PMID- 30842155 OWN - NLM STAT- MEDLINE DCOM- 20190311 LR - 20190311 IS - 1791-7530 (Electronic) IS - 0250-7005 (Linking) VI - 39 IP - 3 DP - 2019 Mar TI - Digital Analysis of BCL2 Expression in Laryngeal Squamous Cell Carcinoma. PG - 1253-1257 LID - 10.21873/anticanres.13235 [doi] AB - BACKGROUND: Deregulation of apoptosis is critical regarding the development and progression of malignancies, including laryngeal squamous cell carcinoma (LSCC). B-Cell lymphoma 2 (BCL2) (gene locus:18q21.33), located on the outer mitochondrial membrane, acts mainly as an anti-apoptotic factor suppressing and blocking apoptotic signal transduction. MATERIALS AND METHODS: Fifty (n=50) primary LSCC tissue sections were used. Immunohistochemistry and digital image analysis were implemented for evaluating BCL2 protein expression levels. RESULTS: High BCL2 protein expression levels were observed in 21/50 (42%) LSCC tissue sections, whereas the remaining cases (n=29) demonstrated a low expression. Overall, BCL2 expression was associated with grade (p=0.046) and anatomical region of the examined malignancies (transglottic, p=0.047). Interestingly, high BCL2 expression levels were strongly associated with radiotherapy-based only regimens (p=0.01) in corresponding patients. CONCLUSION: BCL2 overexpression was found to be correlated with an aggressive phenotype (advanced grade of differentiation) in LSCC, also demonstrating a potential selective anatomic localization (transglotic region). Additionally, BCL2 overexpression appears to be a negative regulator for successful radiotherapy implementation by reducing the apoptotic process in patients. CI - Copyright(c) 2019, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved. FAU - Chrysovergis, Aristeidis AU - Chrysovergis A AD - First ENT Department, Hippocration Hospital, University of Athens, Athens, Greece. FAU - Papanikolaou, Vasileios S AU - Papanikolaou VS AD - First ENT Department, Hippocration Hospital, University of Athens, Athens, Greece. FAU - Tsiambas, Evangelos AU - Tsiambas E AD - Department of Immunohistochemistry and Molecular Biology, 401 General Army Hospital, Athens, Greece tsiambasecyto@yahoo.gr. FAU - Ragos, Vasileios AU - Ragos V AD - Department of Maxillofacial Surgery, Medical School, University of Ioannina, Ioannina, Greece. FAU - Peschos, Dimitrios AU - Peschos D AD - Department of Physiology, Medical School, University of Ioannina, Ioannina, Greece. FAU - Kyrodimos, Efthymios AU - Kyrodimos E AD - First ENT Department, Hippocration Hospital, University of Athens, Athens, Greece. LA - eng PT - Journal Article PL - Greece TA - Anticancer Res JT - Anticancer research JID - 8102988 RN - 0 (Proto-Oncogene Proteins c-bcl-2) SB - IM MH - Carcinoma, Squamous Cell/*metabolism/radiotherapy MH - Female MH - Humans MH - Laryngeal Neoplasms/*metabolism/radiotherapy MH - Male MH - Proto-Oncogene Proteins c-bcl-2/*metabolism OTO - NOTNLM OT - BCL2 OT - Carcinoma OT - DIA OT - apoptosis OT - larynx EDAT- 2019/03/08 06:00 MHDA- 2019/03/12 06:00 CRDT- 2019/03/08 06:00 PHST- 2019/01/09 00:00 [received] PHST- 2019/02/15 00:00 [revised] PHST- 2019/02/19 00:00 [accepted] PHST- 2019/03/08 06:00 [entrez] PHST- 2019/03/08 06:00 [pubmed] PHST- 2019/03/12 06:00 [medline] AID - 39/3/1253 [pii] AID - 10.21873/anticanres.13235 [doi] PST - ppublish SO - Anticancer Res. 2019 Mar;39(3):1253-1257. doi: 10.21873/anticanres.13235.