 00:00 [entrez] AID - 0046-8177(95)90086-1 [pii] AID - 10.1016/0046-8177(95)90086-1 [doi] PST - ppublish SO - Hum Pathol. 1995 Sep;26(9):970-8. doi: 10.1016/0046-8177(95)90086-1.