Petersen I, Petersen S, Bockmühl U, Schwendel A, Wolf G, Dietel M
Institut für Pathologie, Universitätsklinikum Charité der Humboldt-Universität, Berlin.
Verh Dtsch Ges Pathol. 1997;81:297-305.
We analysed 150 carcinomas of the respiratory tract and their metastases by Comparative Genomic Hybridization (CGH), a screening method for the detection of chromosomal imbalances in solid tumors. Small cell lung carcinomas (SCLC) and non-small cell lung carcinomas (NSCLC) revealed characteristic patterns of chromosomal alterations with overlapping and specific lesions in both tumor groups. SCLC were defined by a pattern of deletions on chromosomes 3p, 4q, 5q, 10q, 13q and 17p along with overrepresentations of chromosomes 3q and 5p. In contrast, NSCLC carried frequently deletions on chromosomes 1p, 3p, 4q, 5q, 6q, 8p, 9p, 13q, 18q and 21q along with overrepresentations of chromosomes 5p and 11q13. The deletions of the chromosomal band 2q36-q37 together with amplifications of chromosome 3q were statistically significant lesions of squamous cell carcinomas (SCC) whereas adenocarcinomas were characterized in particular by the overrepresentation of chromosome 1q23 and the deletion on chromosome 9q22. The comparison of primary and metastatic tumors revealed that the deletion of chromosome 10q was a statistically significant marker of tumor progression and metastatic phenotype in SCC and SCLC. In conclusion, the data indicate that tumor histotypes and phenotypes are associated with patterns of chromosomal alterations which give important additional information for the classification of human lung carcinomas.
我们采用比较基因组杂交(CGH)技术分析了150例呼吸道癌及其转移灶,CGH是一种用于检测实体瘤染色体失衡的筛查方法。小细胞肺癌(SCLC)和非小细胞肺癌(NSCLC)显示出染色体改变的特征模式,两个肿瘤组均存在重叠和特定的病变。SCLC的定义是3p、4q、5q、10q、13q和17p染色体上的缺失模式,以及3q和5p染色体的过度代表。相比之下,NSCLC经常在1p、3p、4q、5q、6q、8p、9p、13q、18q和21q染色体上出现缺失,同时5p和11q13染色体过度代表。染色体带2q36-q37的缺失以及3q染色体的扩增是鳞状细胞癌(SCC)的统计学显著病变,而腺癌的特征尤其在于1q23染色体的过度代表和9q22染色体的缺失。原发性肿瘤和转移性肿瘤的比较显示,10q染色体的缺失是SCC和SCLC中肿瘤进展和转移表型的统计学显著标志物。总之,数据表明肿瘤组织学类型和表型与染色体改变模式相关,这为人类肺癌的分类提供了重要的额外信息。