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Bcl-2-related proteins, alpha-smooth muscle actin and amyloid deposits in aggressive and non-aggressive basal cell carcinomas.

Abstract
Aberrant expression of bcl-gene products has been implicated in the development of non-melanoma skin cancers. Recently, altered expression of alpha-smooth muscle actin has been proposed as predictive of tumour behaviour in basal cell carcinomas. The purpose of this study was to compare the aggressive and non-aggressive basal cell carcinomas in terms of bcl-gene products and alpha-smooth muscle actin expression. Fifty excisional biopsy samples were studied by immunohistochemical technique for the differential expressions of bcl-2, bax, bcl-x and alpha-smooth muscle actin. Bcl-2, bcl-x and bax were expressed in 34 (68%), 38 (76%) and 41(82%) specimens, respectively. Immunoreactivity for alpha-smooth muscle actin was noted both in tumour nests (64%) and within the stroma (54%). There was a significant difference between aggressive and non-aggressive basal cell carcinomas in terms of bcl-2 and stromal alpha-smooth muscle actin immunoreactivity. Non-aggressive basal cell carcinomas display a concordant expression of bcl-family proteins, whereas aggressive tumours reveal a discordant pattern. An increased expression of stromal alpha-smooth muscle actin with a concomitant decrease or loss of bcl-2 expression may be highly suggestive of aggressiveness in basal cell carcinoma.
AuthorsOnder Bozdogan, Emel Erkek, Pinar Atasoy, Mukadder Koçak, Ahu Birol, Muzaffer Caydere
JournalActa dermato-venereologica (Acta Derm Venereol) Vol. 82 Issue 6 Pg. 423-7 ( 2002) ISSN: 0001-5555 [Print] Sweden
PMID12575847 (Publication Type: Comparative Study, Journal Article)
Chemical References
  • Actins
  • Amyloid
  • BCL2L1 protein, human
  • Proto-Oncogene Proteins c-bcl-2
  • bcl-X Protein
Topics
  • Actins (analysis)
  • Adult
  • Aged
  • Amyloid (analysis)
  • Apoptosis (genetics)
  • Carcinoma, Basal Cell (chemistry, pathology)
  • Female
  • Humans
  • Immunohistochemistry
  • Male
  • Middle Aged
  • Muscle, Smooth (metabolism)
  • Proto-Oncogene Proteins c-bcl-2 (analysis)
  • Skin Neoplasms (chemistry, pathology)
  • bcl-X Protein

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