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. 2004 Nov 15;10(22):3251-4.
doi: 10.3748/wjg.v10.i22.3251.

Detection of bcl-2 and bax expression and bcl-2/JH fusion gene in intrahepatic cholangiocarcinoma

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Detection of bcl-2 and bax expression and bcl-2/JH fusion gene in intrahepatic cholangiocarcinoma

Lin-Lang Guo et al. World J Gastroenterol. .

Abstract

Aim: To investigate the relationship between bcl-2 gene and its related protein bax and intrahepatic cholangiocellular carcinoma (CCC).

Methods: Semi-nested in situ PCR (SNISPCR) and immunohistochemistry were performed to detect bcl-2/JH fusion gene and bcl-2, bax protein expression in 29 cases of CCC.

Results: No bcl-2/JH fusion gene was found in all cases of CCC, 72.4% of 29 cases expressed bcl-2 protein. Bcl-2 protein expression was related to histopathological grades (P<0.05). There was no corresponding relationship between bcl-2/JH fusion gene formation and bcl-2 protein expression in CCC (P<0.05). Bax was expressed in 10.3% of 29 cases. The ratio of bcl-2 to bax in normal liver tissues (3.5 to 1) was different from that in tumor tissues (7.0 to 1).

Conclusion: It is suggested that bcl-2/JH fusion gene formation is not a frequent event and may not play an important role in the pathogenesis of CCC. However, aberrant ratio of bcl-2 to bax protein expression may be involved in the course of tumorigenesis of CCC. Abnormal bcl-2 protein expression may not be solely resulted from bcl-2/JH fusion gene.

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Figures

Figure 1
Figure 1
Primary hepatic cholangiocarcinoma. Brown-yellow staining in cytoplasm of carcinoma cells for bcl-2 protein (arrowhead) Immunohistochemistry staining × 200.
Figure 2
Figure 2
Normal liver. Brown-yellow staining in cytoplasm of small bile duct epithelial cells for bcl-2 protein (arrowhead) Immunohistochemistry staining × 200.
Figure 3
Figure 3
Primary hepatic cholangiocarcinoma. Brown-yellow staining in cytoplasm of carcinoma cells for bax protein (arrowhead) Immunohistochemistry staining × 200.
Figure 4
Figure 4
Normal liver. Brown-yellow staining in cytoplasm of small bile duct epithelial cells for bax protein (arrowhead) Immunohistochemistry staining × 200.
Figure 5
Figure 5
Non-Hodgkin's lymphoma. Purple-blue deposition in nuclear of lympoma cells (positive for mbr, arrowhead). In situ PCR × 400.

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