Altered patterns of retinoblastoma gene product expression in adult soft-tissue sarcomas Journal Article


Authors: Karpeh, M. S.; Brennan, M. F.; Cance, W. G.; Woodruff, J. M.; Pollack, D.; Casper, E. S.; Dudas, M. E.; Latres, E.; Drobnjak, M.; Cordon-Cardo, C.
Article Title: Altered patterns of retinoblastoma gene product expression in adult soft-tissue sarcomas
Abstract: Altered expression of the retinoblastoma (RB) tumour-suppressor gene product (pRB) has been detected in sporadic bone and soft-tissue sarcomas. Earlier studies, analysing small cohorts of sarcoma patients, have suggested that these alterations are more commonly associated with high-grade tumours, metastatic lesions and poorer survival. This study was designed to re-examine the prevalence and clinical significance of altered pRB expression in a large and selected group of soft-tissue sarcomas from 174 adult patients. Representative tissue sections from these sarcomas were analysed by immunohistochemistry using a well-characterised anti-pRB monoclonal antibody. Tumours were considered to have a positive pRB phenotype only when pure nuclear staining was demonstrated, and cases were segregated into one of three groups. Group 1 (n = 36) were patients whose tumours have minimal or undetectable pRB nuclear staining (≪ 20% of tumour cells) and were considered pRB negative. Patients with tumours staining in a heterogeneous pattern (20-79% of tumour cells) were classified as group 2 (n = 99). The staining of group 3 (n = 39) was strongly positive with a homogeneous pRB nuclear immunoreactivity (80-100% of tumour cells). pRB alterations were frequently observed in both low- and high-grade lesions. Altered pRB expression did not correlate with known predictors of survival and was not itself an independent predictor of outcome in the long-term follow-up. These findings support earlier observations that alterations of pRB expression are common events in soft-tissue sarcomas; nevertheless, long-term follow-up results indicate that altered patterns of pRB expression do not influence clinical outcome of patients affected with soft-tissue sarcomas. It is postulated that RB alterations are primary events in human sarcomas and may be involved in tumorigenesis or early phases of tumour progression in these neoplasias. © 1995 Stockton Press. All rights reserved.
Keywords: immunohistochemistry; osteosarcoma; adult; cancer survival; controlled study; human tissue; survival rate; major clinical study; follow up; cancer grading; phenotype; metastasis; gene expression; prevalence; retinoblastoma; immunoreactivity; carcinogenesis; monoclonal antibody; sarcoma; tumor suppressor gene; soft tissue sarcoma; tumor growth; retinoblastoma protein; soft tissue neoplasms; middle age; genes, retinoblastoma; human; male; female; priority journal; article; support, non-u.s. gov't; support, u.s. gov't, p.h.s.
Journal Title: British Journal of Cancer
Volume: 72
Issue: 4
ISSN: 0007-0920
Publisher: Nature Publishing Group  
Date Published: 1995-10-01
Start Page: 986
End Page: 991
Language: English
DOI: 10.1038/bjc.1995.447
PUBMED: 7547254
PROVIDER: scopus
PMCID: PMC2034041
DOI/URL:
Notes: Article -- Export Date: 28 August 2018 -- Source: Scopus
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MSK Authors
  1. Murray F Brennan
    1059 Brennan
  2. Martin S Karpeh
    98 Karpeh
  3. Ephraim S Casper
    108 Casper
  4. Maria E Dudas
    53 Dudas
  5. James M Woodruff
    162 Woodruff
  6. Daphna M. Pollack
    13 Pollack
  7. Esther Latres
    10 Latres