Sun BC, Zhao XL, Wang ZH, Liu YX, Wang X, Gu Q. Expression of Fas and p53 in different stages of large intestinal malignant transformation and their association with apoptosis.
Shijie Huaren Xiaohua Zazhi 2004;
12:2070-2073. [DOI:
10.11569/wcjd.v12.i9.2070]
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Abstract
AIM: To explore the expression of Fas and p53 in the large intestinal adenocarcinoma, malignantly transformed adenoma, tubulo-villous adenoma, and tubular adenoma, and to assess their influence on the pathogenesis of large intestinal carcinoma.
METHODS: Using in-situ hybridization, immunohistochemistry and TUNEL techniques, we examined a number of paraffin-embedded tissues including 37 cases of large intestinal adenocarcinomas, 26 cases of malignantly transformed adenomas, 30 cases of tubulo-villous adenomas, and 24 cases of tubular adenomas for Fas mRNA, p53 protein and DNA fregment. 6 cases of non-tumor mucosa were used as control group.
RESULTS: Fas mRNA positive cell density was: 39.60±6.51 in non-tumor mucosa, 50.93 21.64 in tubular adenoma, 45.91±24.15 in tubulo-villous adenoma, 25.47±14.76 in non-malignantly transformed area of adenoma, 11.92±9.47 in malignantly transformed area of adenoma, and 5.88±5.10 in adenocarcinoma, which was significantly lower in the malignant lesions than in adenomas (P <0.001). p53 protein positive cell density was: 8.40±2.67 in non-tumor mucosa, tubular adenoma 13.19±8.95, tubulo-villous adenoma 13.50±7.29, non-malignantly transformed area of adenoma 12.24±7.16, malignantly transformed area of adenoma 73.31±28.57, adenocarcinoma 80.99±44.54, among which it was the lowest in the non-tumor mucosa, slightly increased in adenoma, and significantly increased in malignant lesions (P <0.001). Apoptotic cell density was: non-tumor mucosa 15.02±11.14, tubular adenoma 46.31±18.86, tubulo-villous adenoma 29.43±16.66, non-malignantly transformed area of adenoma 68.42±19.61, malignantly transformed area of adenoma 22.01±12.07, adenocarcinoma 18.64±12.88, which was higher in adenomas, but lower in malignant lesions (P <0.001). The positively expressed cell density of p53 protein was reversely related with that of the apoptotic epithelial cells (r = -0.389, P <0.001). The positively expressed cell density of Fas mRNA was related with that of the apoptotic epithelial cells (r = 0.190, P <0.05).
CONCLUSION: The apoptotic cell death is inhibited via downregulation of Fas expression and upregulation of p53 expression in large intestinal adenocarcinoma, and a so-called "Fas resistance" mechanism is induced.
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