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Expression of heat shock protein 27 and alpha-crystallins in human retinoblastoma after chemoreduction
  1. S Kase1,
  2. J G Parikh1,
  3. N A Rao1,2
  1. 1
    Doheny Eye Institute, Los Angeles, California, USA
  2. 2
    Department of Ophthalmology, Keck School of Medicine of the University of Southern California, Los Angeles, California, USA
  1. Dr N A Rao, Doheny Eye Institute, 1450 San Pablo Street, DRVC 211, Los Angeles, CA 90033, USA; nrao{at}


Aim: Small heat shock proteins (sHSP) play an important role in the resistance to anticancer drugs. We examined the expression of the sHSP family, HSP27 and α-crystallins, in human retinoblastoma with and without preoperative chemotherapy.

Methods: Eighteen enucleated eyes from patients with retinoblastoma were used. Six patients had undergone chemotherapy before enucleation. Formalin-fixed, paraffin-embedded tissue sections were processed for H&E staining and examined by immunohistochemistry using anti-HSP27 and α-crystallins antibodies.

Results: Eleven of 12 cases with no history of preoperative chemotherapy showed weakly positive or negative staining for HSP27, whereas six and five cases were strongly positive for αA and αB-crystallin, respectively. In the six cases with a history of chemotherapy, several viable retinoblastoma cells remained. Immunoreactivity for HSP27 and αB-crystallin was strongly detected in the cytoplasm of viable retinoblastoma cells, while αA-crystallin immunoreactivity was less marked. Immunoreactivity for HSP27 was significantly higher in retinoblastoma cases with preoperative chemotherapy than in those without chemotherapy (p<0.0001). In contrast, immunoreactivity for αA-crystallin was significantly lower in cases with chemotherapy than in cases without chemotherapy (p<0.01).

Conclusions: HSP27 and αB-crystallin, but not αA-crystallin, were highly expressed in viable tumour cells after chemotherapy, suggesting that HSP27 and αB-crystallin may protect tumour cells from apoptotic signals produced by anticancer drugs in retinoblastoma.

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  • Funding: Supported by NIH grants EY015714 and EY03040 and a grant from Research to Prevent Blindness.

  • Competing interests: None.

  • Ethics approval: Ethics approval was provided by the institutional review board of the University of Southern California.

  • Patient consent: Obtained.