Expression of the apoptosis-related oncogenes bcl-2, bax, and p53 in Merkel cell carcinoma: Can they predict treatment response and clinical outcome?

Chemotherapy and radiation therapy act predominantly through the induction of apoptosis in malignancies. Merkel cell carcinoma, an aggressive malignancy with prominent apoptosis, has proved to be sensitive to both modes to a certain degree. We used immunohistochemical methods to examine 25 Merkel ce...

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Veröffentlicht in:Human pathology 1999-11, Vol.30 (11), p.1367-1372
Hauptverfasser: Feinmesser, Meora, Halpern, Marisa, Fenig, Eyal, Tsabari, Cohava, Hodak, Emmilia, Sulkes, Jaqueline, Brenner, Baruch, Okon, Elimelech
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container_end_page 1372
container_issue 11
container_start_page 1367
container_title Human pathology
container_volume 30
creator Feinmesser, Meora
Halpern, Marisa
Fenig, Eyal
Tsabari, Cohava
Hodak, Emmilia
Sulkes, Jaqueline
Brenner, Baruch
Okon, Elimelech
description Chemotherapy and radiation therapy act predominantly through the induction of apoptosis in malignancies. Merkel cell carcinoma, an aggressive malignancy with prominent apoptosis, has proved to be sensitive to both modes to a certain degree. We used immunohistochemical methods to examine 25 Merkel cell carcinomas and 8 of their lymph node metastases to assess the status of the antiapoptotic gene bcl-2 and 2 proapoptotic genes, wild-type p53 and bax. All tumors showed prominent bax immunopositivity; 76% were positive for bcl-2, and only 28% were positive for p53, the latter presumably reflecting mutated p53. No statistically significant relationship was found between tumor immunopositivity and therapy response or survival. The widespread bax immunopositivity and the apparently low rate of p53 mutations, as suggested by the low rate of p53 immunopositivity, may be related to the presence of prominent apoptosis in Merkel cell carcinoma. The finding of bcl-2 immunopositivity in 76% of the tumors suggests that some of the tumor cells may be resistant to apoptosis-inducing agents.
doi_str_mv 10.1016/S0046-8177(99)90070-9
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subjects Adult
Age Factors
Aged
Aged, 80 and over
Apoptosis
bcl-2-Associated X Protein
Biological and medical sciences
Carcinoma, Merkel Cell - diagnosis
Carcinoma, Merkel Cell - metabolism
Carcinoma, Merkel Cell - pathology
Carcinoma, Merkel Cell - therapy
Dermatology
Female
Humans
Immunohistochemistry
Lymphatic Metastasis
Male
Medical sciences
Merkel cell carcinoma
Middle Aged
proapoptotic and antiapoptotic genes
Prognosis
Proto-Oncogene Proteins - biosynthesis
Proto-Oncogene Proteins c-bcl-2 - biosynthesis
Sex Factors
Skin Neoplasms - diagnosis
Skin Neoplasms - metabolism
Skin Neoplasms - pathology
Skin Neoplasms - therapy
treatment
Treatment Outcome
Tumor Suppressor Protein p53 - biosynthesis
Tumors of the skin and soft tissue. Premalignant lesions
title Expression of the apoptosis-related oncogenes bcl-2, bax, and p53 in Merkel cell carcinoma: Can they predict treatment response and clinical outcome?
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