Abstract
p16 is overexpressed in oral squamous cell carcinoma patients who are positive for human papilloma virus. The p53 tumor suppressor gene is commonly mutated in human cancer. The aim is to correlate clinical and pathological features with p16 and p53 expression. This is a prospective, observational study of 50 consecutive cases (43 males and 7 females) who underwent surgery for oral cancer. p16 and p53 were determined by immunohistological staining. The results were obtained and analyzed using chi-square test (Statistical Software SPSS 21.0 version); p value ≤ 0.05 was considered significant. Of the 50 cases, p16 and p53 were overexpressed in 30% and 54% of patients, respectively. Overexpression of p16 was not significantly associated with age, subsites of oral cavity, or degree of differentiation. However, smokeless tobacco was significantly associated with p16 expression (p = 0.012). Similarly, overexpression of p53 was not correlated with age, subsites of oral cavity, or degree of differentiation. Seventy-five percent of poorly differentiated cancers had overexpression of p53 though this did not reach statistical significance (p = 0.279). p53 was overexpressed in smokers (80.95%) and those consuming alcohol (60%).
Similar content being viewed by others
References
Parkin DM, Bray F, Ferlay J, Pisani P (2005) Global cancer statistics, 2002. CA Cancer J Clin 55:74–108
Patel KR, Vajaria BN, Begum R, Desai A, Patel JB, Shah FD et al (2014) Prevalence of high-risk human papillomavirus type 16 and 18 in oral and cervical cancers in population from Gujarat, West India. J Oral Pathol Med 43:293–297
Capote A, Escorial V, Muñoz-Guerra MF, Rodríguez-Campo FJ, Gamallo C et al (2007) Elective neck dissection in early-stage oral squamous cell carcinoma- -does it influence recurrence and survival? Head Neck 29:3–11
Khan H, Gupta S, Husain N, Misra S, Mps N, Jamal N, Ghatak A (2014) Correlation between expressions of cyclin-D1, EGFR and p53 with chemoradiation response in patients of locally advanced oral squamous cell carcinoma. BBA Clin 21(3):11–17
Detre S, Saclani Jotti G, Dowsett M (1995) A “quickscore” method for immunohistochemical semiquantitation: validation for oestrogen receptor in breast carcinomas. J Clin Pathol 48(9):876–878
Ghanghoria S, Ghanghoria A, Shukla A (2015) p53 expression in oral cancer: a study of 50 cases. J Pathol Nepal 5(9):747–751
Dave KV, Chalishazar M, Dave VR, Panja P, Singh M, Modi TG (2016) Immunohistochemical expression of p53 and its clinicopathological correlation with modified Anneroth’s histological grading system. J Oral Maxillofac Pathol 20(1):29
Gatoo MA, Dar AM, Siddiqui M (2018) Correlation of p53 expression with different histological grades in oral squamous cell carcinoma patients from northern India. Am J Cancer Sci 6(1):1–4
Nagpal JK, Patnaik S, Das BR (2002) Prevalence of high-risk human papilloma virus types and its association with P53 codon 72 polymorphism in tobacco addicted oral squamous cell carcinoma (OSCC) patients of Eastern India. Int J Cancer 97:649–653
Elango KJ, Suresh A, Erode EM, Subhadradevi L, Ravindran HK, Iyer SK et al (2011) Role of human papilloma virus in oral tongue squamous cell carcinoma. Asian Pac J Cancer Prev 12:889–896
D’Costa J, Saranath D, Dedhia P, Sanghvi V, Mehta AR (1998) Detection of HPV-16 genome in human oral cancers and potentially malignant lesions from India. Oral Oncol 34:413–420
Gheit T, Vaccarella S, Schmitt M, Pawlita M, Franceschi S, Sankaranarayanan R et al (2009) Prevalence of human papillomavirus types in cervical and oral cancers in central India. Vaccine. 27:636–639
Ralli M, Singh S, Yadav SP, Sharma N, Verma R, Sen R (2016) Assessment and clinicopathological correlation of p16 expression in head and neck squamous cell carcinoma. J Cancer Res Ther 12(1):232
Acknowledgments
The authors acknowledge the support of the Dept’s of Pathology, Radiation Oncology, Medical Oncology, Anaesthesiology and the Administration in carrying out this study.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Approval from institutional ethical and scientific committee has been obtained.
Conflict of Interest
The authors declare that they have no conflict of interest.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Agarwal, V.K., Sharma, R., Gahlot, G. et al. Clinical and Histopathological Correlation of p16 and p53 Expression in Oral Cancer. Indian J Surg Oncol 12 (Suppl 1), 164–168 (2021). https://doi.org/10.1007/s13193-020-01145-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13193-020-01145-z