Department of Surgical Oncology, Medical Institute of Bioregulation, Kyushu University, Beppu, Japan.
Ann Surg Oncol. 2013 Apr;20(4):1395-402. doi: 10.1245/s10434-012-2657-z. Epub 2012 Sep 14.
The oncogenic single nucleotide polymorphism rs6983267, located on 8q24.21, may affect copy number aberrations and/or expression profiles in colorectal cancer (CRC). We investigated the role of this single nucleotide polymorphism in the clinical outcome of CRC.
Array comparative genomic hybridization (aCGH) and oligomicroarrays were performed on cancer cells from 157 primary CRC tissues. Expression profiles were analyzed by means of extraction expression module (EEM) analyses. Mutations in TP53, KRAS, and BRAF and microsatellite instability were also examined in 107 of the 157 cases.
aCGH analysis revealed two clusters; more frequent genomic copy number alteration (CNA) was observed in the 89 cases in cluster B than in the 18 cases in cluster A. The average CNA was higher in samples containing the major allele (GT/TT) of rs6983267 than in those containing the minor allele (GG). Additionally, MYC expression was the highest in samples containing the GG allele (n = 18), followed by the GT and TT alleles (n = 41 and 48, respectively). EEM analysis revealed dominant up-regulation of MYC in samples containing the minor allele. Moreover, the presence of the minor allele in a MYC-positive, CNA-negative context predicted a poorer prognosis than the presence of the major allele in a MYC-negative, CNA-positive context in CRC.
The presence of the minor allele of rs6983267 at 8q24.21 worsened the prognosis of CRC through up-regulation of MYC transcription. Furthermore, progression of CRC may require global CNA in the presence of the major allele and with lack of MYC transcription.
位于 8q24.21 的致癌单核苷酸多态性 rs6983267 可能影响结直肠癌 (CRC) 的拷贝数异常和/或表达谱。我们研究了这个单核苷酸多态性在 CRC 临床结果中的作用。
对 157 例原发性 CRC 组织中的癌细胞进行了 array 比较基因组杂交 (aCGH) 和寡微阵列分析。通过提取表达模块 (EEM) 分析来分析表达谱。在 157 例中的 107 例中还检查了 TP53、KRAS 和 BRAF 突变以及微卫星不稳定性。
aCGH 分析显示出两个聚类;在 B 聚类的 89 例中,比在 A 聚类的 18 例中,更频繁地发生基因组拷贝数改变 (CNA)。在含有 rs6983267 的主要等位基因 (GT/TT) 的样本中,平均 CNA 高于含有次要等位基因 (GG) 的样本。此外,在含有 GG 等位基因的样本中,MYC 表达最高(n=18),其次是 GT 和 TT 等位基因(n=41 和 48)。EEM 分析表明,在含有次要等位基因的样本中,MYC 表达呈优势上调。此外,在 MYC 阳性、CNA 阴性的情况下,存在次要等位基因比在 MYC 阴性、CNA 阳性的情况下存在主要等位基因预示着 CRC 的预后更差。
8q24.21 上 rs6983267 的次要等位基因的存在通过 MYC 转录的上调恶化了 CRC 的预后。此外,在存在主要等位基因且缺乏 MYC 转录的情况下,CRC 的进展可能需要全局 CNA。