BCL-2, TP53 and BAX protein expression in superficial urothelial bladder carcinoma

Cancer Lett. 2007 Jun 8;250(2):292-9. doi: 10.1016/j.canlet.2006.10.011. Epub 2006 Nov 28.

Abstract

Whether TP53, BCL-2 and BAX expressions add independent prognostic information in patients with Ta/T1 bladder urothelial carcinoma remains unclear. TP53 overexpression correlated with high tumor grade (p=0.004), WHO grading categories (0.045), BAX expression (p=0.043) and pathologic stage (p=0.05). BCL-2 immunostaining was inverse associated with tumor grade (p=0.008). Lack of BAX expression was related to reduced patient's survival (p=0.028). Mortality was higher in patients with BCL-2+/TP53+ (p=0.023) or TP53+/BAX- (p=0.027) phenotype. BAX and pathologic stage were independent predictors of progression-free and overall survival, respectively. Therefore, BAX expression might be relevant in patient's prognosis.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Humans
  • Immunohistochemistry
  • Male
  • Middle Aged
  • Proto-Oncogene Proteins c-bcl-2 / metabolism*
  • Survival Analysis
  • Tumor Suppressor Protein p53 / metabolism*
  • Urinary Bladder Neoplasms / metabolism*
  • bcl-2-Associated X Protein / metabolism*

Substances

  • Proto-Oncogene Proteins c-bcl-2
  • Tumor Suppressor Protein p53
  • bcl-2-Associated X Protein