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[Relationship between apoptosis and expression of Fas, bcl-2 and Ki-67 in condyloma acuminatum].

OBJECTIVE
This study inquired into the significance and relationship of apoptosis to the regulation and proliferation of condyloma acuminatum(CA).


METHODS
Apoptotic cells were detected in situ by terminal deoxynucleotidyl transferase-mediated-dUTP nick end labeling (TUNEL). The detection of Fas, bcl-2 and Ki-67 expression was performed using immunohistochemical staining in 28 specimens of CA.


RESULTS
Apoptotic cells were found in 24 cases (85.7%) in keratinocytes. All of the in 28 cases(100%) had Fas and Ki-67 positive expressions, but only 8 cases (28.6%) had bcl-2 mild or moderate expression. The disease severity (serious, moderate and mild) groups did not significantly differ in apoptotic index (AI), Fas, bcl-2 and Ki-67 positive expression (P > 0.05). There was positive correlation between AI and Fas(r = 0.866, P = 0.000). bcl-2 and Ki-67 were negatively correlated with AI (r = -0.416, P = 0.018; r = -0.475, P = 0.006).


CONCLUSION
It is suggested that apoptosis in keratinocytes may play an important role in inhibiting the proliferation of virus, that Fas may be an upregulative factor and bcl-2 may be an inhibition factor to apoptosis, and that excessive Ki-67 expression may be associated with the acceleration of cell cycle.