Aberrant accumulation of p53 associates with Ki67 and mitotic count in benign skin lesions

Br J Dermatol. 1994 Oct;131(4):514-20. doi: 10.1111/j.1365-2133.1994.tb08552.x.

Abstract

Sixty-two skin samples from patients with a variety of benign disorders (20 cases of psoriasis, 14 cases of chronic dermatitis, 11 seborrhoeic keratoses, 11 cases of lichen planus), and seven normal skin samples, were stained immunohistochemically with a polyclonal antibody (CM-1) to p53, and a monoclonal antibody to Ki67, using the avidin-biotin complex method. p53-positive keratinocytes could be found in most of these lesions. The percentage of p53-positive cells was, however, far lower than usually seen in p53-positive malignant tumours. No p53 reactivity was observed in the normal skin samples. Variable Ki67 reactivity was observed in all skin samples. Overall, the number of Ki67-positive cells was higher in skin samples in which the proportion of p53-positive cells was high (> 0.5% of total epidermal cell population) (P = 0.004). This also applied separately to psoriatic and non-psoriatic lesions (P = 0.028 and P = 0.033, respectively). In cases with > 10% of Ki67-positive cells, there were significantly more mitoses (P < 0.001). This association applied to both psoriasis and the other lesions studied (P = 0.024 and P < 0.001, respectively). The results show that immunohistochemically detectable accumulation of p53 is a frequent finding in non-neoplastic skin lesions. As p53 positivity was associated with the proliferation marker Ki67, the accumulation of p53 is possibly a response to an increased proliferation rate of the keratinocytes in these skin diseases, or alternatively it may be associated with apoptosis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Betamethasone / pharmacology
  • Cell Count
  • Cell Division
  • Dermatitis
  • Humans
  • Immunohistochemistry
  • Keratosis, Seborrheic
  • Ki-67 Antigen
  • Lichen Planus
  • Male
  • Neoplasm Proteins / analysis*
  • Nuclear Proteins / analysis*
  • Psoriasis
  • Skin / chemistry*
  • Skin / drug effects
  • Skin / immunology
  • Skin / pathology
  • Skin Diseases* / pathology
  • Tumor Suppressor Protein p53 / analysis*

Substances

  • Ki-67 Antigen
  • Neoplasm Proteins
  • Nuclear Proteins
  • Tumor Suppressor Protein p53
  • Betamethasone