Werner J A, Gottschlich S, Görögh T, Folz B J, Lippert B M, Niemann A M
Klinik für Hals-, Nasen- und Ohrenheilkunde, Kopf- und Hals- chirurgie, Christian-Albrechts-Universität Kiel.
Laryngorhinootologie. 1997 May;76(5):300-7. doi: 10.1055/s-2007-997431.
Carcinogenesis is generally considered a multistage process based on many alterations of the genetic substance. These alterations lead to many qualitative and quantitative changes in gene expression with subsequent malignant transformation of the cell. Only a few of these genetic alterations are identified yet.
The differential display reverse transcriptase polymerase chain reaction was employed to detect differentially expressed genes in head and neck cancer. The mRNA expression of cultivated keratinocytes of the upper aerodigestive tract was compared to the one of cultivated squamous cell carcinoma cells of the larynx, hypopharynx, and floor of the mouth.
A total of 116 differentially expressed gene fragments were identified. They were either solely expressed by the malignant cells or the keratinocytes or in just one carcinoma cell entity. Forty-three of the 116 DNA fragments were sequenced successfully. In four cases the specific differential expression was confirmed by Northern blot hybridisation in comparison to keratinocytes, normal mucosa, and 3 benign tumors from the head and neck region. A gene bank search revealed in three cases a homology of less than 20% to already known human, animal, bacterial or viral gene sequences and in one case a homology of 98% with a human gene sequence.
The detected for squamous cell carcinoma of the head and neck specific genes or gene fragments are the basis for further investigations to better understand carcinogenesis.
基于遗传物质的多种改变,癌症发生通常被认为是一个多阶段过程。这些改变导致基因表达在质和量上发生许多变化,随后细胞发生恶性转化。然而,目前仅鉴定出其中少数几种基因改变。
采用差异显示逆转录聚合酶链反应来检测头颈癌中差异表达的基因。将上呼吸道和消化道培养的角质形成细胞的mRNA表达与喉、下咽和口底培养的鳞状细胞癌细胞的mRNA表达进行比较。
共鉴定出116个差异表达的基因片段。它们要么仅由恶性细胞或角质形成细胞表达,要么仅在一种癌细胞实体中表达。116个DNA片段中的43个成功测序。与角质形成细胞、正常黏膜以及头颈部区域的3个良性肿瘤相比,4例中通过Northern印迹杂交证实了特异性差异表达。基因库检索显示,3例与已知的人类、动物、细菌或病毒基因序列的同源性低于20%,1例与人类基因序列的同源性为98%。
检测到的头颈鳞状细胞癌特异性基因或基因片段是进一步研究以更好理解癌症发生机制的基础。