The non-Hodgkin's lymphomas (NHL) are a heterogeneous group of malignancies arising from B-or T-cell lymphatic systems. The current REAL classification of lymphomas is based on histology, immunohistochemistry and genetic changes (Harris et al 1994). Several regulators of the cell cycle are currently well known and their function and expression has been shown to be important in the initiation of cancer (Graña and Reddy, 1995;Hirama and Koeffler, 1995;Sherr, 1996). Because of their importance in the regulation of the cell cycle the presence and function of these regulator proteins in specific malignancies needs to be further studied.The cell cycle is regulated by cyclins, cyclin-dependent kinases (CDK) and cyclin-CDK complex inhibitors. These inhibitory proteins can be divided into two classes differing in both sequence homology and their targets of inhibition (Hall et al, 1995). The CIP (cyclin inhibitory protein)/KIP(kinase inhibitory protein) gene family products (p21, p27 and p57) bind to cyclins, whereas INK4 gene family products (p15, p16, p18 and p19) bind to CDK4/6 (Graña and Reddy, 1995;Hall et al, 1995;Hirama and Koeffler, 1995;Sherr and Roberts, 1995;Sherr, 1996). Cyclin D and CDK form complexes able to phosphorylate pRb protein which functions in its hypophosphorylated form as a negative regulator of the cell cycle during G 1 phase. Cyclin D:CDK4/6 complexes phosphorylate retinoblastoma (RB) protein which then releases transcription factors, and allows cells to enter the S phase. Mutations of the RB gene or alterations in cyclin D:CDK complex inhibitory genes lead to loss of the principal function of the Rb productgrowth control at G 1 /S border.The expression of cyclin-dependent kinase inhibitor p27/Kip1, a member of the p21 family, is high in cells inhibited by cell contact, by the cytokine transforming growth factor-β (TGF-β), or by serum deprivation (Polyak et al, 1994). The present evidence indicates that TGF-β induces cell cycle arrest through the cooperative action of p15 and p27, or p21 (Reynisdóttir et al, 1995).The non-Hodgkin's lymphoma is a common malignancy, and its incidence is increasing in older populations (Zheng et al, 1992). Although NHL can be very invasive, treatments should not be started until the NHL has been classified according to, e.g. the REAL classification, since treatments vary considerably between the subgroups. The classification of lymphomas is difficult and the aggressiveness is variable within the same diagnosis. Therefore, specific markers are needed to evaluate the aggressiveness of the tumour and to improve the accuracy of classification. We have studied proliferation status and the expression of p27 and pRb, which are both cell cycle regulators involved in cyclin D-mediated responses, by immunohistochemical staining in non-Hodgkin's lymphomas.
PATIENTS AND METHODSThe patient population included 96 non-Hodgkin's lymphoma (NHL) patients (age 16-90 years), who were treated at the Turku University Central Hospital for various histological subtypes of B-cell non-Hodg...