Background and Aim: The oncogene BMI-1 is an inhibitory regulator of the INK4a/ARF locus including two tumor suppressor genes, p16INK4a and p14ARF. We investigate the clinicopathological significances of BMI-1 in hepatocellular carcinoma (HCC) and analyze the association between BMI-1 expression and p16INK4a and p14ARF. Methods: We examined the expression of BMI-1, p16INK4a and p14ARF in 20 surgical specimens of HCC by performing immunohistochemical analysis. Results: Positive BMI-1 staining was shown in 11 (55%) patients. Nine of the 11 patients with positive and 5 of the 9 patients with negative BMI-1 staining demonstrated negative p16INK4a staining, respectively, and the ratio was not significantly different between the two groups (p=0.336). For p14ARF staining, all 20 HCC patients showed diffusely positive staining with variable staining intensities. In addition, BMI-1 expression showed no correlation with age, sex, the proportion of patients with liver cirrhosis, tumor size or number, the degree of tumor differentiation, or the proportion of α-fetoprotein (AFP) abnormality. However, positive BMI-1 expression tended to be associated with a concentration of AFP and the proportion of patients with AFP higher than 400 ng/mL (p<0.1). Conclusion: The expression of the BMI-1 oncogene had no relation to the tumor suppressor gene p16INK4a or p14ARF, patients' age, sex, liver cirrhosis, tumor size, tumor number, and tumor differentiation in HCC. The expression of BMI-1 trended to be associated with the AFP level.
Background and Aim: The oncogene BMI-1 is an inhibitory regulator of the INK4a/ARF locus including two tumor suppressor genes, p16INK4a and p14ARF. We investigate the clinicopathological significances of BMI-1 in hepatocellular carcinoma (HCC) and analyze the association between BMI-1 expression and p16INK4a and p14ARF. Methods: We examined the expression of BMI-1, p16INK4a and p14ARF in 20 surgical specimens of HCC by performing immunohistochemical analysis. Results: Positive BMI-1 staining was shown in 11 (55%) patients. Nine of the 11 patients with positive and 5 of the 9 patients with negative BMI-1 staining demonstrated negative p16INK4a staining, respectively, and the ratio was not significantly different between the two groups (p=0.336). For p14ARF staining, all 20 HCC patients showed diffusely positive staining with variable staining intensities. In addition, BMI-1 expression showed no correlation with age, sex, the proportion of patients with liver cirrhosis, tumor size or number, the degree of tumor differentiation, or the proportion of α-fetoprotein (AFP) abnormality. However, positive BMI-1 expression tended to be associated with a concentration of AFP and the proportion of patients with AFP higher than 400 ng/mL (p<0.1). Conclusion: The expression of the BMI-1 oncogene had no relation to the tumor suppressor gene p16INK4a or p14ARF, patients' age, sex, liver cirrhosis, tumor size, tumor number, and tumor differentiation in HCC. The expression of BMI-1 trended to be associated with the AFP level.