title: 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.
authors.affiliation: Department of Pathology, Kirikkale University, Faculty of Medicine, Turkey.
authors.forename: Onder
authors.initials: O
authors.lastname: Bozdogan
authors.forename: Emel
authors.initials: E
authors.lastname: Erkek
authors.forename: Pinar
authors.initials: P
authors.lastname: Atasoy
authors.forename: Mukadder
authors.initials: M
authors.lastname: Koçak
authors.forename: Ahu
authors.initials: A
authors.lastname: Birol
authors.forename: Muzaffer
authors.initials: M
authors.lastname: Caydere
mesh_terms: D000199:Actins / Q000032:analysis*; D000328:Adult; D000368:Aged; D000682:Amyloid / Q000032:analysis*; D017209:Apoptosis / Q000235:genetics*; D002280:Basal Cell Carcinoma / Q000737:chemistry* / Q000473:pathology; D005260:Female; D006801:Humans; D007150:Immunohistochemistry; D008297:Male; D008875:Middle Aged; D009130:Muscle, Smooth / Q000378:metabolism; D019253:Proto-Oncogene Proteins c-bcl-2 / Q000032:analysis*; D012878:Skin Neoplasms / Q000737:chemistry* / Q000473:pathology; D051020:bcl-X Protein
chemical_list: D000199:Actins; D000682:Amyloid; C494811:BCL2L1 protein, human; D019253:Proto-Oncogene Proteins c-bcl-2; D051020:bcl-X Protein