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Association of tumor necrosis factor-alpha gene expression and apoptotic cell death with regression of Shope

Y Hagari1, L R Budgeon, M D Pickel

  • 1Department of Pathology, Milton S. Hershey Medical Center, Pennsylvania State University, Hershey, USA.

Insights

Spontaneous Shope papilloma regression involves tumor necrosis factor-alpha (TNF-α) and apoptotic cell death. TNF-α mRNA and apoptotic keratinocytes were found in regressing tumors, suggesting TNF-α

Area of Science:

  • Oncology
  • Immunology
  • Cell Biology

Background:

  • Shope papillomas are benign skin tumors that can spontaneously regress.
  • The mechanisms underlying papilloma regression are not fully understood.
  • Tumor necrosis factor-alpha (TNF-α) and apoptosis are implicated in various regression processes.

Purpose of the Study:

  • To investigate the role of TNF-α and apoptotic cell death in the spontaneous regression of Shope papillomas.
  • To determine the localization and quantity of TNF-α mRNA and apoptotic cells in progressing versus regressing papillomas.

Main Methods:

  • In situ hybridization to detect TNF-α mRNA.
  • In situ terminal deoxynucleotidyl transferase assay to detect DNA strand breaks (apoptosis).
  • Electron microscopy to examine cellular morphology and identify apoptotic bodies.

Main Results:

  • TNF-α mRNA was abundant in mononuclear cells infiltrating regressing papillomas, particularly in the upper dermis and dermoepidermal junction.
  • Fewer TNF-α-expressing cells were observed in deeper dermis of progressing papillomas.
  • Significant DNA strand breaks and characteristic apoptotic changes (e.g., chromatin condensation, apoptotic bodies) were prevalent in epidermal keratinocytes of regressing papillomas.
  • Electron microscopy confirmed widespread apoptosis and infiltration of lymphocytes and macrophages in regressing tumors.

Conclusions:

  • The study supports the hypothesis that spontaneous Shope papilloma regression involves TNF-α and apoptotic cell death.
  • TNF-α produced by infiltrating mononuclear cells likely plays a crucial role in mediating papilloma regression.
  • Apoptotic keratinocyte death is a key feature of the regression process.

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