DOI: 10.4103/mjbl.mjbl_18_24 ISSN: 1812-156X

Evaluation of Bcl-2 Gene Expression in Iraqi Hemodialysis Patients Using Quantitative Real-Time Polymerase Chain Reaction

Israa Nadhim Habeeb, Maysaa Adil Hadi

Abstract

Background:

The B-cell lymphoma 2 ( Bcl-2 ) gene plays a role in apoptosis, regulates the inflammatory process, and has therapeutic potential.

Objectives:

This study investigated alterations in the expression of the apoptosis biomarker Bcl-2 gene using quantitative real-time polymerase chain reaction in hemodialysis (HD) patients and healthy controls.

Materials and Methods:

The study population comprised 60 individuals diagnosed with end-stage renal disease (ESRD) undergoing HD. The participants, both male and female, were under the care of a specialist physician at the hemodialysis unit of the Imam Sadiq Teaching Hospital, Babylon province. In addition, 30 healthy controls were included.

Results:

A significant decrease ( P < 0.001) was observed in Bcl-2 levels in HD patients compared with healthy controls. In addition, the cycle threshold value of the Bcl-2 gene in the patient group was significantly higher ( P < 0.001) than that in the control group, and the fold of gene expression in the patient group was significantly lower than that in the control group. These findings indicate a significant decrease in the gene expression of Bcl-2 in HD patients with ESRD.

Conclusion:

The expression levels of the Bcl-2 gene, which plays a role in suppressing apoptosis, were reduced in the HD group compared to the control group. The findings revealed that the Bcl-2 gene may play a role in accelerating the process of white blood cell apoptosis, thereby reducing their lifespan. This indicates the significance of evaluating Bcl-2 gene expression in the survival and apoptosis processes of white blood cells in HD patients.

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