Critical Care Department, Medical School of Athens University, Evangelismos Hospital, Ipsilandou 45-47, Athens 106 76, Greece.
Anticancer Res. 2009 Nov;29(11):4483-7.
Lung cancer is one of the most common types of cancer worldwide and its pathogenesis is closely associated with various environmental exposures and gene alterations. The identification of genetic changes is a useful strategy toward understanding tumourigenesis and specific genetic associations. Since the tumor suppressor gene p16 located at 9p21 chromosomal region might have an important role in lung carcinogenesis, the aim of the present study was to investigate p16 gene alterations and numerical aberrations of chromosome 9 in non-small cell lung cancer.
Nineteen cases of non-small cell lung cancer (11 squamous cell carcinomas, 6 adenocarcinomas and 2 large cell carcinomas) were investigated by fluorescence in situ hybridization (FISH) technique using a DNA p16 probe and alpha-satellite probe specific for chromosome 9.
Polysomy 9 was found in 13 cases (6/11 squamous cell carcinomas, 5/6 adenocarcinomas and 2/2 large cell carcinomas). p16 gene alterations were found in 16 cases. Among them, deletion of p16 gene was found in 15 cases (8/11 squamous cell carcinomas, 5/6 adenocarcinomas and 2/2 large cell carcinomas). In six cases with p16 gene deletion, homozygous deletion was observed.
Numerical aberrations of chromosome 9 and p16 gene deletion are common findings in all subtypes of non-small cell lung cancer. Despite suggesting the p16 gene in the 9p chromosomal region plays a role in lung carcinogenesis, the presence of other oncogenes reflected by polysomy 9 participating in the neoplastic process cannot be excluded. Data of the present study also suggest, that there might not be a fundamental relationship between genetic changes and histological subtype of non-small cell lung cancer.
肺癌是全球最常见的癌症类型之一,其发病机制与各种环境暴露和基因改变密切相关。鉴定基因改变是了解肿瘤发生和特定基因关联的有用策略。由于位于 9p21 染色体区域的肿瘤抑制基因 p16 可能在肺癌发生中起重要作用,因此本研究旨在研究非小细胞肺癌中 p16 基因改变和 9 号染色体的数量异常。
使用 DNA p16 探针和针对 9 号染色体的α卫星探针,通过荧光原位杂交(FISH)技术对 19 例非小细胞肺癌(11 例鳞状细胞癌、6 例腺癌和 2 例大细胞癌)进行了研究。
13 例(6/11 例鳞状细胞癌、5/6 例腺癌和 2/2 例大细胞癌)存在 9 号染色体三体。发现 16 例存在 p16 基因改变。其中,15 例(8/11 例鳞状细胞癌、5/6 例腺癌和 2/2 例大细胞癌)存在 p16 基因缺失。在 6 例存在 p16 基因缺失的病例中,观察到纯合缺失。
9 号染色体的数量异常和 p16 基因缺失是所有非小细胞肺癌亚型的常见发现。尽管提示 9p 染色体区域的 p16 基因在肺癌发生中起作用,但不能排除参与肿瘤发生过程的其他癌基因(如 9 号染色体三体)的存在。本研究的数据还表明,遗传变化与非小细胞肺癌的组织学亚型之间可能没有根本关系。