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American Journal of Pathology, Vol 149, 177-185, Copyright © 1996 by American Society for Investigative Pathology


REGULAR ARTICLES

Immunodetection of apoptosis-regulating proteins in lymphomas from patients with and without human immunodeficiency virus infection

D Schlaifer, S Krajewski, S Galoin, F Rigal-Huguet, G Laurent, P Massip, J Pris, G Delsol, JC Reed and P Brousset
Service d'Hematologie, Centre Hospitalier Universitaire, Hopital de Purpan, Toulouse, France.

The expression of the apoptosis-regulating genes Bcl-2, Bcl-x, Bax, Mcl- 1, and p53 analyzed in 4 cases of human immunodeficiency virus (HIV)- associated Hodgkin's disease, in 36 cases of HIV-related non-Hodgkin's lymphomas (NHLs), and in 109 cases of non-HIV-related NHLs by using immunohistochemistry. HIV-associated Hodgkin's disease samples were positive for all markers. For the HIV-related NHL samples, 36, 66, 88, 100, and 94% of the cases were Bcl-2, Bcl-x, Bax, Mcl-1, and p53 were found to be expressed in 69, 65, 82, 83, and 42%, respectively. No significant differences were observed in Bax and Mcl-1 staining between HIV-unrelated NHLs of B cell and T cell types. In contrast, Bcl-2 was positive in 66/79 (83%) and 10/30 (33%) of B cell and T cell HIV- unrelated NHLs, respectively (P2 < 0.001). Peculiar patterns were observed for hairy cell leukemia (Bax+, Bcl-2+, Mcl-1-) and for anaplastic large cell lymphoma (Bax+, Mcl-1+, Bcl-2-) in HIV-unrelated NHLs. Of interest, all cases with a positive expression of Bax were also found to express either Mcl-1 and/or Bcl-2, suggesting that Mcl-1 and Bcl-2 may counteract the pro-apoptosis function of Bax in vivo by protein-protein interaction within the tumor cell, as demonstrated previously in vitro. These results suggest that apoptosis regulation may have a role in the pathogenesis of some HIV-related and HIV- unrelated NHLs.


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