Momoi H, Okabe H, Kamikawa T, Satoh S, Ikai I, Yamamoto M, Nakagawara A, Shimahara Y, Yamaoka Y, Fukumoto M
Department of Gastroenterological Surgery, Kyoto University Graduate School of Medicine, Kyoto 606-8507, Japan.
Clin Cancer Res. 2001 Sep;7(9):2648-55.
We performed a genome-wide scan for loss of heterozygosity (LOH) in 22 intrahepatic cholangiocarcinoma (ICC) cases using 168 polymorphic microsatellite markers throughout all of the human chromosomes and 48 markers of which LOH is reportedly characteristic of hepatocellular carcinoma (HCC). Markers with LOH in more than 30% of informative cases were observed at 21 loci. Among these, eight markers on 6q (three loci), 4q (two loci), 9q, 16q, and 17p shared high frequencies of LOH with HCC in our previous study. As for gross appearance, mass-forming type tumors showed higher frequency of LOH (P < 0.001) compared with other types. Compared by tumor size (< or =5 cm versus >5 cm), number (multiple versus solitary), and the International Union Against Cancer TNM classification (stage IVB versus II-IVA), LOH was observed more frequently in advanced stages (P < 0.01, respectively). However, LOH frequency does not differ regardless of lymph node status (pN0 versus pN1). Frequent LOH on 1p36 including the p73 locus was noted in large tumors without lymph node metastasis. These suggest that ICC shares some common carcinogenic steps with HCC such as LOH of 4q and 6q and that inactivation of tumor suppressor genes on chromosome 1p36 contributes to progression of ICC but not to metastatic traits.
我们使用遍布整个人类染色体的168个多态性微卫星标记以及据报道肝细胞癌(HCC)具有杂合性缺失(LOH)特征的48个标记,对22例肝内胆管癌(ICC)病例进行了全基因组扫描。在21个位点观察到在超过30%的信息性病例中存在LOH的标记。其中,在我们之前的研究中,6号染色体上的8个标记(3个位点)、4号染色体上的2个标记、9号染色体、16号染色体和17号染色体短臂与HCC共享高频率的LOH。至于大体外观,肿块形成型肿瘤与其他类型相比显示出更高的LOH频率(P < 0.001)。按肿瘤大小(≤5 cm与>5 cm)、数量(多发与单发)以及国际抗癌联盟TNM分类(IVB期与II-IVA期)进行比较,在晚期阶段观察到更频繁的LOH(分别为P < 0.01)。然而,无论淋巴结状态如何(pN0与pN1),LOH频率并无差异。在无淋巴结转移的大肿瘤中,注意到1p36包括p73位点的频繁LOH。这些表明ICC与HCC有一些共同的致癌步骤,如4号染色体和6号染色体的LOH,并且1号染色体36区肿瘤抑制基因的失活有助于ICC的进展,但与转移特征无关。