Survivin is a recently described inhibitor of apoptosis and mitotic regulator which is selectively over-expressed in human
tumors. Its expression rate is predictive of
disease progression, early recurrences and resistance to
therapy. Up-regulation of
survivin in oral pre-malignant lesions (OPL) and in
oral squamous cell carcinoma (OSCC) has already been demonstrated in previous studies. A critical step for activation of
survivin has been identified in the phosphorylation on Thr34 by the main mitotic
kinase p34cdc2-cyclin B1. The aim of this work was to investigate the relationship between
survivin, its phosphorylated active form (p-
survivin) and
M-phase promoting factor (MPF), p34cdc2-cyclin B1 in oral
carcinogenesis. 32 OSCCs and 17 OPLs from surgical specimens were studied for
cyclin B1, p-
survivin,
survivin, and p34cdc2 expression by immunohistochemistry. All cases of OSCC expressed
survivin and its expression rate was correlated to p-
survivin levels (P<0.05).
Cyclin B1 was positive in 80% of cases, while p-34cdc2 was over-expressed in all OSCCs. All OPLs associated with OSCC expressed
survivin and its levels were correlated to p-
survivin levels (P<0.05).
Cyclin B1 was positive in 70% of cases, while p-34cdc2 was positive in all OPLs. In conclusion, this study demonstrated that MPF,
survivin and p-
survivin are expressed during early and late phase of oral
carcinogenesis. MPF
proteins, which are co-expressed on mitotic apparatus, could represent a potential target for
therapies based on manipulation of
survivin phosphorylation, which would induce apoptosis in
cancer cells.