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1.
Breast Cancer Res Treat ; 125(3): 879-83, 2011 Feb.
Article in English | MEDLINE | ID: mdl-20842525

ABSTRACT

Archived formalin-fixed, paraffin embedded (FFPE) tissues constitute a vast, well-annotated, but underexploited resource for the molecular study of cancer progression, largely because degradation, chemical modification, and cross-linking, render FFPE RNA a suboptimal substrate for conventional analytical methods. We report here a modified protocol for RNA extraction from FFPE tissues which maximized the success rate (with 100% of samples) in the expression profiling of a set of 60 breast cancer samples on the WG-DASL platform; yielding data of sufficient quality such that in hierarchical clustering (a) 12/12 (100%) replicates correctly identified their respective counterparts, with a high self-correlation (r = 0.979), and (b) the overall sample set grouped with high specificity into ER+ (38/40; 95%) and ER- (18/20; 90%) subtypes. These results indicate that a large fraction of decade-old FFPE samples, of diverse institutional origins and processing histories, can yield RNA suitable for gene expression profiling experiments.


Subject(s)
Breast Neoplasms/metabolism , Breast Neoplasms/pathology , Gene Expression Profiling/methods , Breast/pathology , Cluster Analysis , Cohort Studies , Estrogen Receptor alpha/biosynthesis , Female , Formaldehyde/pharmacology , Humans , Immunohistochemistry/methods , Paraffin Embedding/methods , RNA, Neoplasm/metabolism , Reverse Transcriptase Polymerase Chain Reaction
2.
Genes Chromosomes Cancer ; 47(12): 1049-66, 2008 Dec.
Article in English | MEDLINE | ID: mdl-18720524

ABSTRACT

The two main histological types of infiltrating breast cancer, lobular (ILC) and the more common ductal (IDC) carcinoma are morphologically and clinically distinct. To assess the molecular alterations associated with these breast cancer subtypes, we conducted a whole-genome study of 166 archival estrogen receptor (ER)-positive tumors (89 IDC and 77 ILC) using the Affymetrix GeneChip(R) Mapping 10K Array to identify sites of loss of heterozygosity (LOH) that either distinguished, or were shared by, the two phenotypes. We found single nucleotide polymorphisms (SNPs) of high-frequency LOH (>50%) common to both ILC and IDC tumors predominately in 11q, 16q, and 17p. Overall, IDC had a slightly higher frequency of LOH events across the genome than ILC (fractional allelic loss = 0.186 and 0.156). By comparing the average frequency of LOH by chromosomal arm, we found IDC tumors with significantly (P < 0.05) higher frequency of LOH on 3p, 5q, 8p, 9p, 20p, and 20q than ILC tumors. We identified additional chromosomal arms differentiating the subtypes when tumors were stratified by tumor size, mitotic rate, or DNA content. Of 5,754 informative SNPs (>25% informativity), we identified 78 and 466 individual SNPs with a higher frequency of LOH (P < 0.05) in ILC and IDC tumors, respectively. Hierarchical clustering of these 544 SNPs grouped tumors into four major groups based on their patterns of LOH and retention of heterozygosity. LOH in chromosomal arms 8p and 5q was common in higher grade IDC tumors, whereas ILC and low-grade IDC grouped together by virtue of LOH in 16q.


Subject(s)
Breast Neoplasms/genetics , Carcinoma, Ductal, Breast/genetics , Carcinoma, Lobular/genetics , Loss of Heterozygosity , Receptors, Estrogen/analysis , Breast Neoplasms/pathology , Carcinoma, Lobular/pathology , Case-Control Studies , DNA, Neoplasm/metabolism , Female , Gene Expression Profiling , Humans , Immunohistochemistry , Polymorphism, Single Nucleotide , Receptors, Estrogen/genetics , Tissue Array Analysis
3.
Br J Cancer ; 89(3): 513-8, 2003 Aug 04.
Article in English | MEDLINE | ID: mdl-12888823

ABSTRACT

Women diagnosed with a first breast cancer before the age of 45 years have a greater than 5.0-fold risk of developing a second primary contralateral breast cancer (CBC) than women in the general population have of developing a first breast cancer. Identifying epidemiologic or molecular factors that influence CBC risk could aid in the development of new strategies for the management of these patients. A total of 1285 participants in two case-control studies conducted in Seattle, Washington, who were 21-44 years of age when diagnosed with a first invasive breast carcinoma from 1983 to 1992, were followed through December 2001. Of them, 77 were diagnosed with CBC and 907 tumour tissues from first cancers were analysed. Women with body mass indices (BMIs) >/=30 kg m(-2) had a 2.6-fold greater risk (95% CI: 1.1-5.9) of CBC compared to women with BMIs

Subject(s)
Breast Neoplasms/epidemiology , Breast Neoplasms/genetics , Carcinoma/epidemiology , Carcinoma/genetics , Genes, erbB-2 , Neoplasms, Second Primary/epidemiology , Neoplasms, Second Primary/genetics , Adult , Age of Onset , Body Mass Index , Breast Neoplasms/pathology , Carcinoma/pathology , Case-Control Studies , Female , Humans , Middle Aged , Neoplasm Invasiveness , Neoplasms, Second Primary/pathology , Risk Factors
4.
Carcinogenesis ; 22(12): 1993-9, 2001 Dec.
Article in English | MEDLINE | ID: mdl-11751430

ABSTRACT

The risk of squamous cell cancers of the oral cavity (OSCC) is strongly related to the use of tobacco and alcohol. N-Acetyl transferases 1 and 2 (NAT2) metabolize aryl- and heterocyclic amines that are present in tobacco smoke. NAT2 slow acetylator phenotype or genotype is related to reduced ability to detoxify these xenobiotics that are carcinogenic in tissues in which smoking-related cancers develop (e.g. bladder). We studied the association between the deduced NAT2 acetylator phenotypes and OSCC risk in a population-based study of 341 cases and 552 controls. In-person interviews provided information on tobacco use and alcohol consumption. Nucleotide substitutions at position 191, 341, 590, 803 and 857 were determined by a combination of oligonucleotide ligation assays and PCR/RFLP assays. There was no overall association between acetylator status with OSCC risk; the odds ratios for slow and intermediate acetylators, as compared with the rapid acetylators, were 1.2 (95% CI 0.7-2.2) and 1.1 (95% CI 0.6-2.0), respectively. The percent increase in risk of OSCC per pack-year cigarette smoking was similar among slow acetylators (3.0%, 95% CI 2.1-4.0) and the combined intermediate and rapid acetylators (3.5%, 95% CI 2.4-5.0). In contrast, the risk of OSCC per weekly alcoholic drink was stronger among the combined rapid and intermediate acetylators (3.3%, 95% CI 1.8-4.9) compared with slow acetylators (1.6%, 95% CI 0.6-2.7) (interaction P = 0.055). These data raise the possibility that NAT2 may be involved in the activation of one or more pro-carcinogens associated with alcohol consumption.


Subject(s)
Alcohol Drinking/adverse effects , Arylamine N-Acetyltransferase/genetics , Genetic Predisposition to Disease/genetics , Mouth Neoplasms/etiology , Neoplasms, Squamous Cell/etiology , Polymorphism, Genetic/genetics , Smoking/adverse effects , Adolescent , Adult , Aged , Female , Humans , Male , Mouth Neoplasms/genetics , Neoplasms, Squamous Cell/genetics , Odds Ratio , Risk Factors , Tars/adverse effects
5.
Cancer Epidemiol Biomarkers Prev ; 10(11): 1137-44, 2001 Nov.
Article in English | MEDLINE | ID: mdl-11700261

ABSTRACT

Heavy alcohol consumption, particularly in combination with cigarette smoking, increases the risk of oral squamous cell carcinoma (OSCC). Alcohol dehydrogenase 3 (ADH3) converts ethanol to acetaldehyde, which is a suspected oral carcinogen. The ADH3*1 allele is associated with increased conversion of ethanol to acetaldehyde, but whether the risk of OSCC is increased among ADH3*1 carriers, or whether the risk of OSCC attributable to alcohol consumption is modified by ADH3 genotype is unclear from previous studies. We examined the association between ADH3 genotypes, alcohol consumption, and OSCC risk in a population-based study of 333 cases and 541 controls from the state of Washington. The distribution of ADH3 genotypes was similar among cases and controls: ADH3*1/*1: 32.7% cases, 36.5% controls; ADH3*1/*2: 49.0% cases, 43.1% controls: ADH3*2/*2: 18.3% cases, 20.3% controls. The age-, sex-, and race-adjusted odds ratios (OR), relative to ADH3*2/*2 carriers, were as follows: ADH*1/*1: OR, 1.0 [95% confidence interval (CI) = 0.7, 1.5]; and ADH3*1/*2: OR, 1.3 (95% CI = 1.0, 1.8). We modeled the risk of OSCC associated with alcohol consumption as modified by ADH3 genotype adjusting for age, sex, race, and cigarette smoking. Among ADH3*2 homozygotes, the risk of OSCC increased 5.3% (2.1-8.5%) with each additional alcoholic drink/week, compared with 2.5% (1.5-2.6%) and 1.2% (0.0-2.4%) among persons carrying the ADH3*1/*2 and ADH3*1/*1 genotypes, respectively. These data suggest that the ADH3*2 allele confers increased susceptibility to the effect of alcohol on OSCC risk in our population.


Subject(s)
Alcohol Drinking/metabolism , Aldehyde Oxidoreductases/genetics , Carcinoma, Squamous Cell/epidemiology , Mouth Neoplasms/epidemiology , Adult , Carcinoma, Squamous Cell/genetics , Case-Control Studies , Genotype , Humans , Logistic Models , Male , Middle Aged , Mouth Neoplasms/genetics , Risk Factors
6.
Cancer ; 92(4): 720-9, 2001 Aug 15.
Article in English | MEDLINE | ID: mdl-11550140

ABSTRACT

BACKGROUND: Obesity has been shown to affect breast carcinoma prognosis, with the heaviest women having a higher mortality due to breast carcinoma. Few studies have focused on premenopausal women or the correlation of body mass index (BMI) to tumor characteristics related to prognosis. METHODS: The authors conducted a population-based follow-up study for mortality of 1177 women younger than 45 years of age who had invasive ductal breast carcinoma diagnosed from 1983 through 1992. Histologic slides and/or tumor tissue were collected for pathologic review, immunohistochemistry assays, and bivariate flow cytometric analysis. RESULTS: Women with breast carcinoma who were in the highest quartile of BMI were 2.5 times as likely (95% confidence interval [CI], 1.6-3.9) to die of their disease within 5 years of diagnosis compared with women in the lowest quartile of BMI. The tumors of the women in the highest quartile of BMI were more likely to be estrogen receptor negative (odds ratio [OR], 1.5; 95% CI, 1.0-2.2) and to have a high S-phase fraction (OR, 1.9; 95% CI, 1.2-3.1), high histologic grade (OR, 1.7; 95% CI, 1.0-2.9), high mitotic cell count (OR, 2.0; 95% CI, 1.2-3.1), and large tumor size (2 to < 5 cm: OR, 2.3; 95% CI, 1.5-3.1; or > or = 5 cm: OR, 2.7; 95% CI, 1.5-4.8) compared with the tumors of women whose BMI was in the first quartile. Relative to the large tumors (> or = 2 cm) in women in the lowest BMI quartile, the large tumors in women in the highest BMI quartile were more likely to express markers of high proliferation, indicating they may have grown faster than similar size tumors of the thinnest women. In a multivariate analysis including the tumor characteristics, obesity, as measured by being in the highest quartile of BMI, remained an independent prognostic factor for mortality (hazard ratio, 1.7; 95% CI, 1.0-2.9; P < 0.05. CONCLUSIONS: Our study results indicated that being in the highest quartile of BMI was a strong predictor of mortality in women with breast carcinoma diagnosed at a young age. The tumors of the heavy women were larger and more likely to have markers of high cellular proliferation than those of thinner women.


Subject(s)
Biomarkers, Tumor/metabolism , Body Mass Index , Breast Neoplasms , Carcinoma, Ductal, Breast , Adult , Breast Neoplasms/complications , Breast Neoplasms/metabolism , Breast Neoplasms/mortality , Breast Neoplasms/pathology , Breast Neoplasms/therapy , Carcinoma, Ductal, Breast/complications , Carcinoma, Ductal, Breast/metabolism , Carcinoma, Ductal, Breast/mortality , Carcinoma, Ductal, Breast/pathology , Carcinoma, Ductal, Breast/therapy , Female , Humans , Multivariate Analysis , Obesity/complications , Prognosis , Survival Analysis
7.
J Clin Oncol ; 19(7): 1906-15, 2001 Apr 01.
Article in English | MEDLINE | ID: mdl-11283122

ABSTRACT

PURPOSE: To determine the association between human papillomavirus (HPV) type and prognosis of patients with invasive cervical carcinoma. PATIENTS AND METHODS: Patients diagnosed with International Federation of Gynecology and Obstetrics (FIGO) stage IB to IV cervical cancer between 1986 and 1997 while residents of three Washington State counties were included (n = 399). HPV typing was performed on paraffin-embedded tumor tissue using polymerase chain reaction methods. Patients were observed for a median of 50.8 months. Total mortality (TM) and cervical cancer-specific mortality (CCSM) were determined. Hazards ratios (HR) adjusted for age, stage, and histologic type were estimated using multivariable models. RESULTS: Eighty-six patients had HPV 18-related tumors and 210 patients had HPV 16-related tumors. Cumulative TM among patients with HPV 18-related tumors and among patients with HPV 16-related tumors were 33.7% and 27.6%, respectively; cumulative CCSM in these two groups were 26.7% and 18.1%, respectively. Compared with patients with HPV 16-related cancers, patients with HPV 18-related cancers were at increased risk for TM (HR(TM), 2.2; 95% confidence interval [CI], 1.3 to 3.6) and CCSM (HR(CCSM), 2.5; 95% CI, 1.4 to 4.4). The HPV18 associations were strongest for patients with FIGO stage IB or IIA disease (HR(TM), 3.1; 95% CI, 2.3 to 4.2; and HR(CCSM), 5.8; 95% CI, 3.9 to 8.7), whereas no associations were observed among patients with FIGO stage IIB to IV disease. Virtually identical associations were found in the subset of patients with squamous cell carcinoma (n = 219). CONCLUSION: HPV 18-related cervical carcinomas, particularly those diagnosed at an early stage, are associated with a poor prognosis. Elucidating the mechanism or mechanisms underlying this association could lead to new treatment approaches for patients with invasive cervical carcinoma.


Subject(s)
Biomarkers, Tumor , Papillomaviridae/classification , Papillomavirus Infections/complications , Tumor Virus Infections/complications , Uterine Cervical Neoplasms/virology , Adenocarcinoma/mortality , Adenocarcinoma/pathology , Adenocarcinoma/virology , Adolescent , Adult , Age Distribution , Aged , Carcinoma, Squamous Cell/mortality , Carcinoma, Squamous Cell/pathology , Carcinoma, Squamous Cell/virology , DNA, Viral/analysis , Female , Follow-Up Studies , Genotype , Humans , Middle Aged , Multivariate Analysis , Papillomavirus Infections/virology , Prognosis , Proportional Hazards Models , Risk , Survival Rate , Tumor Virus Infections/virology , Uterine Cervical Neoplasms/mortality , Uterine Cervical Neoplasms/pathology , Washington/epidemiology
8.
Curr Opin Genet Dev ; 11(1): 60-3, 2001 Feb.
Article in English | MEDLINE | ID: mdl-11163152

ABSTRACT

Of the hundreds of genes and proteins reported to be altered in human cancers, only a few are sufficiently central to warrant translation into diagnostic or therapeutic tools. Three recent developments have the potential to alter radically the discovery of molecular markers: the compendium of human genes; the advent of technologies that provide the means to identify simultaneously several known and unknown genes and proteins; and an appreciation of the critical processes involved in tumor initiation and progression.


Subject(s)
Cell Transformation, Neoplastic/genetics , DNA, Neoplasm/genetics , Oligonucleotide Array Sequence Analysis , Cell Transformation, Neoplastic/metabolism , DNA, Neoplasm/metabolism , Genes, Tumor Suppressor , Genes, cdc , Genetic Markers , Humans , Loss of Heterozygosity , Oncogenes
9.
J Natl Cancer Inst ; 92(13): 1081-7, 2000 Jul 05.
Article in English | MEDLINE | ID: mdl-10880551

ABSTRACT

BACKGROUND: Screening mammography is the best method to reduce mortality from breast cancer, yet some breast cancers cannot be detected by mammography. Cancers diagnosed after a negative mammogram are known as interval cancers. This study investigated whether mammographic breast density is related to the risk of interval cancer. METHODS: Subjects were selected from women participating in mammographic screening from 1988 through 1993 in a large health maintenance organization based in Seattle, WA. Women were eligible for the study if they had been diagnosed with a first primary invasive breast cancer within 24 months of a screening mammogram and before a subsequent one. Interval cancer case subjects (n = 149) were women whose breast cancer occurred after a negative or benign mammographic assessment. Screen-detected control subjects (n = 388) were diagnosed after a positive screening mammogram. One radiologist, who was blinded to cancer status, assessed breast density by use of the American College of Radiology Breast Imaging Reporting and Data System. RESULTS: Mammographic sensitivity (i.e., the ability of mammography to detect a cancer) was 80% among women with predominantly fatty breasts but just 30% in women with extremely dense breasts. The odds ratio (OR) for interval cancer among women with extremely dense breasts was 6.14 (95% confidence interval [CI] = 1.95-19.4), compared with women with extremely fatty breasts, after adjustment for age at index mammogram, menopausal status, use of hormone replacement therapy, and body mass index. When only those interval cancer cases confirmed by retrospective review of index mammograms were considered, the OR increased to 9.47 (95% CI = 2.78-32.3). CONCLUSION: Mammographic breast density appears to be a major risk factor for interval cancer.


Subject(s)
Breast Neoplasms/diagnostic imaging , Breast/pathology , Mammography , Mass Screening/methods , Adult , Aged , Aged, 80 and over , Breast Neoplasms/pathology , Breast Neoplasms/prevention & control , Female , Health Maintenance Organizations , Humans , Middle Aged , Odds Ratio , Predictive Value of Tests , Retrospective Studies , Risk Factors , Time Factors , Washington
10.
J Natl Cancer Inst ; 91(23): 2020-8, 1999 Dec 01.
Article in English | MEDLINE | ID: mdl-10580027

ABSTRACT

BACKGROUND: Although mammographic screening is useful for detecting early breast cancer, some tumors are detected in the interval between screening examinations. This study attempted to characterize fully the tumors detected in the two different manners. METHODS: Our study utilized a case-control design and involved a cohort of women undergoing mammographic screening within the defined population of a health maintenance organization (the Group Health Cooperative of Puget Sound). Women were classified as having "interval" or "interval-detected" cancers (n = 150) if their diagnosis was made within 24 months after a negative-screening mammogram or one that indicated a benign condition. Cancers were classified as "screen detected" (n = 279) if the diagnosis occurred after a positive assessment by screening mammography. Tumors from women in each group were evaluated for clinical presentation, histology, proliferative characteristics, and expression of hormone receptors, p53 tumor suppressor protein, and c-erbB-2 protein. RESULTS: Interval-detected cancers occurred more in younger women and were of larger tumor size than screen-detected cancers. In unconditional logistic regression models adjusted for age and tumor size, tumors with lobular (odds ratio [OR] = 1.9; 95% confidence interval [CI] = 0.9-4.2) or mucinous (OR = 5.5; 95% CI = 1.5-19.4) histology, high proliferation (by either mitotic count [OR = 2.9; 95% CI = 1.5-5.7] or Ki-67 antigen expression [OR = 2.3; 95% CI = 1.3-4.1]), high histologic grade (OR = 2.1; 95% CI = 1.2-4.0), high nuclear grade (OR = 2.0; 95% CI = 1.0-3.7), or negative estrogen receptor status (OR = 1.8; 95% CI = 1.0-3.1) were more likely to surface in the interval between screening examinations. Tumors with tubular histology (OR = 0.2; 95% CI = 0.0-0.8) or with a high percentage of in situ components (50%) (OR = 0.5; 95% CI = 0.2-1.2) were associated with an increased likelihood of screen detection. CONCLUSIONS: Our data from a large group of women in a defined population indicate that screening mammography may miss tumors of lobular or mucinous histology and some rapidly proliferating, high-grade tumors.


Subject(s)
Breast Neoplasms/diagnostic imaging , Breast Neoplasms/pathology , Mammography , Adult , Aged , Biomarkers , Breast Neoplasms/metabolism , Breast Neoplasms/prevention & control , Case-Control Studies , Female , Humans , Immunoenzyme Techniques , Logistic Models , Mass Screening , Middle Aged , Neoplasm Staging , Time Factors
11.
Cancer Epidemiol Biomarkers Prev ; 7(8): 689-96, 1998 Aug.
Article in English | MEDLINE | ID: mdl-9718221

ABSTRACT

A cohort study was conducted to estimate the risk of breast cancer recurrence among women diagnosed with ductal carcinoma in situ (DCIS) and to identify tumor or patient characteristics that influence that risk. A population-based cancer registry was used to identify a cohort of 709 female residents of western Washington who were diagnosed with DCIS between January 1980 and June 1992 and were treated with breast-conserving surgery. Information about breast cancer recurrences, treatment, and several patient characteristics and exposures was obtained from postal questionnaires. Recurrences were confirmed using information from the cancer registry or hospital pathology reports. Approximately 15% of women experienced a recurrence within the first 5 years after diagnosis [95% confidence interval (CI), 12-18%]; 31% had a recurrence within 10 years (95% CI, 24-38%). There was a suggestion that risk was slightly elevated for women with larger tumors (> or =1.5 cm) and tumors of comedo subtype. Relative risks (RRs) were elevated for women who were premenopausal at diagnosis of DCIS (RR = 2.3; 95% CI, 1.1-5.0). Women in the upper decile of body mass index were at twice the risk of a recurrence as those women in the lower four deciles (RR = 2.3; 95% CI, 1.1-4.8). There was also a suggestion that women who used menopausal hormones for at least 2 years after their diagnosis of DCIS were at increased risk of recurrence compared to nonusers of menopausal hormones (RR = 1.8; 95% CI, 0.7-5.0). Our results suggest that the risk of recurrence may be related to some tumor characteristics as well as the hormonal milieu of the patient at or after her diagnosis of DCIS. However, larger studies are needed to more clearly document predictors of disease recurrence after DCIS.


Subject(s)
Breast Neoplasms/epidemiology , Carcinoma in Situ/epidemiology , Carcinoma, Ductal, Breast/epidemiology , Neoplasm Recurrence, Local/epidemiology , Adult , Age Distribution , Aged , Breast Neoplasms/pathology , Carcinoma in Situ/pathology , Carcinoma, Ductal, Breast/pathology , Cohort Studies , Confidence Intervals , Female , Humans , Incidence , Middle Aged , Proportional Hazards Models , Registries , Risk Factors , Survival Rate , Washington/epidemiology
12.
Nat Med ; 3(2): 222-5, 1997 Feb.
Article in English | MEDLINE | ID: mdl-9018243

ABSTRACT

Mutations in certain genes that regulate the cell cycle, such as p16 and p53, are frequently found in human cancers. However, tumor-specific mutations are uncommon in genes encoding cyclin E and the CDK inhibitor p27Kip1, two cell-cycle regulators that are also thought to contribute to tumor progression. It is now known that levels of both cyclin E and p27 can be controlled by posttranscriptional mechanisms, indicating that expression of these proteins can be altered by means other than simply mutation of their respective genes. Thus, changes in p27 and cyclin E protein levels in tumors might be more common than previously anticipated and may be indicators of tumor behavior.


Subject(s)
Breast Neoplasms/genetics , Carcinoma, Ductal, Breast/genetics , Cell Cycle Proteins , Cyclins/genetics , Gene Expression , Genes, cdc , Microtubule-Associated Proteins/genetics , Tumor Suppressor Proteins , Adult , Biomarkers, Tumor , Breast Neoplasms/mortality , Breast Neoplasms/pathology , Carcinoma, Ductal, Breast/mortality , Carcinoma, Ductal, Breast/pathology , Cyclin-Dependent Kinase Inhibitor p27 , Female , Humans , Prognosis , Survival Analysis
13.
Cytometry ; 24(3): 260-7, 1996 Jul 01.
Article in English | MEDLINE | ID: mdl-8800559

ABSTRACT

Flow cytometric analyses of DNA content and proliferative fractions have been found to be important prognostic indicators in a variety of human tumors. However, variability in reported results and interlaboratory differences in single-parameter DNA measurements have impeded the broader use of this methodology. Multiparameter DNA analysis, especially that which allows the ploidy and cell cycle measurements to be targeted specifically to tumor cells, may improve the quality and reliability of these measurements. Cytokeratin labeling simultaneously with DNA allows the identification of the malignant epithelial cells within tumor samples that have been microdissected for tumor enrichment and, thus, can increase the accuracy of tumor ploidy and cell cycle measurements. There are a limited number of reports of cytokeratin labeling of paraffin-extracted cells, and results with standard preparation procedures can be highly variable. We have developed an improved technique for cytokeratin labeling of paraffin-extracted cells that is based on predigestion of tissue with collagenase prior to brief pepsin digestion. This two-step enzymatic digestion produces a superior cytokeratin vs. DNA bivariate analysis, with increased intensity and greater uniformity of cytokeratin labeling. This method should increase the accuracy of ploidy and proliferation measurements from paraffin-embedded tissue both for retrospective studies and in clinical settings in which only fixed tissue is available.


Subject(s)
Breast Neoplasms/metabolism , DNA/analysis , Flow Cytometry/methods , Keratins/chemistry , Aneuploidy , Breast Neoplasms/pathology , Collagenases/metabolism , Female , Humans , Paraffin Embedding , Pepsin A/metabolism
14.
J Histochem Cytochem ; 43(8): 791-800, 1995 Aug.
Article in English | MEDLINE | ID: mdl-7622842

ABSTRACT

SPARC (Secreted Protein, Acidic and Rich in Cysteine)/osteonectin is a secreted glycoprotein that exhibits restricted expression in murine adult and embryonic tissues and is associated with cell migration, matrix mineralization, steroid hormone production, cell cycle regulation, and angiogenesis. We produced a monoclonal antibody, MAb SSP2, against a Ca(2+)-binding region of SPARC and evaluated the immunoreactivity of normal and malignant tissue from 118 human samples. In normal tissue we found restricted and moderate reactivity with SSP2 in steroidogenic cells, chondrocytes, placental trophoblasts, vascular smooth muscle cells, and endothelial cells. Strong reactivity was found in fibrocytes and endothelial cells involved in tissue repair and in invasive malignant tumors, including those of the gastrointestinal tract, breast, lung, kidney, adrenal cortex, ovary, and brain. We conclude that SSP2 is a useful reagent for detection of SPARC in human tissue. Given the broad reactivity of malignant tissues, we propose that SPARC expression might contribute to some aspects of tumor progression.


Subject(s)
Neoplasms/metabolism , Osteonectin/metabolism , Animals , Antibodies, Monoclonal/immunology , Humans , Mice , Mice, Inbred BALB C , Osteonectin/immunology , Reference Values
15.
Cancer Res ; 55(12): 2703-8, 1995 Jun 15.
Article in English | MEDLINE | ID: mdl-7780988

ABSTRACT

Breast carcinomas are known to express platelet-derived growth factor (PDGF), a known connective tissue mitogen. In order to further evaluate the potential role of PDGF in these epithelial tumors, expression of the PDGF B chain (PDGF-B) and the PDGF receptor beta subunit (PDGFR) was analyzed by immunocytochemistry and in situ hybridization in 49 benign and malignant breast tissues. PDGF-B expression was analyzed with respect to the expression of the proliferating cell nuclear antigen, as well as tumor grade, p53 overexpression, estrogen receptor, progesterone receptor, and c-erbB-2 expression. Expression of PDGF-B protein and mRNA was restricted to the breast epithelium and tumor cells except for scattered tissue macrophages. A strong correlation was found between increasing proliferating cell nuclear antigen indices and PDGF-B expression in both nonmalignant (P = 0.01) and malignant (P = 0.02) breast specimens. Decreased PDGF-B expression was found in postmenopausal atrophic breast tissue compared with normal breast tissue (P = 0.04). Within the subgroup of malignant tumors, no correlations were found between PDGF-B expression and tumor grade or p53 overexpression. In 16 of the malignant tumors evaluated for estrogen/progesterone receptor status and c-erbB-2 overexpression, no correlations with PDGF-B expression were found. Membranous PDGFR immunostaining was present within the fibroblastic cell population in all of the tissues examined but not in the nonmalignant breast epithelium. Six malignant specimens had detectable cytoplasmic expression of PDGFR. There was no correlation between this PDGFR expression and proliferating cell nuclear antigen indices, but a correlation was noted between increasing estrogen receptor expression and PDGFR cytoplasmic expression (P = 0.04). The results support a paracrine role for PDGF-B in malignant and benign breast epithelial cell proliferation.


Subject(s)
Breast Neoplasms/pathology , Breast/cytology , Breast/pathology , Fibrocystic Breast Disease/pathology , Platelet-Derived Growth Factor/biosynthesis , Proto-Oncogene Proteins/biosynthesis , Receptors, Platelet-Derived Growth Factor/biosynthesis , Atrophy , Breast/metabolism , Breast Neoplasms/metabolism , Female , Fibroadenoma/pathology , Fibrocystic Breast Disease/metabolism , Gene Expression , Humans , Immunohistochemistry , In Situ Hybridization , Platelet-Derived Growth Factor/analysis , Proliferating Cell Nuclear Antigen/analysis , Proto-Oncogene Proteins/analysis , Proto-Oncogene Proteins c-sis , Receptor, Platelet-Derived Growth Factor beta , Receptors, Platelet-Derived Growth Factor/analysis , Tumor Cells, Cultured
16.
Am J Pathol ; 140(1): 145-53, 1992 Jan.
Article in English | MEDLINE | ID: mdl-1731521

ABSTRACT

p53 is a nuclear protein believed to play an important role, through mutation and overexpression, in the progression of human malignant tumors. The authors employed a monoclonal antibody, 1801, and investigated overexpression of p53 in a series of 255 malignant and benign tumors, using deparaffinized sections of methacarn-fixed tissue. Overall, immunohistochemically detected p53 overexpression was found in 39% of malignant tumors, with considerable variation within individual tumor types (34% of breast carcinomas, 92% of ovarian carcinomas, 33% of soft tissue sarcomas). Homogenous, heterogenous, and focal immunostaining patterns were noted. With rare exceptions, no immunostaining of any benign tumors was noted. No immunostaining was found in adjacent, benign tissues, or in a series of fetal tissues. This is the first demonstration of widespread p53 overexpression in alcohol-fixed, embedded tissue and confirms the major role played by p53 in human malignancies.


Subject(s)
Acetic Acid , Neoplasms/chemistry , Tumor Suppressor Protein p53/analysis , Acetates , Antibodies, Monoclonal , Breast Neoplasms/chemistry , Chloroform , Female , Humans , Immunohistochemistry/methods , Methanol , Ovarian Neoplasms/chemistry , Paraffin , Sarcoma/chemistry , Soft Tissue Neoplasms/chemistry
17.
Cancer ; 68(2): 331-4, 1991 Jul 15.
Article in English | MEDLINE | ID: mdl-1676930

ABSTRACT

Lobular carcinoma in situ (LCIS) has uncertain malignant potential; biologic markers that will identify patients at risk for a poor clinical outcome have been sought actively. Amplification of the c-erbB-2 protooncogene has been correlated with poor prognosis in invasive mammary carcinoma, and immunohistochemical evaluation for expression of the oncogene protein has been correlated with gene amplification. The authors retrospectively evaluated 62 cases of lobular neoplasia for expression of the c-erbB-2 gene product on formalin-fixed, deparaffinized sections, using two monoclonal anti-erbB-2 (p185) antibodies (c-neu Ab3 and m-erb) and one polyclonal anti-erbB-2 antibody (pAb 1) by the avidin-biotin-peroxidase method. All 62 cases were negative with the pAb 1 antibody; one of 62 cases was weakly positive with the c-neu Ab3 in a membranous pattern. Expression of c-erbB-2 gene product was identified on adjacent invasive ductal carcinoma in one case and in adjacent ductal carcinoma in situ in another. None of 15 cases if infiltrating lobular carcinoma was positive with either of the two anti-c-erbB-2 antibodies. Strong positivity was found on benign epithelium in one case, demonstrating epitheliosis. In summary, evidence of expression of the c-erbB-2 gene product was found in one of 57 cases of LCIS and none of 15 cases of invasive lobular carcinoma. This suggests that, in contrast to reported data concerning intraductal and invasive ductal carcinoma, c-erbB-2 oncogene amplification and/or overexpression does not play a significant role in the progression of lobular breast neoplasia.


Subject(s)
Biomarkers, Tumor/analysis , Breast Neoplasms/chemistry , Carcinoma in Situ/chemistry , Carcinoma/chemistry , Proto-Oncogene Proteins/analysis , Antibodies, Monoclonal , Breast Neoplasms/pathology , Carcinoma/pathology , Carcinoma, Intraductal, Noninfiltrating/chemistry , Female , Gene Amplification , Gene Expression Regulation, Neoplastic/physiology , Humans , Immunoenzyme Techniques , Neoplasm Invasiveness , Receptor, ErbB-2 , Retrospective Studies
18.
Mod Pathol ; 4(1): 46-52, 1991 Jan.
Article in English | MEDLINE | ID: mdl-1708501

ABSTRACT

Glomus tumors and hemangiopericytomas have traditionally been described as neoplasms of pericytes. Ultrastructurally, smooth muscle features have been identified in the cells of the glomus tumor, while the cells of the hemangiopericytoma have been described as more closely resembling normal pericytes. Immunocytochemical studies were performed to demonstrate the immunophenotype of these two tumors and to particularly evaluate expression of muscle-specific actin and desmin. Using the avidin-biotin immunoperoxidase method, formalin-fixed, paraffin-embedded tissue from 16 glomus tumors and 11 hemangiopericytomas was evaluated for the presence of vimentin, low-molecular-weight cytokeratins (35 beta H11), muscle actins (HHF35), desmin (clone 33), S100 protein, nerve growth factor receptor (NGFR5), myelin-associated glycoprotein (CD57), Factor VIII-related antigen, and Ulex lectin. Muscle actins were found in 14 of 16 tumors, and desmin was found in three of 16 of the glomus tumors. None of the 11 hemangiopericytomas expressed either desmin or muscle actins. Variable numbers of both tumors were positive with antibodies to CD57, with the nerve growth factor receptor, and with antibodies to S100 protein. In conclusion, these studies provide immunocytochemical evidence of smooth muscle differentiation in glomus tumors. Although muscle differentiation has been identified in the normal pericyte by expression of muscle-specific actin (HHF35), we find no evidence for analogous differentiation in the population of cells comprising hemangiopericytomas.


Subject(s)
Glomus Tumor/pathology , Hemangiopericytoma/pathology , Muscle Proteins/analysis , Actins/analysis , Antigens, Differentiation, T-Lymphocyte/analysis , CD57 Antigens , Desmin/analysis , Glomus Tumor/chemistry , Hemangiopericytoma/chemistry , Humans , Immunoenzyme Techniques , Immunophenotyping , Receptors, Cell Surface/analysis , Receptors, Nerve Growth Factor , S100 Proteins/analysis
19.
Opt Lett ; 14(17): 952-4, 1989 Sep 01.
Article in English | MEDLINE | ID: mdl-19753022

ABSTRACT

We present the measurements of the third-order polarizability (gamma) of several platinum poly-ynes obtained using picosecond laser pulses. The real part of gamma was measured using the optical Kerr effect with a 1.064-microm pump and a 0.532-microm probe. The imaginary part was evaluated from the two-photon absorption coefficient determined at 0.532 microm. The platinum poly-ynes had low absorption in the visible and the near-infrared wavelengths.

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