Indian J Dermatol. 2011 Sep-Oct;56(5):501-4. doi: 10.4103/0019-5154.87130.
Implications of bax, fas, and p53 in the pathogenesis of early-stage mycosis fungoides and alterations in expression following photochemotherapy.
Indian journal of dermatology
Fatma Aydin, Yildiz Levent, Senturk Nilgun, Yuksel Esra Pancar, Turanli Ahmet Yasar
Affiliations
Affiliations
- Ondokuz Mayis University, School of Medicine, Departments of Dermatology and Pathology, Samsun, Turkey.
PMID: 22121263
PMCID: PMC3221208 DOI: 10.4103/0019-5154.87130
Abstract
BACKGROUND: The underlying molecular basis of mycosis fungoides (MF) has not yet been clarified. However, defects in apoptosis may contribute to its pathogenesis.
AIM: We investigated the expression of Bax, Fas, and p53 in early-stage MF patients and any alterations in expression following photochemotherapy.
MATERIALS AND METHODS: Bax, Fas, and p53 expressions were studied by immunohistochemistry in both keratinocytes and lymphocytes on paraffin-embedded skin specimens from 27 early-stage MF patients.
RESULTS: Bax, Fas, and p53 staining was shown in the lymphocytes in 0/27, 26/27, and 11/27 patients at the time of diagnosis, whereas these ratios were 0/27, 9/27, and 0/27, respectively, after psoralen plus ultraviolet A (PUVA) treatment. The decrease in p53 and Fas expression in the lymphocytes was found statistically significant. Bax, Fas, and p53 staining in the keratinocytes was shown in 5/27, 27/27, and 25/27 patients at the time of diagnosis, whereas these ratios were 0/27, 22/27, and 4/27, respectively, after PUVA treatment. The decrease in p53, Fas, and Bax expression in the keratinocytes was found statistically significant.
CONCLUSION: Although Bax seems unrelated with early-stage MF, Fas and p53 expression in the lymphocytes may contribute to the understanding of the pathogenesis of this disease.
Keywords: Apoptosis; Bax; Fas; mycosis fungoides; p53; psoralen plus ultraviolet A
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