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晚期宫颈癌由染色体畸变的复发性模式定义,其显示出高遗传不稳定性和3号染色体长臂的一致增加。

Advanced-stage cervical carcinomas are defined by a recurrent pattern of chromosomal aberrations revealing high genetic instability and a consistent gain of chromosome arm 3q.

作者信息

Heselmeyer K, Macville M, Schröck E, Blegen H, Hellström A C, Shah K, Auer G, Ried T

机构信息

Diagnostic Development Branch, National Center for Human Genome Research, National Institutes of Health, Bethesda, MD 20892-4470, USA.

出版信息

Genes Chromosomes Cancer. 1997 Aug;19(4):233-40.

PMID:9258658
Abstract

We have analyzed 30 cases of advanced-stage cervical squamous cell carcinoma (stages IIb-IV) by comparative genomic hybridization (CGH). The most consistent chromosomal gain in the aneuploid tumors was mapped to chromosome arm 3q in 77% of the cases. Acquisition of genetic material also occurred frequently on Iq (47%), 5p (30%), 6p (27%), and 20 (23%). Recurrent losses were mapped on 2q (33%), 3p (50%), 4 (33%), 8p (23%), and 13q (27%). High-level copy number increases were mapped to chromosome 8, chromosome arms 3q, 5p, 8q, 12p, 14q, 17q, 19q, 20p, and 20q, and chromosomal bands 3q26-27, 9p23-24, 11q22-23, and 12p13. In the majority of the cases, the presence of high-risk human papilloma virus genomes was detected. High proliferative activity was accompanied by crude aneuploidy. Increased p21/WAF-I activity, but low or undetectable expression of TP53 were representative for the immunophenotype. This study confirms the importance of a gain of chromosome arm 3q in cervical carcinogenesis and identifies additional, recurrent chromosomal aberrations that are required for progression from stage I tumors to advanced-stage carcinomas.

摘要

我们通过比较基因组杂交(CGH)分析了30例晚期宫颈鳞状细胞癌(IIb-IV期)。在非整倍体肿瘤中,最一致的染色体增加定位于3q染色体臂,77%的病例出现该情况。遗传物质的获得在1q(47%)、5p(30%)、6p(27%)和20(23%)上也频繁发生。反复出现的缺失定位于2q(33%)、3p(50%)、4(33%)、8p(23%)和13q(27%)。高水平的拷贝数增加定位于8号染色体、3q、5p、8q、12p、14q、17q、19q、20p和20q染色体臂,以及3q26-27、9p23-24、11q22-23和12p13染色体带。在大多数病例中,检测到高危人乳头瘤病毒基因组的存在。高增殖活性伴有明显的非整倍体。p21/WAF-1活性增加,但TP53表达低或无法检测,这是免疫表型的特征。本研究证实了3q染色体臂增加在宫颈癌发生中的重要性,并确定了从I期肿瘤进展为晚期癌所需的其他反复出现的染色体畸变。

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