Skip to main content
Top
Published in: Archives of Gynecology and Obstetrics 1/2016

01-01-2016 | Gynecologic Oncology

The prognostic of p27kip1 in ovarian cancer: a meta-analysis

Authors: Mudan Lu, You Wang, Fei Xu, Jingying Xiang, Daozhen Chen

Published in: Archives of Gynecology and Obstetrics | Issue 1/2016

Login to get access

Abstract

Purpose

P27kip1 is a negative cell cycle regulator that plays an important role in tumor suppression. Deregulation of p27kip1 is commonly observed in many human cancers. Numerous studies about p27kip1 are reported in clinical patients despite variable data for the prognostic of p27kip1 expression. Here we report a meta-analysis of the association of p27kip1 expression with the survival of ovarian cancer.

Methods

PubMed and Web of science were searched for studies evaluating expression of p27kip1 and prognostic in ovarian cancer. Published data were extracted and computed into odds ratios (ORs) for death at 3 and 5 years. Data were pooled using the random-effect model. All statistical tests were two-sided.

Results

Analysis included 9 studies: six studies were reported in European, three studies were reported in American, and one study was reported in Asian. Loss of p27kip1 was associated with worse overall survival (OS) at both 3 years [OR = 2.61, 95 % confidence interval (CI) 1.95–3.49, p < 0.05] and 5 years (OR = 3.01, 95 % CI 2.17–4.17, p < 0.05). Among studies with different ethnicity (European, American and Asian), the results showed a more significant association in European, including Italy, Germany, and Greece [for both 3-year OS (OR = 3.53, 95 % CI 2.37–5.26) and 5-year OS (OR = 3.66, 95 % CI 2.30–5.83)].

Conclusions

Loss of p27kip1 is associated with worse survival in ovarian cancer. The development of strategies target p27kip1 could be a reasonable therapeutic approach.
Literature
1.
go back to reference Brewer MA, Johnson K, Follen M et al (2003) Prevention of ovarian cancer: intraepithelial neoplasia. Clin Cancer Res 9:20–30PubMed Brewer MA, Johnson K, Follen M et al (2003) Prevention of ovarian cancer: intraepithelial neoplasia. Clin Cancer Res 9:20–30PubMed
2.
go back to reference Bast RC Jr, Urban N, Shridhar V et al (2002) Early detection of ovarian cancer: promise and reality. Cancer Treat Res 107:61–97PubMed Bast RC Jr, Urban N, Shridhar V et al (2002) Early detection of ovarian cancer: promise and reality. Cancer Treat Res 107:61–97PubMed
3.
go back to reference Sanseverino F, Torricelli M, Petraglia F et al (2003) Role of the retinoblastoma family in gynecological cancer. Cancer Biol Ther 2:636–641PubMedCrossRef Sanseverino F, Torricelli M, Petraglia F et al (2003) Role of the retinoblastoma family in gynecological cancer. Cancer Biol Ther 2:636–641PubMedCrossRef
4.
go back to reference Zhang D, Vuocolo S, Masciullo V et al (2001) Cell cycle genes as targets of retinoid induced ovarian tumor cell growth suppression. Oncogene 20:7935–7944PubMedCrossRef Zhang D, Vuocolo S, Masciullo V et al (2001) Cell cycle genes as targets of retinoid induced ovarian tumor cell growth suppression. Oncogene 20:7935–7944PubMedCrossRef
5.
go back to reference Bali A, O’Brien PM, Edwards LS et al (2004) Cyclin D1, p53, and p21Waf1/Cip1 expression is predictive of poor clinical outcome in serous epithelial ovarian cancer. Clin Cancer Res 10:5168–5177PubMedCrossRef Bali A, O’Brien PM, Edwards LS et al (2004) Cyclin D1, p53, and p21Waf1/Cip1 expression is predictive of poor clinical outcome in serous epithelial ovarian cancer. Clin Cancer Res 10:5168–5177PubMedCrossRef
6.
go back to reference Masciullo V, Ferrandina G, Pucci B et al (2000) p27kip1expression is associated with clinical outcome in advanced epithelial ovarian cancer: multivariate analysis. Clin Cancer Res 6:4816–4822PubMed Masciullo V, Ferrandina G, Pucci B et al (2000) p27kip1expression is associated with clinical outcome in advanced epithelial ovarian cancer: multivariate analysis. Clin Cancer Res 6:4816–4822PubMed
7.
go back to reference Hashimoto T, Yanaihara N, Okamoto A et al (2011) Cyclin D1 predicts the prognosis of advanced serous ovarian cancer. Exp Ther Med 2:213–219PubMedPubMedCentral Hashimoto T, Yanaihara N, Okamoto A et al (2011) Cyclin D1 predicts the prognosis of advanced serous ovarian cancer. Exp Ther Med 2:213–219PubMedPubMedCentral
8.
go back to reference Hurteau JA, Allison BM, Brutkiewicz SA et al (2001) Expression and subcellular localization of the cyclin-dependent kinase inhibitor p27(Kip1) in epithelial ovarian cancer. Gynecol Oncol 83:292–298PubMedCrossRef Hurteau JA, Allison BM, Brutkiewicz SA et al (2001) Expression and subcellular localization of the cyclin-dependent kinase inhibitor p27(Kip1) in epithelial ovarian cancer. Gynecol Oncol 83:292–298PubMedCrossRef
9.
go back to reference Masciullo V, Sgambato A, Pacilio C et al (1999) Frequent loss of expression of the cyclin-dependent kinase inhibitor p27 in epithelial ovarian cancer. Cancer Res 59:3790–3794PubMed Masciullo V, Sgambato A, Pacilio C et al (1999) Frequent loss of expression of the cyclin-dependent kinase inhibitor p27 in epithelial ovarian cancer. Cancer Res 59:3790–3794PubMed
10.
go back to reference Farley J, Smith LM, Darcy KM et al (2011) Nuclear P27 expression in benign, borderline (LMP) and invasive tumors of the ovary and its association with prognosis: a gynecologic oncology group study. Gynecol Oncol 121:395–401PubMedCrossRef Farley J, Smith LM, Darcy KM et al (2011) Nuclear P27 expression in benign, borderline (LMP) and invasive tumors of the ovary and its association with prognosis: a gynecologic oncology group study. Gynecol Oncol 121:395–401PubMedCrossRef
11.
go back to reference Schmider-Ross A, Pirsig O, Gottschalk E et al (2006) Cyclin-dependent kinase inhibitors CIP1 (p21) and KIP1 (p27) in ovarian cancer. J Cancer Res Clin Oncol 132:163–170PubMedCrossRef Schmider-Ross A, Pirsig O, Gottschalk E et al (2006) Cyclin-dependent kinase inhibitors CIP1 (p21) and KIP1 (p27) in ovarian cancer. J Cancer Res Clin Oncol 132:163–170PubMedCrossRef
12.
go back to reference Psyrri A, Bamias A, Yu Z et al (2005) Subcellular localization and protein levels of cyclin-dependent kinase inhibitor p27 independently predict for survival in epithelial ovarian cancer. Clin Cancer Res 11:8384–8390PubMedCrossRef Psyrri A, Bamias A, Yu Z et al (2005) Subcellular localization and protein levels of cyclin-dependent kinase inhibitor p27 independently predict for survival in epithelial ovarian cancer. Clin Cancer Res 11:8384–8390PubMedCrossRef
13.
go back to reference Rosen DG, Yang G, Cai KQ et al (2005) Subcellular localization of p27kip1 expression predicts poor prognosis in human ovarian cancer. Clin Cancer Res 11:632–637PubMed Rosen DG, Yang G, Cai KQ et al (2005) Subcellular localization of p27kip1 expression predicts poor prognosis in human ovarian cancer. Clin Cancer Res 11:632–637PubMed
14.
go back to reference Korkolopoulou P, Vassilopoulos I, Konstantinidou AE et al (2002) The combined evaluation of p27Kip1 and Ki-67 expression provides independent information on overall survival of ovarian carcinoma patients. Gynecol Oncol 85:404–414PubMedCrossRef Korkolopoulou P, Vassilopoulos I, Konstantinidou AE et al (2002) The combined evaluation of p27Kip1 and Ki-67 expression provides independent information on overall survival of ovarian carcinoma patients. Gynecol Oncol 85:404–414PubMedCrossRef
15.
go back to reference Parmar MK, Torri V, Stewart L (1998) Extracting summary statistics to perform meta-analyses of the published literature for survival endpoints. Stat Med 17:2815–2834PubMedCrossRef Parmar MK, Torri V, Stewart L (1998) Extracting summary statistics to perform meta-analyses of the published literature for survival endpoints. Stat Med 17:2815–2834PubMedCrossRef
16.
go back to reference Tsihlias J, Kapusta LR, DeBoer G et al (1998) Loss of cyclin-dependent kinase inhibitor p27Kip1 is a novel prognostic factor in localized human prostate adenocarcinoma. Cancer Res 58:542–548PubMed Tsihlias J, Kapusta LR, DeBoer G et al (1998) Loss of cyclin-dependent kinase inhibitor p27Kip1 is a novel prognostic factor in localized human prostate adenocarcinoma. Cancer Res 58:542–548PubMed
17.
go back to reference Slingerland JM, Hengst L, Pan CH et al (1994) A novel inhibitor of cyclin-Cdk activity detected in transforming growth factor beta-arrested epithelial cells. Mol Cell Biol 14:3683–3694PubMedPubMedCentralCrossRef Slingerland JM, Hengst L, Pan CH et al (1994) A novel inhibitor of cyclin-Cdk activity detected in transforming growth factor beta-arrested epithelial cells. Mol Cell Biol 14:3683–3694PubMedPubMedCentralCrossRef
18.
go back to reference Polyak K, Lee MH, Erdjument-Bromage H et al (1994) Cloning of p27Kip1, a cyclin-dependent kinase inhibitor and a potential mediator of extracellular antimitogenic signals. Cell 78:59–66PubMedCrossRef Polyak K, Lee MH, Erdjument-Bromage H et al (1994) Cloning of p27Kip1, a cyclin-dependent kinase inhibitor and a potential mediator of extracellular antimitogenic signals. Cell 78:59–66PubMedCrossRef
19.
go back to reference Nakayama K, Ishida N, Shirane M et al (1996) Mice lacking p27(Kip1) display increased body size, multiple organ hyperplasia, retinal dysplasia, and pituitary tumors. Cell 85:707–720PubMedCrossRef Nakayama K, Ishida N, Shirane M et al (1996) Mice lacking p27(Kip1) display increased body size, multiple organ hyperplasia, retinal dysplasia, and pituitary tumors. Cell 85:707–720PubMedCrossRef
20.
go back to reference Fero ML, Rivkin M, Tasch M et al (1996) A syndrome of multiorgan hyperplasia with features of gigantism, tumorigenesis, and female sterility in p27(Kip1)-deficient mice. Cell 85:733–744PubMedCrossRef Fero ML, Rivkin M, Tasch M et al (1996) A syndrome of multiorgan hyperplasia with features of gigantism, tumorigenesis, and female sterility in p27(Kip1)-deficient mice. Cell 85:733–744PubMedCrossRef
21.
go back to reference Muraoka RS, Lenferink AE, Simpson J et al (2001) Cyclin-dependent kinase inhibitor p27(Kip1) is required for mouse mammary gland morphogenesis and function. J Cell Biol 153:917–932PubMedPubMedCentralCrossRef Muraoka RS, Lenferink AE, Simpson J et al (2001) Cyclin-dependent kinase inhibitor p27(Kip1) is required for mouse mammary gland morphogenesis and function. J Cell Biol 153:917–932PubMedPubMedCentralCrossRef
22.
go back to reference McAllister SS, Becker-Hapak M, Pintucci G et al (2003) Novel p27(kip1) C-terminal scatter domain mediates Rac-dependent cell migration independent of cell cycle arrest functions. Mol Cell Biol 23:216–228PubMedPubMedCentralCrossRef McAllister SS, Becker-Hapak M, Pintucci G et al (2003) Novel p27(kip1) C-terminal scatter domain mediates Rac-dependent cell migration independent of cell cycle arrest functions. Mol Cell Biol 23:216–228PubMedPubMedCentralCrossRef
23.
go back to reference Duncan TJ, Al-Attar A, Rolland P et al (2010) Cytoplasmic p27 expression is an independent prognostic factor in ovarian cancer. Int J Gynecol Pathol 29:8–18PubMedCrossRef Duncan TJ, Al-Attar A, Rolland P et al (2010) Cytoplasmic p27 expression is an independent prognostic factor in ovarian cancer. Int J Gynecol Pathol 29:8–18PubMedCrossRef
24.
go back to reference Sims AH, Zweemer AJ, Nagumo Y et al (2012) Defining the molecular response to trastuzumab, pertuzumab and combination therapy in ovarian cancer. Br J Cancer 106:1779–1789PubMedPubMedCentralCrossRef Sims AH, Zweemer AJ, Nagumo Y et al (2012) Defining the molecular response to trastuzumab, pertuzumab and combination therapy in ovarian cancer. Br J Cancer 106:1779–1789PubMedPubMedCentralCrossRef
26.
go back to reference Le XF, Mao W, He G et al (2011) The role of p27(Kip1) in dasatinib-enhanced paclitaxel cytotoxicity in human ovarian cancer cells. J Natl Cancer Inst 103:1403–1422PubMedPubMedCentralCrossRef Le XF, Mao W, He G et al (2011) The role of p27(Kip1) in dasatinib-enhanced paclitaxel cytotoxicity in human ovarian cancer cells. J Natl Cancer Inst 103:1403–1422PubMedPubMedCentralCrossRef
27.
go back to reference Li CF, Wang JM, Kang HY et al (2012) Characterization of gene amplification-driven SKP2 overexpression in myxofibrosarcoma: potential implications in tumor progression and therapeutics. Clin Cancer Res 18:1598–1610PubMedCrossRef Li CF, Wang JM, Kang HY et al (2012) Characterization of gene amplification-driven SKP2 overexpression in myxofibrosarcoma: potential implications in tumor progression and therapeutics. Clin Cancer Res 18:1598–1610PubMedCrossRef
28.
go back to reference Hershko DD (2010) Cyclin-dependent kinase inhibitor p27 as a prognostic biomarker and potential cancer therapeutic target. Future Oncol 6:1837–1847PubMedCrossRef Hershko DD (2010) Cyclin-dependent kinase inhibitor p27 as a prognostic biomarker and potential cancer therapeutic target. Future Oncol 6:1837–1847PubMedCrossRef
29.
go back to reference Zhao H, Bauzon F, Fu H et al (2013) Skp2 deletion unmasks a p27 safeguard that blocks tumorigenesis in the absence of pRb and p53 tumor suppressors. Cancer Cell 24:645–659PubMedCrossRef Zhao H, Bauzon F, Fu H et al (2013) Skp2 deletion unmasks a p27 safeguard that blocks tumorigenesis in the absence of pRb and p53 tumor suppressors. Cancer Cell 24:645–659PubMedCrossRef
30.
go back to reference Shi YC, Zhao H, Yin C et al (2013) C/EBPα inhibits hepatocellular carcinoma by reducing Notch3/Hes1/p27 cascades. Dig Liver Dis 45:844–851PubMedCrossRef Shi YC, Zhao H, Yin C et al (2013) C/EBPα inhibits hepatocellular carcinoma by reducing Notch3/Hes1/p27 cascades. Dig Liver Dis 45:844–851PubMedCrossRef
31.
go back to reference Wu X, Liu T, Fang O et al (2013) miR-194 suppresses metastasis of non-small cell lung cancer through regulating expression of BMP1 and p27(kip1). Oncogene. doi:10.1038/onc.2013.108 Wu X, Liu T, Fang O et al (2013) miR-194 suppresses metastasis of non-small cell lung cancer through regulating expression of BMP1 and p27(kip1). Oncogene. doi:10.​1038/​onc.​2013.​108
32.
go back to reference Mills AM, Ly A, Balzer BL et al (2013) Cell cycle regulatory markers in uterine atypical leiomyoma and leiomyosarcoma: immunohistochemical study of 68 cases with clinical follow-up. Am J Surg Pathol 37:634–642PubMedCrossRef Mills AM, Ly A, Balzer BL et al (2013) Cell cycle regulatory markers in uterine atypical leiomyoma and leiomyosarcoma: immunohistochemical study of 68 cases with clinical follow-up. Am J Surg Pathol 37:634–642PubMedCrossRef
33.
go back to reference Fei M, Zhao Y, Wang Y et al (2009) Low expression of Foxo3a is associated with poor prognosis in ovarian cancer patients. Cancer Invest 27:52–59PubMedCrossRef Fei M, Zhao Y, Wang Y et al (2009) Low expression of Foxo3a is associated with poor prognosis in ovarian cancer patients. Cancer Invest 27:52–59PubMedCrossRef
35.
go back to reference Siu MK, Wong ES, Kong DS et al (2013) Stem cell transcription factor NANOG controls cell migration and invasion via dysregulation of E-cadherin and FoxJ1 and contributes to adverse clinical outcome in ovarian cancers. Oncogene 32:3500–3509PubMedCrossRef Siu MK, Wong ES, Kong DS et al (2013) Stem cell transcription factor NANOG controls cell migration and invasion via dysregulation of E-cadherin and FoxJ1 and contributes to adverse clinical outcome in ovarian cancers. Oncogene 32:3500–3509PubMedCrossRef
36.
go back to reference Fu G, Peng C (2011) Nodal enhances the activity of FoxO3a and its synergistic interaction with Smads to regulate cyclin G2 transcription in ovarian cancer cells. Oncogene 30:3953–3966PubMedCrossRef Fu G, Peng C (2011) Nodal enhances the activity of FoxO3a and its synergistic interaction with Smads to regulate cyclin G2 transcription in ovarian cancer cells. Oncogene 30:3953–3966PubMedCrossRef
37.
go back to reference Chock KL, Allison JM, Shimizu Y et al (2010) BRCA1-IRIS overexpression promotes cisplatin resistance in ovarian cancer cells. Cancer Res 70:8782–8791PubMedCrossRef Chock KL, Allison JM, Shimizu Y et al (2010) BRCA1-IRIS overexpression promotes cisplatin resistance in ovarian cancer cells. Cancer Res 70:8782–8791PubMedCrossRef
38.
go back to reference Kim TH, Lee HH, Chung SH, et al. (2015) Expression of p27 and Jun activation domain-binding protein 1 in endometriosis. Arch Gynecol Obstet. 2015 Feb 10. [Epub ahead of print] Kim TH, Lee HH, Chung SH, et al. (2015) Expression of p27 and Jun activation domain-binding protein 1 in endometriosis. Arch Gynecol Obstet. 2015 Feb 10. [Epub ahead of print]
39.
go back to reference Iwasaki S, Sudo T, Miwa M et al (2013) Endometrial stromal sarcoma: clinicopathological and immunophenotypic study of 16 cases. Arch Gynecol Obstet 288(2):385–391PubMedCrossRef Iwasaki S, Sudo T, Miwa M et al (2013) Endometrial stromal sarcoma: clinicopathological and immunophenotypic study of 16 cases. Arch Gynecol Obstet 288(2):385–391PubMedCrossRef
40.
go back to reference Hasegawa K, Torii Y, Ishii R, Oe S, Kato R, Udagawa Y (2011) Effects of a selective COX-2 inhibitor in patients with uterine endometrial cancers. Arch Gynecol Obstet 284(6):1515–1521PubMedCrossRef Hasegawa K, Torii Y, Ishii R, Oe S, Kato R, Udagawa Y (2011) Effects of a selective COX-2 inhibitor in patients with uterine endometrial cancers. Arch Gynecol Obstet 284(6):1515–1521PubMedCrossRef
42.
go back to reference Tothill RW, Tinker AV, George J et al (2008) Novel molecular subtypes of serous and endometrioid ovarian cancer linked to clinical outcome. Clin Cancer Res 14:5198–5208PubMedCrossRef Tothill RW, Tinker AV, George J et al (2008) Novel molecular subtypes of serous and endometrioid ovarian cancer linked to clinical outcome. Clin Cancer Res 14:5198–5208PubMedCrossRef
Metadata
Title
The prognostic of p27kip1 in ovarian cancer: a meta-analysis
Authors
Mudan Lu
You Wang
Fei Xu
Jingying Xiang
Daozhen Chen
Publication date
01-01-2016
Publisher
Springer Berlin Heidelberg
Published in
Archives of Gynecology and Obstetrics / Issue 1/2016
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-015-3817-8

Other articles of this Issue 1/2016

Archives of Gynecology and Obstetrics 1/2016 Go to the issue