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Updated: Jul 15, 2026

Intramucosal Inoculation of Squamous Cell Carcinoma Cells in Mice for Tumor Immune Profiling and Treatment Response Assessment
Published on: April 22, 2019
Bcl-2 expression in oral squamous cell carcinoma
B Popović1, B Jekić, I Novaković
1Institute of Biology and Human Genetics, School of Dentistry, University of Belgrade, Dr Subotica 8, 11000 Belgrade, Serbia and Montenegro. brankapo@verat.net
Abstract:
Apoptosis is a genetically regulated process involved in tissue size regulation, morphogenesis, and elimination of genetically damaged cells. A pallet of genes is involved in the control of apoptosis, such as bcl-2 family whose oncogenic potential has been demonstrated in oral tumorigenesis. Different members of bcl-2 family may promote or inhibit apoptosis by synthesizing anti- and proapoptotic proteins. One of antiapoptotic proteins, bcl-2, with a crucial role in apoptosis regulation was the object of our study. By means of immunohistochemistry we estimated the level of overexpression of bcl-2 proteins in a series of the 26 formalin fixed, paraffin-embedded samples of oral squamous cell carcinoma (OSCC). Analyzed tumors originated from different sites of oral cavity; 7/26 belonged to stage II, 14/26 to stage III, and 5/26 to stage IV. Immunoreactivity was scored according to the percentage and intensity of positive cytoplasmic bcl-2 staining. All tumors had low percentage of positively stained bcl-2 cells, with mean values for lower/higher intensity of 8.3 +/- 2.5/34.4 +/- 7, 7.5 +/- 1.1/31.9 +/- 4.3, and 8.4 +/- 5.8/31.5 +/- 5.8 within stages II, III, and IV, respectively. Low level of bcl-2 expression in our sample seems to be associated with higher survival rate: 77% for the 5-year follow-up period. Comparing clinicopathologic and risk factors data within each and between three groups of analyzed tumors (lip-tongue P = 0.58, tongue-floor of the mouth, P = 0.21, lip-floor of the mouth, P = 0.50) there was no significant difference. However, our results suggest that the level of bcl-2 expression could be a valuable predictor of tumor behavior and disease outcome.
Insights
This study investigated bcl-2 protein expression in oral squamous cell carcinoma (OSCC). Low bcl-2 levels were associated with a higher survival rate, suggesting its potential as a predictor for oral cancer outcomes.
Area of Science:
- Molecular Biology
- Oncology
- Cell Biology
Background:
- Apoptosis is a regulated cellular process crucial for development and disease.
- The bcl-2 gene family plays a key role in regulating apoptosis and has oncogenic potential in oral tumorigenesis.
- bcl-2, an anti-apoptotic protein, is critical in controlling programmed cell death.
Purpose of the Study:
- To investigate the expression level of bcl-2 protein in oral squamous cell carcinoma (OSCC).
- To determine the association between bcl-2 expression and clinicopathological features and survival in OSCC patients.
Main Methods:
- Immunohistochemistry was used to assess bcl-2 protein overexpression in 26 formalin-fixed, paraffin-embedded OSCC samples.
- Tumor samples were staged (II, III, IV) and originated from various oral cavity sites.
- Immunoreactivity was quantified based on the percentage and intensity of cytoplasmic bcl-2 staining.
Main Results:
- All analyzed OSCC tumors exhibited a low percentage of positively stained bcl-2 cells.
- Mean bcl-2 expression intensity showed no significant variation across different tumor stages (II, III, IV).
- A low level of bcl-2 expression was correlated with a higher 5-year survival rate (77%).
Conclusions:
- The level of bcl-2 expression may serve as a valuable prognostic marker for oral squamous cell carcinoma.
- Further research is warranted to explore the predictive role of bcl-2 in oral cancer behavior and patient outcomes.
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