Expression of Bcl-2, p53, c-jun and c-fos protooncogenes in keloids and hypertrophic scars

P. Teofoli, S. Barduagni, M. Ribuffo, A. Campanella, O. De Pita', P. Puddu

Research output: Contribution to journalArticle

72 Citations (Scopus)

Abstract

Keloids and hypertrophic scars represent a model of altered wound healing characterized by overproduction of extracellular matrix and dermal fibroblasts with high mitotic rate. Alteration of apoptosis and cell proliferation has been implicated in the etiology of keloids. The bcl-2 protooncogene encodes a protein that protects cells from programmed cell death while p53 protein functions as negative regulator of cell proliferation. Both protooncogenes have been shown to play a role in tissue homeostasis as apoptotic regulatory genes. The c-jun and c-fos protooncogenes are transactivating factors also involved in fibroblast proliferation. In our study we investigated, by immunohistochemistry, skin specimens from three clinically active hypertrophic scars and keloids, two resting keloids and two early phase morphea to detect both bcl-2 and p53 protein expression, in order to evaluate these apoptotic regulatory genes in different fibrotic conditions. The c-jun and c-fos, at protein and mRNA level, and Ki67 nuclear antigen expression were also investigated. In hypertrophic scars and active keloids we could detect intense Bcl-2 staining in basal keratinocytes and in scattered fibroblast-like and perivascular spindle-shaped cells, while no p53 expression could be demonstrated. The c-jun and c-fos mRNA and protein expression was mainly found in dermal fibroblast-like cells and elongated perivascular cells in all skin biopsies, and similar immunostaining pattern was observed for Ki67 antigen. No protooncogene expression in morphea patients and normal skin, unless Bcl-2 staining in the basal layer of normal epidermis, was documented. Our results suggest that Bcl-2, c-jun and c-fos protein expression and lack of p53 detection in fibroblast-like and perivascular spindle cells are related to increased fibroblast proliferation, confirmed by Ki67 positivity, probably due to alteration of these regulatory apoptotic genes resulting in pathological scarring.

Original languageEnglish
Pages (from-to)31-37
Number of pages7
JournalJournal of Dermatological Science
Volume22
Issue number1
DOIs
Publication statusPublished - Dec 1999

Fingerprint

Hypertrophic Cicatrix
Keloid
Fibroblasts
Proto-Oncogene Proteins c-fos
Regulator Genes
Skin
Localized Scleroderma
Genes
Cell proliferation
Proteins
Tissue homeostasis
Cell Proliferation
Ki-67 Antigen
Staining and Labeling
Nuclear Antigens
Messenger RNA
Biopsy
Cell death
Keratinocytes
Epidermis

Keywords

  • Bcl-2
  • c-fos
  • C-jun
  • Hypertrophic scars
  • Keloids
  • p53

ASJC Scopus subject areas

  • Dermatology

Cite this

Expression of Bcl-2, p53, c-jun and c-fos protooncogenes in keloids and hypertrophic scars. / Teofoli, P.; Barduagni, S.; Ribuffo, M.; Campanella, A.; De Pita', O.; Puddu, P.

In: Journal of Dermatological Science, Vol. 22, No. 1, 12.1999, p. 31-37.

Research output: Contribution to journalArticle

Teofoli, P, Barduagni, S, Ribuffo, M, Campanella, A, De Pita', O & Puddu, P 1999, 'Expression of Bcl-2, p53, c-jun and c-fos protooncogenes in keloids and hypertrophic scars', Journal of Dermatological Science, vol. 22, no. 1, pp. 31-37. https://doi.org/10.1016/S0923-1811(99)00040-7
Teofoli, P. ; Barduagni, S. ; Ribuffo, M. ; Campanella, A. ; De Pita', O. ; Puddu, P. / Expression of Bcl-2, p53, c-jun and c-fos protooncogenes in keloids and hypertrophic scars. In: Journal of Dermatological Science. 1999 ; Vol. 22, No. 1. pp. 31-37.
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AU - De Pita', O.

AU - Puddu, P.

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