Expresssion of Bcl-2 oncoprotein in cases of acute and chronic viral hepatitis type B and type C: A clinicopathologic study

The bcl-2 gene is involved in the regulation of programmed cell death by providing a survival advantage to rapidly proliferating cells. This study investigates bcl-2 protein expression in liver biopsies with acute or chronic viral hepatitis B (HBV) or C(HCV). The study comprised 60 liver biopsies wi...

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Veröffentlicht in:Digestive diseases and sciences 2002-07, Vol.47 (7), p.1618-1624
Hauptverfasser: TSAMANDAS, Athanassios C, THOMOPOULOS, Konstantinos, GOGOS, Charalambos, TEPETES, Konstantinos, KOURELIS, Theodore, RAVAZOULA, Panagiota, PETSAS, Theodore, BONIKOS, Dionissis S, KARATZA, Chrisoula, KARAVIAS, Dionissios D
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container_end_page 1624
container_issue 7
container_start_page 1618
container_title Digestive diseases and sciences
container_volume 47
creator TSAMANDAS, Athanassios C
THOMOPOULOS, Konstantinos
GOGOS, Charalambos
TEPETES, Konstantinos
KOURELIS, Theodore
RAVAZOULA, Panagiota
PETSAS, Theodore
BONIKOS, Dionissis S
KARATZA, Chrisoula
KARAVIAS, Dionissios D
description The bcl-2 gene is involved in the regulation of programmed cell death by providing a survival advantage to rapidly proliferating cells. This study investigates bcl-2 protein expression in liver biopsies with acute or chronic viral hepatitis B (HBV) or C(HCV). The study comprised 60 liver biopsies with hepatitis B or C. These included 10 biopsies from cases with acute lobular hepatitis (ALH), and 50 with chronic hepatitis (CH). In addition, 10 liver biopsies were used as controls. In CH cases, HAI grade ranged from 3/18 to 15/18, and stage from 1 to 6 (6HBV/8HCV). Immunohistochemical bcl-2 expression was assessed using the streptavidin-biotin method and the presence of apoptotic cells was evaluated by TUNEL method. Immunohistochemical and in situ hybridization (TUNEL) results were expressed following morphometric analysis. In CH cases, bcl-2 was detected in portal and intralobular lymphocytes, and in cholangiolar epithelial cells of the interface area. In ALH and control cases, bcl-2 was expressed only in lymphocytes. Lymphocytic bcl-2 expression was correlated directly with categories A, C and D of HAI (P < 0.001), whereas the degree of fibrosis was reversibly correlated to bcl-2 expression. In conclusion, in cases of chronic hepatitis, bcl-2 expression in cholangioles of interface area suggests that this oncoprotein may be involved in regulation of growth of these epithelial cells.
doi_str_mv 10.1023/A:1015839807627
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This study investigates bcl-2 protein expression in liver biopsies with acute or chronic viral hepatitis B (HBV) or C(HCV). The study comprised 60 liver biopsies with hepatitis B or C. These included 10 biopsies from cases with acute lobular hepatitis (ALH), and 50 with chronic hepatitis (CH). In addition, 10 liver biopsies were used as controls. In CH cases, HAI grade ranged from 3/18 to 15/18, and stage from 1 to 6 (6HBV/8HCV). Immunohistochemical bcl-2 expression was assessed using the streptavidin-biotin method and the presence of apoptotic cells was evaluated by TUNEL method. Immunohistochemical and in situ hybridization (TUNEL) results were expressed following morphometric analysis. In CH cases, bcl-2 was detected in portal and intralobular lymphocytes, and in cholangiolar epithelial cells of the interface area. In ALH and control cases, bcl-2 was expressed only in lymphocytes. Lymphocytic bcl-2 expression was correlated directly with categories A, C and D of HAI (P &lt; 0.001), whereas the degree of fibrosis was reversibly correlated to bcl-2 expression. 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This study investigates bcl-2 protein expression in liver biopsies with acute or chronic viral hepatitis B (HBV) or C(HCV). The study comprised 60 liver biopsies with hepatitis B or C. These included 10 biopsies from cases with acute lobular hepatitis (ALH), and 50 with chronic hepatitis (CH). In addition, 10 liver biopsies were used as controls. In CH cases, HAI grade ranged from 3/18 to 15/18, and stage from 1 to 6 (6HBV/8HCV). Immunohistochemical bcl-2 expression was assessed using the streptavidin-biotin method and the presence of apoptotic cells was evaluated by TUNEL method. Immunohistochemical and in situ hybridization (TUNEL) results were expressed following morphometric analysis. In CH cases, bcl-2 was detected in portal and intralobular lymphocytes, and in cholangiolar epithelial cells of the interface area. In ALH and control cases, bcl-2 was expressed only in lymphocytes. Lymphocytic bcl-2 expression was correlated directly with categories A, C and D of HAI (P &lt; 0.001), whereas the degree of fibrosis was reversibly correlated to bcl-2 expression. In conclusion, in cases of chronic hepatitis, bcl-2 expression in cholangioles of interface area suggests that this oncoprotein may be involved in regulation of growth of these epithelial cells.</abstract><cop>Heidelberg</cop><pub>Springer</pub><pmid>12141825</pmid><doi>10.1023/A:1015839807627</doi><tpages>7</tpages></addata></record>
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subjects Adult
Aged
Apoptosis
Bile Ducts, Intrahepatic - metabolism
Biological and medical sciences
Female
Hepatitis B, Chronic - metabolism
Hepatitis C, Chronic - metabolism
Human viral diseases
Humans
Immunohistochemistry
In Situ Nick-End Labeling
Infectious diseases
Liver - metabolism
Male
Medical sciences
Middle Aged
Proto-Oncogene Proteins c-bcl-2 - metabolism
Viral diseases
Viral hepatitis
title Expresssion of Bcl-2 oncoprotein in cases of acute and chronic viral hepatitis type B and type C: A clinicopathologic study
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