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Increased bcl-2 expression is associated with primary resistance to chemotherapy in human epithelial ovarian cancer Samar K Kassim · Hebatalla S Ali · Maha M Sallam · Salah T Fayed · Laila S Seada · Emtyaz abd-Elkawy · Maged Abu Seada · Ali Khalifa

Clinical Biochemistry • 1999
العودة
معلومات البحث
المؤلفون Samar K Kassim · Hebatalla S Ali · Maha M Sallam · Salah T Fayed · Laila S Seada · Emtyaz abd-Elkawy · Maged Abu Seada · Ali Khalifa
الكلمات المفتاحية Not Available
المجلة العلمية Clinical Biochemistry
الناشر Not Available
المجلد Not Available
العدد Not Available
الصفحات Not Available
publication.type International
رابط البحث Not Available
المواد المرفقة Not Available
الملخص
bcl-2, an anti-apoptotic factor, has a role in the pathogenesis of ovarian cancer as well as in resistance to chemotherapy. 20 benign, and 26 malignant epithelial ovarian tissues were analyzed for bcl-2 protein and mutant p53 by enzyme-immunoassay (EIA). Flowcytometric analysis was also performed. Patients of malignant group were followed up to monitor overall survival and primary resistance to chemotherapy. bcl-2 was significantly higher in malignant group than benign group (p < 0.001). A cutoff value was determined for bcl-2 (63.8 kU/g protein). At this cutoff, sensitivity is 80.7%, and specificity is 85%. Using chi square analysis, a significant correlation was found between bcl-2 and FIGO stage (p = 0.01), overall survival (p = 0.01), as well as primary resistance to chemotherapy (p = 0.03). By correlation coefficient analysis the relation between bcl-2 and synthetic phase fraction was highly significant (p = 0.002). Bcl-2, p53, and FIGO stage were significantly correlated to poor survival (p = 0.01) in univariate analysis. However, in multivariate analysis, only FIGO stage, and p53 were independent risk factors. EIA could be a useful tool for investigating the prognostic value of bcl-2, and its possible prediction of platinum resistance in epithelial ovarian cancer. This might help in selecting patients for future anti-bcl-2 therapy.