Abstract

Background. Little is known about the cellular defects and molecular mechanisms leading to pancreatic endocrine tumors (PETs). p27Kip1 is a universal cyclin-dependent kinase inhibitor (CDKI), which acts as a tumor suppressor and a negative regulator of cell cycle. From previous reports, quiescent cells show high levels of p27Kip1 expression while neoplastic and proliferating cells show no detectable p27Kip1 expression. We hypothesize that in malignant sporadic PETs, p27Kip1 expression would be decreased compared with benign PETs and normal pancreatic tissue.Methods. Western analysis was performed on 28 PETs (7 malignant, 21 benign), 2 nonendocrine cell lines, and 5 endocrine cell lines. Signal intensities were quantitated using densitometry and standardized to normal pancreas.Results. Unexpectedly, increased p27Kip1 expression as compared with control was seen in both benign and malignant tumors, as well as in all four pancreatic islet tumor cell lines, but not fibroblast or pituitary cell lines, evaluated. There was no difference in p27Kip1 level between benign and malignant tumors.Conclusion. This represents the first report of anomalous p27Kip1 overexpression in sporadic PETs, and is part of a growing literature describing the paradoxical overexpression of p27Kip1 in human tumors that includes other endocrine tumors. These studies suggest a unique molecular pathway leading to endocrine tumorigenesis.

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