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Updated: Mar 14, 2026

Quantification of Immunostained Caspase-9 in Retinal Tissue
Published on: July 25, 2022
Immunohistochemistry of apoptosis-related proteins in retinoblastoma
Renato José Mendonça Natalino1, Célia Beatriz Gianotti Antoneli2, Karina de Cássia Braga Ribeiro3
1Department of Pathology, A.C. Camargo Cancer Center, Sao Paulo, Brazil.
Abstract:
Retinoblastoma is the most common intraocular malignant neoplasia during childhood and results from the partial or total inactivity of the retinoblastoma protein (pRb). In the absence of pRb, the E2F transcription factors increase the levels of cell cycle proteins as well as some pro-apoptotic proteins. We intended to study the immunohistochemistry profile of apoptotic-related proteins in retinoblastoma. We also evaluated the association between the expression of apoptotic protein and stage of tumor or survivor after a 5year follow up. Apoptosis-related proteins (Apaf-1, Bak, Bax, Bcl-2, Bcl-xL, Bim-long, MDM2, p53, pro-caspase-3, PUMA, Smac/DIABLO and cleaved caspase-3) were evaluated using immunohistochemistry on tissue microarrays which contained samples of retinoblastoma tumors taken from ninety-three patients without any treatment previous to surgery. The immunohistochemistry reactions were evaluated using an optical microscope as well as the ACIS III® platform. The pro-apoptotic proteins (APAF-1, Bax, p53, PUMA, Smac/DIABLO) were more frequently expressed than the anti-apoptotic proteins (Bcl-2, Bcl-xL and MDM2). The protein Bcl-xL had a negative correlation with cleaved caspase-3, a marker of cell apoptosis. Bcl-xL may be implicated in an apoptosis block.
Insights
Retinoblastoma, a childhood eye cancer, involves inactive retinoblastoma protein (pRb). This study reveals pro-apoptotic proteins are more common than anti-apoptotic ones, with Bcl-xL potentially blocking cell death.
Area of Science:
- Oncology
- Molecular Biology
- Cellular Biology
Background:
- Retinoblastoma is the most frequent childhood intraocular malignancy.
- It arises from the inactivation of the retinoblastoma protein (pRb).
- pRb inactivation leads to increased cell cycle and apoptotic protein activity.
Purpose of the Study:
- To investigate the immunohistochemistry profile of apoptotic-related proteins in retinoblastoma.
- To assess the correlation between apoptotic protein expression and tumor stage or patient survival.
Main Methods:
- Immunohistochemistry was performed on tissue microarrays from 93 retinoblastoma patients.
- Evaluated proteins included Apaf-1, Bak, Bax, Bcl-2, Bcl-xL, Bim-long, MDM2, p53, pro-caspase-3, PUMA, Smac/DIABLO, and cleaved caspase-3.
- Reactions were analyzed via optical microscopy and the ACIS III® platform.
Main Results:
- Pro-apoptotic proteins (Apaf-1, Bax, p53, PUMA, Smac/DIABLO) were more frequently expressed than anti-apoptotic proteins (Bcl-2, Bcl-xL, MDM2).
- The anti-apoptotic protein Bcl-xL showed a negative correlation with cleaved caspase-3, a marker of apoptosis.
- Elevated Bcl-xL expression may be associated with a block in apoptosis.
Conclusions:
- The expression patterns of apoptotic proteins differ in retinoblastoma.
- Bcl-xL's negative correlation with cleaved caspase-3 suggests its role in inhibiting apoptosis in retinoblastoma.
- Further research into Bcl-xL's function could offer therapeutic targets for retinoblastoma.
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