Bcl-2 is a proto-oncogene initially described in the (14;18) transloca
tion in follicular lymphoma. It has been shown to prolong cell surviva
l by preventing apoptosis. Endometrium undergoes rapid proliferation a
nd differentiation under hormone control and is thus an excellent mode
l to study the hormone dependency of Bcl-2 expression. We studied Bcl-
2 expression by an immunohistochemical method in 53 samples of normal
endometrium randomly distributed throughout the menstrual cycle, as we
ll as five samples of hyperplastic endometrium. Bcl-2 staining predomi
nated in glandular cells and peaked at the end of the follicular phase
Bcl-2 expression disappenred at the onset of secretory activity. The
stroma, surface lining epithelium and arterial vessels also displayed
cyclic variations in Bcl-2 expression. These results strongly suggest
hormone-dependent regulation of Bcl-2 expression, which could play an
important role in tumorigenesis.