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人类不同实体瘤中FHIT基因杂合性缺失及其与结直肠癌患者生存的关系。

Loss of heterozygosity at the FHIT gene in different solid human tumours and its association with survival in colorectal cancer patients.

作者信息

Petursdottir Thorgunnur Eyfjord, Hafsteinsdottir Sigridur H, Jonasson Jon G, Moller Pall H, Thorsteinsdottir Unnur, Huiping Chen, Egilsson Valgardur, Ingvarsson Sigurdur

机构信息

Department of Pathology, National University Hospital, P.O. Box 1465, IS-121 Reykjavik, Iceland.

出版信息

Anticancer Res. 2002 Nov-Dec;22(6A):3205-12.

Abstract

BACKGROUND

Genomic alterations and abnormal expression of the FHIT gene have been reported for a number of cancers. FHIT encompasses FRA3B, the most common fragile site in the human genome, and is suggested to be a candidate tumour suppressor gene.

MATERIALS AND METHODS

We analysed and compared the loss of heterozygosity (LOH) pattern in 397 solid human tumours from 9 different locations, using four polymorphic microsatellite markers within the gene (D3S1234, D3S1300, D3S2757 and D3S4260), and two markers (D3S1313 and D3S1600) flanking the gene. In addition, we tested whether there was an association between FHIT LOH and overall patient survival in colorectal cancer.

RESULTS

LOH at the FHIT gene affecting at least one of the investigated markers was detected in 166 out of 332 informative tumours, or 50%. The highest detected LOH was in lung tumours (66%) while the lowest was in thyroid and endometrium tumours, (30% and 31%, respectively). Breakpoints were found inside the gene in all tumour types in 12-80% of the tumours with FHIT LOH depending on tumour type, and up to 41% could additionally be located adjacent to the 3' or 5' end of the FHIT gene. Thus we were able to locate breakpoints within or in the vicinity of the FHIT gene in 25-100% of different tumours with LOH. Although not statistically significant, we observed a trend towards a poorer survival of patients with FHIT LOH versus those with retention of heterozygosity.

CONCLUSION

Based on our results, LOH of the FHIT gene is a common event in all tumour types analysed with a possible association with poorer survival in colorectal cancer patients. LOH at all markers analysed was, in most of the tumour types, a more common pattern of alterations than breakpoints.

摘要

背景

已有报道称多种癌症存在FHIT基因的基因组改变及异常表达。FHIT基因包含FRA3B,这是人类基因组中最常见的脆性位点,被认为是候选肿瘤抑制基因。

材料与方法

我们使用该基因内的四个多态性微卫星标记(D3S1234、D3S1300、D3S2757和D3S4260)以及该基因两侧的两个标记(D3S1313和D3S1600),分析并比较了来自9个不同部位的397例人体实体瘤中的杂合性缺失(LOH)模式。此外,我们还检测了FHIT基因杂合性缺失与结直肠癌患者总体生存率之间是否存在关联。

结果

在332例信息充分的肿瘤中,有166例(50%)检测到FHIT基因杂合性缺失,影响至少一个所研究的标记。检测到的最高杂合性缺失率出现在肺癌中(66%),而最低的是甲状腺癌和子宫内膜癌(分别为30%和31%)。根据肿瘤类型,在12% - 80%存在FHIT基因杂合性缺失的肿瘤中,所有肿瘤类型的断点均位于基因内部,另外高达41%的断点可能位于FHIT基因3'或5'端附近。因此,我们能够在25% - 100%存在杂合性缺失的不同肿瘤中定位到FHIT基因内部或附近的断点。尽管无统计学意义,但我们观察到FHIT基因杂合性缺失患者与杂合性保留患者相比,生存趋势较差。

结论

基于我们的结果,FHIT基因杂合性缺失在所有分析的肿瘤类型中都是常见事件,可能与结直肠癌患者较差的生存率相关。在大多数肿瘤类型中,所有分析标记的杂合性缺失是比断点更常见的改变模式。

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