Lab Guide
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Test ID: IH p16
p16
Immunohistochemistry Stain
Useful For

Expressed in HPV infected tissue (High grade CIN, Cervical carcinomas and oropharyngeal carcinoma).

Method name and description
  • Monoclonal Mouse Anti-Human p16 Clone JC8
  • Immunoperoxidase stain on formalin-fixed, paraffin-embedded (FFPE) tissue section
Reporting name

p16

Clinical information

p16 inhibitor of CDK4, p16INK4a, is a 16 kDa tumor suppressor protein. It works as an inhibitor of the CDK4/CDK6-mediated cell cycle regulation of the G1/S phase transition. A decrease in p16 expression can lead to an upregulation of CDK4-mediated activation of retinoblastoma (Rb) protein accelerating cell proliferation. p16 has been shown to be an important factor in cervical cancer, in which upregulation of p16 expression has been reported in cervical lesions such as cervical intra-epithelial neoplasms. In cervical preneoplastic and neoplastic lesions associated with high-risk human papillomavirus (HPV) infection, there is functional inactivation of Rb resulting in an accumulation of p16 protein. Despite the p16 overexpression in association with high-risk HPV, there is no slowing effect on the cell cycle as Rb is inactivated by the HPV E7 oncoprotein. In addition, several studies have shown p16 downregulation in several human cancers. p16 is widely expressed in normal tissues.

Aliases

p16

Specimen type / Specimen volume / Specimen container
  • Specimen type: Well-fixed tissue in 10% neutral buffered formalin.
  • Submit 2 unstained (3-4 µm thick) paraffin embedded tissue section mounted on a clean positively charged glass slide  (sections to be cut within 6 weeks.) or formalin-fixed, paraffin-embedded (FFPE) tissue block.
Storage and transport instructions
  • Slides or blocks are stored in cork box at room temperature away from sun light and any source of heat.
  • Follow your local regulation shipping guidelines.
Specimen Rejection Criteria
  • Broken slides
  • Unlabeled slides with patient/case identification 
  • Contaminated slides
  • Slides/paraffin blocks mismatch
  • Uncharged slides
Factors affecting test performance and result interpretation
  • Fixation time (FT)
  • Fixative Type
  • Storage time in paraffin
  • Storage temperature
  • Age of the cut sections
  • Section thickness
Turnaround time / Days and times test performed / Specimen retention time
  • Turnaround time for the test in platform: 3-4 hours
  • Days and times test performed: Twice daily (Sunday to Wednesday)
  • First batch: 0600H-1400H
  • Second batch; 1230H - overnight
  • Thursday (one batch only): 0600H-1400H
  • Note: Request received after 1230H will be stained the following working day.
  • Shelf-life of the paraffin section slides: ≤6 weeks