Department of Human Pathology and Oncology, University of Siena, 53100 Siena, Italy.
Hum Pathol. 2010 Apr;41(4):503-12. doi: 10.1016/j.humpath.2009.09.004. Epub 2009 Dec 11.
Beclin 1 and LC3 autophagic genes are altered in several human cancer types. This study was designed to assess the expression of Beclin 1 and LC3 in cutaneous melanocytic lesions, in which they have not yet been investigated. In melanoma, we correlated their expression with conventional histopathologic prognostic factors. In 149 lesions, including benign nevi, dysplastic nevi, radial growth phase melanomas, vertical growth phase melanomas, and melanoma metastases, proteins were evaluated by immunohistochemistry, and, in representative cases of benign nevi, vertical growth phase melanomas and melanoma metastases were evaluated by Western blotting. In most lesions, messenger RNA level was also assessed by real-time reverse transcriptase polymerase chain reaction. Both genes were expressed in all the investigated conditions. Beclin 1 cytoplasmic protein and messenger RNA, as well as LC3 messenger RNA, significantly decreased with tumor progression (P < .05). The percentage of cases with high cytoplasmic expression of beclin 1 from 100% in benign nevi declined to 86.4% in dysplastic nevi, 54.5% in radial growth phase melanomas, 54.3% in vertical growth phase melanomas, and 26.7% in melanoma metastases. The lowest expression of LC3 II protein was observed in melanoma metastases (53.3% of cases) (P < .05); LC3 II protein overexpression was, however, found in several nonbenign lesions, with the highest percentage (45.5%) in radial growth phase melanomas. LC3 II protein expression was inversely correlated to thickness, ulceration, and mitotic rate. In a multivariate analysis, messenger RNAs for both genes discriminated between nonmalignant (benign and dysplastic nevi) and malignant (radial, vertical growth phase melanomas, and melanoma metastases) lesions. Our results, therefore, indicate that beclin 1 and LC3 II autophagic gene expression is altered also in melanocytic neoplasms.
Beclin 1 和 LC3 自噬基因在几种人类癌症类型中发生改变。本研究旨在评估 Beclin 1 和 LC3 在皮肤黑素细胞病变中的表达,这些病变尚未进行研究。在黑色素瘤中,我们将其表达与传统的组织病理学预后因素相关联。在 149 个病变中,包括良性痣、发育不良痣、放射状生长阶段黑色素瘤、垂直生长阶段黑色素瘤和黑色素瘤转移,通过免疫组织化学评估蛋白质,并在良性痣、垂直生长阶段黑色素瘤和黑色素瘤转移的代表性病例中通过 Western blot 进行评估。在大多数病变中,还通过实时逆转录聚合酶链反应评估信使 RNA 水平。两个基因在所有研究条件下均有表达。细胞质 Beclin 1 蛋白和信使 RNA 以及 LC3 信使 RNA 随着肿瘤进展而显著降低(P <.05)。从良性痣的 100%到发育不良痣的 86.4%、放射状生长阶段黑色素瘤的 54.5%、垂直生长阶段黑色素瘤的 54.3%和黑色素瘤转移的 26.7%,高细胞质表达 beclin 1 的病例百分比降低。LC3 II 蛋白表达最低见于黑色素瘤转移(53.3%的病例)(P <.05);然而,在几种非良性病变中发现了 LC3 II 蛋白的过度表达,其中放射状生长阶段黑色素瘤的百分比最高(45.5%)。LC3 II 蛋白表达与厚度、溃疡和有丝分裂率呈负相关。在多变量分析中,两种基因的信使 RNA 可区分非恶性(良性和发育不良痣)和恶性(放射状、垂直生长阶段黑色素瘤和黑色素瘤转移)病变。因此,我们的结果表明,Beclin 1 和 LC3 II 自噬基因的表达也在黑素细胞肿瘤中发生改变。
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