Abstract | BACKGROUND: Human papilloma virus (HPV) is an etiological agent in benign and malignant epithelial tumors. Resistance to apoptotic stimuli by viral strategies represents an immunologic escape mechanism during virus-induced tumor development and is critical for efficient replication of the virus. OBJECTIVE: The aim of the present study was to investigate a role of bcl-family proteins in the anti-apoptotic pathways modulated by low-risk HPVs in the development of benign HPV-associated cutaneous tumors. METHODS: Forty lesional biopsy specimens from HPV-associated cutaneous lesions and 11 non-lesional control skin biopsies were studied by immunohistochemical analysis for the differential expressions of HPV antigens, the pro-apoptotic bax protein, and the anti-apoptotic bcl-2 and bcl-x proteins. RESULTS: Compared with the normal epidermis, bcl-2 and bcl-x expression were significantly reduced in the lesional epidermis. Bax was expressed in HPV-associated cutaneous lesions, although the expression did not reveal a significant deviation from that in normal skin. CONCLUSION: These findings indicate a discordant expression of bcl-2/ bcl-x and bax proteins in HPV-associated skin lesions and suggest that low-risk HPVs mediate other pathways that bypass the action of anti-apoptotic bcl-2 and bcl-x proteins. The presence of bax expression with a prominent decrease in bcl-2/ bax ratio and the lack of massive apoptosis in HPV-associated benign epithelial lesions may imply that interference with the pro-apoptotic proteins of bcl-family may constitute one of the several mechanisms mediated by HPV oncoproteins for the suppression of apoptotic process.
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Authors | Emel Erkek, Onder Bozdoğan, Pinar Atasoy, Ahu Birol, Mukadder Koçak |
Journal | The American Journal of dermatopathology
(Am J Dermatopathol)
Vol. 26
Issue 2
Pg. 113-8
(Apr 2004)
ISSN: 0193-1091 [Print] United States |
PMID | 15024192
(Publication Type: Journal Article)
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Chemical References |
- Antigens, Viral
- BAX protein, human
- BCL2L1 protein, human
- Biomarkers
- Proto-Oncogene Proteins
- Proto-Oncogene Proteins c-bcl-2
- bcl-2-Associated X Protein
- bcl-X Protein
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Topics |
- Antigens, Viral
(analysis)
- Apoptosis
- Biomarkers
(analysis)
- Humans
- Immunoenzyme Techniques
- Papillomaviridae
(immunology, isolation & purification)
- Papillomavirus Infections
(metabolism, pathology)
- Proto-Oncogene Proteins
(metabolism)
- Proto-Oncogene Proteins c-bcl-2
(metabolism)
- Retrospective Studies
- Skin Diseases, Viral
(metabolism, pathology)
- bcl-2-Associated X Protein
- bcl-X Protein
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