title: Significance of proto-oncogene Bcl-X(S/L) expression in Wilms tumor.
abstract: The rate of apoptosis varies in malignant tumors, and it can be involved in diminishing tumor size. Different protein-regulators of apoptosis, such as Bcl-2, BclX, and Bax have an influence on the rate of apoptosis in various tumors. In human renal diseases, such as the experimental model of acute renal failure, and many tumors, including Wilms' tumor, the expression of antiapoptotic members of Bcl-2 family is increased, while the expression of proapoptotic members is low.
  
  
  OBJECTIVE
  The aim of our study was to investigate Bcl-X(S/L) protein expression in Wilms' tumor, to compare it with the expression in normal renal tissue, as well as to see if there is a correlation between Bcl-X(S/L) expression in Wilms' tumor with tumor stage, histological type, prognostic group, or response to preoperative chemotherapy.
  
  
  METHODS
  Twenty-eight cases of Wilms' tumor (two cases with metastasis) and two samples of normal kidney tissue were studied using streptavidin-biotin-complex technique. Bcl-X(S/L) expression levels were semiquantitatively scored.
  
  
  RESULTS
  The expression of Bcl-X(S/L) was observed in the majority of cases (60.7%), more often in the blastemal than in the epithelial component of Wilms' tumor: 60.7% and 28.6%, respectively (p=0.02). There was a statistically significant inverse relationship between Bcl-X(S/L) expression and tumor stage (p=0.015). Bcl-X(S/L) was found less frequently in high-risk tumors then in tumors with good prognosis (p=0.02). Treated Wilms' tumors showed Bcl-X(S/L) expression more often than nontreated tumors, but the relationship was not statistically significant (p=0.08). Expression of Bcl-X(S/L) was detected in various histological types of Wilms' tumor, but there was no statistically significant association (p=0.82) except in cases with diffuse anaplasia (p=0.012), which were always negative. No Bcl-X(S/L) immunostaining was observed in two cases of metastasis or in one case of bilateral Wilms' tumor.
  
  
  CONCLUSIONS
  Our results suggest that the expression of Bcl-X(S/L) protein is associated with prognostic group, tumor stage, and presence of anaplasia.
authors.affiliation: Institute of Pathology, University School of Medicine, Belgrade, Serbia and Montenegro, Yugoslavia. jovanovic01@yahoo.com
authors.forename: Gordana
authors.initials: G
authors.lastname: Basta-Jovanović
authors.forename: Vidosava
authors.initials: V
authors.lastname: Radonjic
authors.forename: Ilija
authors.initials: I
authors.lastname: Stolic
authors.forename: Maja
authors.initials: M
authors.lastname: Nenadovic
authors.forename: Dimitrije
authors.initials: D
authors.lastname: Brasanac
authors.forename: Dijana
authors.initials: D
authors.lastname: Jovanovic
authors.forename: Sanja
authors.initials: S
authors.lastname: Radojevic-Skodric
mesh_terms: D000708:Anaplasia; D000970:Antineoplastic Agents / Q000627:therapeutic use; D017209:Apoptosis; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007668:Kidney / Q000473:pathology*; D008297:Male; D020360:Neoadjuvant Therapy; D009367:Neoplasm Staging; D011379:Prognosis; D000090063:Proto-Oncogene Mas; D019253:Proto-Oncogene Proteins c-bcl-2 / Q000096:biosynthesis*; D009396:Wilms Tumor / Q000188:drug therapy / Q000378:metabolism* / Q000473:pathology / Q000503:physiopathology; D051020:bcl-X Protein
chemical_list: D000970:Antineoplastic Agents; C494811:BCL2L1 protein, human; C000715470:MAS1 protein, human; D000090063:Proto-Oncogene Mas; D019253:Proto-Oncogene Proteins c-bcl-2; D051020:bcl-X Protein