Cartwright C A, Coad C A, Egbert B M
Department of Medicine, Stanford University, California 94305.
J Clin Invest. 1994 Feb;93(2):509-15. doi: 10.1172/JCI117000.
Ulcerative colitis (UC) is a chronic inflammatory disease of the colon with a high incidence of colon cancer. Dysplasia is a precursor to carcinoma and a predictor of malignant potential; epithelia containing high-grade or severe dysplasia is most likely to develop cancer. The cellular oncogene c-src and its viral homologue v-src (the transforming gene of Rous sarcoma virus) encode 60-kD cytoplasmic, membrane-associated protein tyrosine kinases. For the viral protein or transforming mutants of the cellular protein (Src), a close correlation exists between elevated tyrosine kinase activity and malignant transformation of cells. Previously, we and others observed elevated Src activity in sporadic colon carcinomas and benign adenomas at greatest risk for developing cancer (those with large size, villous architecture, and/or severe dysplasia). Here we report that Src activity and protein abundance are also elevated in neoplastic UC epithelia. Activity is highest in malignant and severely dysplastic epithelia, and 6-10-fold higher in mildly dysplastic than in nondysplastic epithelia. Thus, Src activity is elevated in premalignant UC epithelia, which is at greatest risk for developing cancer. The data suggest that activation of the src proto-oncogene is an early event in the genesis of UC colon cancer.
溃疡性结肠炎(UC)是一种结肠慢性炎症性疾病,结肠癌发病率较高。发育异常是癌前病变及恶性潜能的预测指标;含有高级别或重度发育异常的上皮最有可能发展为癌症。细胞癌基因c-src及其病毒同源物v-src(劳氏肉瘤病毒的转化基因)编码60-kD的胞质、膜相关蛋白酪氨酸激酶。对于病毒蛋白或细胞蛋白(Src)的转化突变体,酪氨酸激酶活性升高与细胞恶性转化之间存在密切关联。此前,我们和其他人观察到,在散发性结肠癌以及发生癌症风险最高的良性腺瘤(那些体积大、呈绒毛状结构和/或重度发育异常的腺瘤)中,Src活性升高。在此我们报告,Src活性和蛋白丰度在UC肿瘤性上皮中也升高。活性在恶性和重度发育异常上皮中最高,在轻度发育异常上皮中比在无发育异常上皮中高6至10倍。因此,Src活性在发生癌症风险最高的UC癌前上皮中升高。这些数据表明,src原癌基因的激活是UC结肠癌发生过程中的早期事件。