Background/Aim: Oncogene up-regulation combined with suppressor gene down-regulation is a crucial genetic combination that promotes cell neoplastic phenotype and progressively malignant transformation in solid malignancies, including laryngeal squamous cell carcinoma (LSCC). Among oncogenes, the Kirsten ras oncogene homolog (K-Ras) is involved in LSCC onset and progression. Patients and Methods: Sixty (n=60) primary LSCC tissue sections were analyzed by immunohistochemistry (IHC). Digital image analysis (DIA) was also implemented for measuring K-Ras protein expression levels. Results: High K-Ras protein expression levels were observed in 20/60 (33.3%) LSCC tissue sections, whereas the rest of the cases (n=40; 66.7%) demonstrated low expression. Overall K-Ras expression was borderline significantly associated to the grade of the examined malignancies (p=0.048), whereas no other strong statistical correlations were identified.
A progressive K-Ras overexpression was observed in all grades of the examined cases. Conclusion: K-Ras over expression is correlated to a progressive dedifferentiation in LSCC.Extensive molecular analyses in solid malignancies have identified a broad spectrum of gene functional and numerical imbalances that deregulate critical pathways including signal transduction, apoptosis, cell-cycle progression and angiogenesis (1). In fact, epithelial neoplastic and malignant transformations are promoted by abnormal gene expression combined with oncogene up-regulation and suppressor gene down-regulation (2). A variety of gene modifications including point mutations, polymorphisms, abnormal gene copy number (amplification, deletion), or structural chromosomal rearrangements (translocations) and also epigenetic alterations detectable by different molecular techniques provide critical information for the molecular landscape in solid malignancies (3). Among oncogenes, the Kirsten ras oncogene homolog (K-Ras, Cytogenetic Location: 12p12.1) represents the most important in the corresponding family of genes (proto-oncogenes) that also include H-Ras and N-Ras. These genes encode proteins acting as hydrolase enzymes, converting guanosine triphosphate (GTPase) to GDP. Interestingly, after completing its role in this modification, K-ras is deactivated (4). Among their functions, they promote cell division, cell differentiation, and also, indirectly, programmed cell death (apoptosis), whereas an intrinsic GTPase activity leading to enzyme catalysis has been also confirmed (5). Concerning the involvement of K-Ras in signal transduction, the gene is a member of the RAS/RAF-MEK-ERK/MAPK pathway and indirectly interacts with the PI3K-AKT-PTEN-mTOR pathway (6). Deregulation of K-Ras is detected frequently in solid malignancies as a result of point mutations or amplification (7-11). In the current study, we analyzed K-Ras protein expression levels in LSCCs tissue sections 1611 This article is freely accessible online.