Amplification of the ch19p13.2 NACC1 locus in ovarian high-grade serous carcinoma.

Amplification of the ch19p13.2 NACC1 locus in ovarian high-grade serous carcinoma.
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DOI:
10.1038/modpathol.2010.230
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发表时间:
2011-05
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Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc
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基于数字核型分析,我们已经确定了一个新的,离散的扩增区域在ch19p13.2在高级别卵巢浆液性癌。为了进一步表征该区域,我们通过分析来自癌症基因组图谱(TCGA)的341例高级别浆液性癌来确定ch19p13.2扩增的频率和生物学意义,并发现在18%的病例中该位点的DNA拷贝数增加。我们通过分析所有扩增基因的TCGA数据集来关联DNA和RNA拷贝数,并在ch19p13.2内检测到7个显著相关的基因(R ≥0.54),事实上,这些基因被列为全基因组范围内前100个潜在的“驱动”基因。有趣的是,编码NAC1的7个基因之一NACC1先前被报道参与卵巢浆液性癌中肿瘤复发的发展,并在紫杉醇耐药的发展中发挥因果作用。因此,我们选择NACC 1在独立队列中进行验证。基于荧光原位杂交,我们发现175例高级别浆液性癌中有35例(20%)NACC1基因座的DNA拷贝数增加,这些扩增的病例与6个月内的早期疾病复发相关(p= 0.013)。与未扩增的肿瘤相比,在扩增的肿瘤中检测到基于免疫组织化学的显著高水平的NAC 1蛋白表达(p< 0.005)。总之,我们的数据表明,扩增在ch19p13.2 NACC1基因座,导致NAC1过表达,是与卵巢癌早期肿瘤复发相关的分子遗传学改变之一。
Based on digital karyotyping, we have identified a new, discrete amplified region at ch19p13.2 in a high-grade ovarian serous carcinoma. To further characterize this region, we determined the frequency and biological significance of ch19p13.2 amplification by analyzing 341 high-grade serous carcinomas from The Cancer Genome Atlas (TCGA) and found an increased DNA copy number at this locus in 18% of cases. We correlated the DNA and RNA copy number by analyzing the TCGA dataset for all amplified genes and detected 7 genes within ch19p13.2 that were significantly correlated (R ≥0.54) and were, in fact, listed as the top 100 potential “driver” genes at a genome-wide scale. Interestingly, one of the 7 genes, NACC1, encoding NAC1 was previously reported to be involved in the development of tumor recurrence in ovarian serous carcinoma and to play a causal role in the development of paclitaxel resistance. Therefore, we selected NACC1 for validation in an independent cohort. Based on fluorescence in situ hybridization, we found that 35 (20%) of 175 high-grade serous carcinomas had an increased DNA copy number at the NACC1 locus, and those amplified cases were associated with early disease recurrence within 6 months (p= 0.013). A significantly high level of NAC1 protein expression based on immunohistochemistry was detected in amplified tumors as compared to non-amplified tumors (p< 0.005). In summary, our data suggest that amplification at the ch19p13.2 NACC1 locus, leading to NAC1 overexpression, is one of the molecular genetic alterations associated with early tumor recurrence in ovarian cancer.
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