Xu Xian-fa, Gao Yan-ning, Cheng Shu-jun
Department of Otolaryngology, Beijing Chaoyang Hospital, Capital University of Medicine, Beijing 100020, China.
Chin Med J (Engl). 2004 Aug;117(8):1204-9.
This study was designed to investigate the hot spots of microsatellite loss of heterozygosity (LOH) on 9p13-23 in laryngeal squamous cell carcinoma and to find out the correlation between the incidence of microsatellite LOH and the clinicopathological parameters.
Tumor tissues were obtained from paraffin embedded sections with microdissection. Genomic DNA was extracted from tumor tissues and peripheral blood lymphocytes with the phenol-chloroform. Polymerase chain reaction (PCR) amplification and denaturing gel electrophoresis were carried out in a set of 42 squamous cell carcinoma (SCC) of larynx and corresponding peripheral blood lymphocytes using 13 highly polymorphic microsatellite markers on 9p13-23. The correlation was analyzed between microsatellite LOH at the high frequency on 9p13-23 and clinicopathological parameters in the patients with squamous cell carcinoma of larynx.
Of the 42 laryngeal cancers, 41 (97.6%) showed LOH in at least one of the microsatellite markers tested on 9p13-23. The most frequently deleted marker was D9S162 in 17 of the 19 (89.5%) informative samples. The marker D9S171, which is located on 9p21, had LOH detected in 12 of the 15 informative cases (80.0%). LOH at the D9S1748 marker (closest to the p16 gene locus) was detected in 18 of the 36 informative cases (50.0%). Allelic deletion mapping revealed two minimal regions of LOH encompassing markers D9S161-D9S171 on 9p21 and IFNA-D9S162 on 9p22-23. Multiple LOH (> or = 4) on 9p21-23 was found more frequently in the patients under 60 years, with supraglottic SCC or cervical lymph node metastasis than those over 60 years, with glottic SCC or without cervical lymph node metastasis (P < 0.01 or 0.01, 0.05, respectively). On the contrary, there was no correlation between T stages or pathologic classification and the frequency of LOH on 9p21-23 in 42 SCC of Larynx.
These findings imply the presence of at least two putative tumor suppressor genes on 9p13-23 in laryngeal SCC. Multiple genetic alterations are probably implicated in supraglottic SCC with cervical lymph node metastasis in younger patients.
本研究旨在调查喉鳞状细胞癌9p13 - 23区域微卫星杂合性缺失(LOH)的热点,并找出微卫星LOH发生率与临床病理参数之间的相关性。
通过显微切割从石蜡包埋切片中获取肿瘤组织。采用酚 - 氯仿法从肿瘤组织和外周血淋巴细胞中提取基因组DNA。使用9p13 - 23区域的13个高度多态性微卫星标记,对42例喉鳞状细胞癌(SCC)及其相应外周血淋巴细胞进行聚合酶链反应(PCR)扩增和变性凝胶电泳。分析9p13 - 23区域高频微卫星LOH与喉鳞状细胞癌患者临床病理参数之间的相关性。
在42例喉癌中,41例(97.6%)在9p13 - 23检测的至少一个微卫星标记中显示LOH。在19个信息性样本中的17个(89.5%)中,最常缺失的标记是D9S162。位于9p21的标记D9S171,在15个信息性病例中的12个(80.0%)中检测到LOH。在36个信息性病例中的18个(50.0%)中检测到最接近p16基因位点的D9S1748标记的LOH。等位基因缺失图谱显示两个最小LOH区域,分别包含9p21上的标记D9S161 - D9S171和9p22 - 23上的IFNA - D9S162。9p21 - 23区域多个LOH(≥4个)在60岁以下、声门上SCC或有颈部淋巴结转移的患者中比60岁以上、声门SCC或无颈部淋巴结转移的患者更常见(P分别<0.01或0.01、0.05)。相反,42例喉SCC的T分期或病理分级与9p21 - 23区域LOH频率之间无相关性。
这些发现提示喉SCC的9p13 - 23区域存在至少两个假定的肿瘤抑制基因。年轻患者声门上SCC伴颈部淋巴结转移可能涉及多个基因改变。