|
Oral Squamous Cell Carcinoma (OSCC) is biologically characterized by the accumulation of multiple genetic and
molecular alterations that end up clinically characterized as a malignant neoplasm through a phenomenon known
as multistep. The members of the Cip/Kip family, specifically p21
Waf 1/CIP1
, are responsible for cell cycle control,
blocking the transition from phase G1 to phase S. We made a search of articles of peer-reviewed Journals in
PubMed/ Medline, crossing the keywords. The goal of this paper is to determine the relationship between p21
Waf 1/
CIP1
expression and several clinical and pathological aspects of OSCC, their relationship with p53 and HPV, as well
as genetic alterations in their expression pattern, their use as a prognosis market in the evolution of precancer
-
ous lesions and their roles in anticancer treatments. The results of p21
WA F1/C I P1
expression in OSCC showed mixed
results in terms of positivity/negativity throughout different studies. It seems that, although p21
Waf 1/CIP1
expression
is controlled in a p53-dependent manner, coexpression of both in OSCC is not intrinsically related. Although the
presence of HPV viral oncoproteins increases p21
Waf 1/CIP1
levels, the small number of studies, have forced us to
disregard the hypothesis that HPV infected lesions that present better prognosis are due to a p21
Waf 1/CIP1
-dependent
control. The role of p21
WA F1/C I P1
as cell-cycle regulator has been well described; however, its relationship to OSCC, the clinical and pathological variables of tumors, HPV and different treatments are not entirely clear. Thus, it would
be very interesting to pursue further study of this protein, which may have a significant value for the diagnosis, prog
nosis and therapy of this type of tumors.
|