HISTOLOGY AND HISTOPATHOLOGY

Cellular and Molecular Biology

 

Expression of Skp2 and p27KIP1 in naevi and malignant melanoma of the skin and its relation to clinical outcome

C. Woenckhaus1, S. Maile2, S. Uffmann1, M. Bansemir2, T. Dittberner3, M. Poetsch4 and J. Giebel2

1Institute of Pathology, 2Institute of Anatomy, University of Greifswald, 3Consultant Committee of the Health Insurance, Stralsund, Germany and 4Institute of Forensic Medicine, University of Greifswald, Greifswald, Germany

Offprint requests to: Dr. Christian Woenckhaus MD, Institute of Forensic Medicine, University of Greifswald, Kuhstrasse 30, D-17489 Greifswald, Germany. e-mail: woenck@uni-greifswald.de


Summary. Skp2 (S-phase kinase associated protein 2) controls progression from G- to S-phase by promoting the proteolysis of the cyclin dependent kinase inhibitor p27KIP1. Despite the fact that a p27KIP1 decrease has been documented in melanoma progression, the role of Skp2 in these tumours is unknown. We therefore examined by immunohistochemistry the expression of Skp2, p27KIP1 and Ki-67 in 10 naevi (Ns), 15 superficial spreading melanomas (SSMs), 10 nodular melanomas (NMs) and 14 melanoma metastases (Ms). Nuclear Skp2 expression augmented with increasing malignancy (Ns: 1.4%, SSMs: 5.6%, NMs: 17.3%, Ms: 19.1%). In all tumours nuclear Skp2 expression correlated with Ki-67 (p=0.024) and inversely with p27KIP1 (p=0.007). A cytoplasmic reaction for Skp2 was also observed in most tumours and its expression decreased from Ns (12.3%) to SSMs (7.9%) and NMs (4.5%). In contrast, Ms showed an increase of cytoplasmic Skp2 (11.9%) that correlated with its nuclear expression (p=0.016). While nuclear Skp2 expression correlated with the pT-level (p=0.023), Clark-level (p=0.023) and Breslow index (p=0.019), the cytoplasmic Skp2 expression might be of biological significance only in NMs since it correlated with tumour depth (p=0.02) and pT-level (p=0.025). Our data suggests that Skp2 could contribute to melanoma progression. This is further highlighted by the fact that vertical growth phase (VGP) melanomas show significant higher nuclear Skp2 expressions when compared with the harmless radial growth phase (RGP) (p=0.047). Also nuclear Skp2 expression correlates with a reduced survival time (p=0.025) in melanoma. Histol Histopathol 20, 501-508 (2005).

Key words: Melanoma, Naevi, Cell cycle, Skp2, p27KIP1

DOI: 10.14670/HH-20.501