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1.
J Hosp Infect ; 95(4): 410-414, 2017 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-28233578

RESUMO

BACKGROUND: Transfer of Clostridium difficile by Musca domestica has been demonstrated, revealing their potential for disseminating infection in the hospital environment. AIM: To determine the ability of M. domestica larvae to acquire and retain C. difficile throughout their metamorphosis into adult flies. METHODS: Larvae were exposed to spores of C. difficile in a faecal emulsion, and examined externally and internally to determine carriage and internalization of spores through their development to adults. FINDINGS: Larvae harboured C. difficile externally, with means of 21.56+/-5.76 colony-forming units (cfu) at Day 0, 22.44+/-9.90 cfu at Day 2, decreasing to 0.56+/-0.34 cfu at Day 4, with no C. difficile isolated thereafter. The same larvae harboured C. difficile internally, with means of 587.33+/-238.29 cfu at Day 0, decreasing to 297.44+/-155.21 cfu at Day 2, decreasing further to 73.67+/-46.74 cfu at Day 4, with no C. difficile isolated thereafter. The zero recovery of C. difficile coincided with the development of M. domestica larvae into pupae. From Day 6 onwards, all larvae had developed into the pupal stage and no C. difficile was recoverable from any pupae. No C. difficile was recovered from adult flies (emerged on Day 12) or empty puparia. CONCLUSION: Although C. difficile spores are readily acquired and internalized by larvae during feeding, they are not retained through development to adults. Adult flies therefore acquire C. difficile contamination as adults. The potential antimicrobial action of M. domestica larvae and their extracts against C. difficile spores warrants further investigation.


Assuntos
Clostridioides difficile/isolamento & purificação , Moscas Domésticas/crescimento & desenvolvimento , Moscas Domésticas/microbiologia , Larva/crescimento & desenvolvimento , Larva/microbiologia , Pupa/crescimento & desenvolvimento , Pupa/microbiologia , Animais , Dípteros , Insetos Vetores
2.
J Hosp Infect ; 94(3): 263-267, 2016 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-27671221

RESUMO

BACKGROUND: Clostridium difficile is a bacterial healthcare-associated infection that may be transferred by houseflies (Musca domestica) due to their close ecological association with humans and cosmopolitan nature. AIM: To determine the ability of M. domestica to transfer C. difficile both mechanically and following ingestion. METHODS: M. domestica were exposed to independent suspensions of vegetative cells and spores of C. difficile, then sampled on to selective agar plates immediately postexposure and at 1-h intervals to assess the mechanical transfer of C. difficile. Fly excreta was cultured and alimentary canals were dissected to determine internalization of cells and spores. FINDINGS: M. domestica exposed to vegetative cell suspensions and spore suspensions of C. difficile were able to transfer the bacteria mechanically for up to 4h upon subsequent contact with surfaces. The greatest numbers of colony-forming units (CFUs) per fly were transferred immediately following exposure (mean CFUs 123.8 +/- 66.9 for vegetative cell suspension and 288.2 +/- 83.2 for spore suspension). After 1h, this had reduced (21.2 +/- 11.4 for vegetative cell suspension and 19.9 +/- 9 for spores). Mean C. difficile CFUs isolated from the M. domestica alimentary canal was 35 +/- 6.5, and mean C. difficile CFUs per faecal spot was 1.04 +/- 0.58. C. difficile could be recovered from fly excreta for up to 96h. CONCLUSION: This study describes the potential for M. domestica to contribute to environmental persistence and spread of C. difficile in hospitals, highlighting flies as realistic vectors of this micro-organism in clinical areas.


Assuntos
Clostridioides difficile/isolamento & purificação , Infecções por Clostridium/transmissão , Moscas Domésticas/microbiologia , Insetos Vetores , Animais , Infecções por Clostridium/microbiologia , Dípteros , Transmissão de Doença Infecciosa , Humanos
3.
Br J Cancer ; 111(6): 1213-21, 2014 Sep 09.
Artigo em Inglês | MEDLINE | ID: mdl-25051409

RESUMO

BACKGROUND: Volatile organic compounds (VOCs) are potential biomarkers for cancer detection in breath, but it is unclear if they reflect specific mutations. To test this, we have compared human bronchial epithelial cell (HBEC) cell lines carrying the KRAS(V12) mutation, knockdown of TP53 or both with parental HBEC cells. METHODS: VOC from headspace above cultured cells were collected by passive sampling and analysed by thermal desorption gas chromatography mass spectrometry (TD-GC-MS) or sensor array with discriminant factor analysis (DFA). RESULTS: In TD-GC-MS analysis, individual compounds had limited ability to discriminate between cell lines, but by applying DFA analysis combinations of 20 VOCs successfully discriminated between all cell types (accuracies 80-100%, with leave-one-out cross validation). Sensor array detection DFA demonstrated the ability to discriminate samples based on their cell type for all comparisons with accuracies varying between 77% and 93%. CONCLUSIONS: Our results demonstrate that minimal genetic changes in bronchial airway cells lead to detectable differences in levels of specific VOCs identified by TD-GC-MS or of patterns of VOCs identified by sensor array output. From the clinical aspect, these results suggest the possibility of breath analysis for detection of minimal genetic changes for earlier diagnosis or for genetic typing of lung cancers.


Assuntos
Células Epiteliais/metabolismo , Neoplasias Pulmonares/genética , Proteínas Proto-Oncogênicas/genética , Proteína Supressora de Tumor p53/genética , Compostos Orgânicos Voláteis/análise , Proteínas ras/genética , Ar/análise , Inteligência Artificial , Brônquios , Células Cultivadas , Análise Discriminante , Cromatografia Gasosa-Espectrometria de Massas , Técnicas de Silenciamento de Genes , Humanos , Análise em Microsséries , Mutação , Proteínas Proto-Oncogênicas p21(ras)
4.
Br J Cancer ; 109(9): 2404-11, 2013 Oct 29.
Artigo em Inglês | MEDLINE | ID: mdl-24113142

RESUMO

BACKGROUND: Diagnosis is jeopardised when limited biopsy material is available or histological quality compromised. Here we developed and validated a prediction algorithm based on microRNA (miRNA) expression that can assist clinical diagnosis of lung cancer in minimal biopsy material to improve clinical management. METHODS: Discovery utilised Taqman Low Density Arrays (754 miRNAs) in 20 non-small cell lung cancer (NSCLC) tumour/normal pairs. In an independent set of 40 NSCLC patients, 28 miRNA targets were validated using qRT-PCR. A prediction algorithm based on eight miRNA targets was validated blindly in a third independent set of 47 NSCLC patients. The panel was also tested in formalin-fixed paraffin-embedded (FFPE) specimens from 20 NSCLC patients. The genomic methylation status of highly deregulated miRNAs was investigated by pyrosequencing. RESULTS: In the final, frozen validation set the panel had very high sensitivity (97.5%), specificity (96.3%) and ROC-AUC (0.99, P=10(-15)). The panel provided 100% sensitivity and 95% specificity in FFPE tissue (ROC-AUC=0.97 (P=10(-6))). DNA methylation abnormalities contribute little to the deregulation of the miRNAs tested. CONCLUSION: The developed prediction algorithm is a valuable potential biomarker for assisting lung cancer diagnosis in minimal biopsy material. A prospective validation is required to measure the enhancement of diagnostic accuracy of our current clinical practice.


Assuntos
Carcinoma Pulmonar de Células não Pequenas/diagnóstico , Carcinoma Pulmonar de Células não Pequenas/genética , Neoplasias Pulmonares/diagnóstico , Neoplasias Pulmonares/genética , MicroRNAs/genética , Idoso , Algoritmos , Biomarcadores Tumorais/genética , Biópsia , Carcinoma Pulmonar de Células não Pequenas/patologia , Metilação de DNA , Feminino , Expressão Gênica , Humanos , Neoplasias Pulmonares/patologia , Masculino , Modelos Biológicos , Modelos Estatísticos , Inclusão em Parafina
5.
Br Dent J ; 210(11): 502, 2011 Jun 10.
Artigo em Inglês | MEDLINE | ID: mdl-21659992
6.
Br J Cancer ; 94(7): 1057-65, 2006 Apr 10.
Artigo em Inglês | MEDLINE | ID: mdl-16598187

RESUMO

The anterior gradient protein-2 (AGR2) is inducible by oestrogen and itself can induce metastasis in a rat model for breast cancer. Here, a rabbit antibody to recombinant human AGR2 was used to assess its prognostic significance in a retrospective cohort of 351 breast cancer patients treated by adjuvant hormonal therapy. The antibody stains 66% of breast carcinomas to varying degrees. The percentage of positive carcinoma cells in tumours directly correlates with the level of AGR2 mRNA (Spearman's rank correlation, P = 0.0007) and protein (linear regression analysis r2 = 0.95, P = 0.0002). There is a significant association of staining of carcinomas for AGR2 with oestrogen receptor alpha (ERalpha) staining and with low histological grade (both Fisher's Exact test P<0.0001). In the ERalpha-positive cases, but not the ERalpha-negative cases, when subdivided into the separate staining classes for AGR2, there is a significantly progressive decrease in patient survival with increased staining (log rank test, P = 0.006). The significant association of staining for AGR2 with patient death over a 10-year period (log rank test P = 0.007, hazard ratio = 3) only becomes significant at 6 years of follow-up. This may be due to the cessation of adjuvant hormonal therapy at an earlier time, resulting in adverse re-expression of the metastasis-inducing protein AGR2.


Assuntos
Neoplasias da Mama/patologia , Carcinoma/patologia , Proteínas/fisiologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Antineoplásicos Hormonais/uso terapêutico , Neoplasias da Mama/tratamento farmacológico , Carcinoma/tratamento farmacológico , Quimioterapia Adjuvante , Estudos de Coortes , Feminino , Humanos , Imunoensaio , Imuno-Histoquímica , Pessoa de Meia-Idade , Mucoproteínas , Metástase Neoplásica , Proteínas Oncogênicas , Reação em Cadeia da Polimerase , Prognóstico , Proteínas/análise , Receptores de Estrogênio/análise , Estudos Retrospectivos , Análise de Sobrevida
7.
J Mol Endocrinol ; 33(3): 773-82, 2004 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-15591034

RESUMO

This study has been performed to test the hypothesis that different oestrogen receptor beta (ERbeta) splice variants may be important determinants of clinical parameters, including outcome, in post-menopausal women with breast cancer receiving adjuvant endocrine treatment but no chemotherapy. Splice variants ERbeta1, ERbeta2 and ERbeta5 have been analysed by semi-quantitative RT-PCR in a cohort of 105 patients with primary breast cancer. Clinical correlates included age, grade, size, nodal status, ERalpha, progesterone receptor, Ki67, relapse-free survival (RFS) and overall survival (OS). Seventy per cent of cases were ERbeta1 positive, 69% ERbeta2 positive and 70% ERbeta5 positive. Within the cohort, 47% were positive for all three variants while 10% were negative for all three. ERbeta1 exhibited no discernible relationship with disease outcome. ERbeta2 and ERbeta5 expression was significantly associated with better RFS (P<0.005), and ERbeta2 with better OS (P=0.0002). In multivariate analysis, ERbeta2 (P=0.006), nodal status and the level of Ki67 expression were independent predictors for RFS while ERbeta2 (P=0.0008) and Ki67 status were independent predictors for OS. In the ERalpha-positive cases, or in the subset of those receiving adjuvant tamoxifen, ERbeta2 was significantly associated with good RFS (P<0.0005) and was the only independent marker of OS. We conclude that precise identification of splice variants of ERbeta are more important assessors than is ERbeta1 alone of the biological status of individual breast cancers, and hence in predicting their response to endocrine therapy.


Assuntos
Processamento Alternativo/genética , Neoplasias da Mama/tratamento farmacológico , Neoplasias da Mama/genética , Receptor beta de Estrogênio/genética , Hormônios/uso terapêutico , RNA Mensageiro/genética , Neoplasias da Mama/patologia , Seguimentos , Humanos , Imuno-Histoquímica , Estadiamento de Neoplasias , Taxa de Sobrevida , Resultado do Tratamento
8.
Br J Cancer ; 91(9): 1694-702, 2004 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-15477865

RESUMO

This study has tested the hypothesis that comparison of protein and mRNA expression for ERalpha and ERbeta1 by human breast cancers provides novel information relating to the clinical and pathological characteristics of human breast cancers. Expression of ERalpha and ERbeta1 was identified in 167 invasive cancers from postmenopausal women treated only with endocrine therapy. The cohort included 143 cases receiving only adjuvant Tamoxifen following surgery. ERalpha and ERbeta1 expression was analysed by immunohistochemistry and reverse transcription RT-PCR and compared with clinical progression of individual cancers. ERalpha protein was closely associated with the corresponding RNA detected by RT-PCR (Chi-square, P<0.001). In contrast, ERbeta1 protein and mRNA were inconsistent. Although an association was identified between ERalpha and ERbeta mRNAs (Chi-square, P<0.001) and between ERalpha protein and ERbeta1 mRNA (Chi-square, P<0.027), no association was identified for the ERalpha and ERbeta1 proteins detected by immunohistochemistry. ERbeta1 was not associated with outcome. However, in the absence of ERalpha, ERbeta1 protein expression was associated with elevated cell proliferation. There was a trend for the ERbeta1 protein-positive cases to have a worse outcome, both within the group as a whole as well as within the ERalpha-positive Tamoxifen-treated cases. This study has confirmed the hypothesis that expression of ERalpha is an important determinant of breast cancer progression, and has further demonstrated that ERbeta1 may play a role in the response of breast cancers to endocrine therapy.


Assuntos
Antineoplásicos Hormonais/uso terapêutico , Neoplasias da Mama/tratamento farmacológico , Receptor beta de Estrogênio/genética , Receptor beta de Estrogênio/metabolismo , RNA Mensageiro/metabolismo , Tamoxifeno/uso terapêutico , Neoplasias da Mama/metabolismo , Intervalo Livre de Doença , Receptor alfa de Estrogênio/genética , Receptor alfa de Estrogênio/metabolismo , Feminino , Humanos , Técnicas Imunoenzimáticas , RNA Neoplásico/genética , RNA Neoplásico/metabolismo , Receptores de Progesterona/genética , Receptores de Progesterona/metabolismo , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Taxa de Sobrevida , Resultado do Tratamento
9.
Br J Cancer ; 90(1): 182-8, 2004 Jan 12.
Artigo em Inglês | MEDLINE | ID: mdl-14710227

RESUMO

Heat shock protein 27 (hsp-27) is a regulator of oestrogen receptor (ER) expression and a modulator of intracellular homeostasis. In this laboratory, Shaaban et al demonstrated the importance of ER-alpha, together with Ki67, in enhancing the progression of benign breast lesions of defined morphological types. To better understand the mechanisms by which ER-alpha promotes breast neoplasia, this study was performed to test the hypothesis that the roles of ER-alpha and hsp-27 may be defined by their quantitative expression in proliferative breast lesions of varying histological risk. The expression of hsp-27 was identified using a specific monoclonal antibody and analysed to assess the proportion of positive epithelial cells using digitised morphometric image analysis. The expression of ER-alpha was analysed by immunohistochemistry and Western blotting in a variety of benign (HUMA121) and malignant mammary cell lines, including ER-alpha(+) (MCF7, ZR-75, T47D) and ER-alpha(-) (MDA-MB 231) breast cancer cell lines. The data confirm that, during progression from normal through proliferative breast lesions to in situ cancer, there was a significant increase in both the proportion and the optical density of the epithelial cells expressing hsp-27. The mean levels of expression ranged from 7.4% of the total number of epithelial cells in normal lobules to 25.17% of epithelial cells in hyperplasias of usual type (HUT) to 61.1% of epithelial cells in ductal carcinoma in situ (P<0.001). The study has confirmed the expression of hsp-27 to be closely associated with ER-alpha(+) expression, and that its regulated expression occurs early along the mammary oncogenic pathway, supporting the initial hypothesis. It is our proposal that the differential expression of hsp-27 modulates the phenotypic behaviour of morphologically benign epithelial cells and hence may be an important determinant in initiating, or promoting, a population of human mammary cancers.


Assuntos
Biomarcadores Tumorais/análise , Doenças Mamárias/genética , Doenças Mamárias/fisiopatologia , Neoplasias da Mama/genética , Neoplasias da Mama/fisiopatologia , Transformação Celular Neoplásica , Proteínas de Choque Térmico/biossíntese , Receptores de Estrogênio/biossíntese , Western Blotting , Células Epiteliais/fisiologia , Receptor alfa de Estrogênio , Feminino , Proteínas de Choque Térmico/análise , Humanos , Imuno-Histoquímica , Fenótipo , Receptores de Estrogênio/fisiologia , Fatores de Risco
10.
Acta Neuropathol ; 101(4): 321-33, 2001 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-11355303

RESUMO

Classification of gliomas according to their molecular characteristics may be important in future histopathological diagnosis. However, gliomas frequently display heterogeneity at the histological, biological and molecular level. In this study of archival diagnostic gliomas, precision microdissection was used to enrich samples in the most malignant cells or to investigate intratumoural histological heterogeneity. Analysis of tumour samples microdissected from the most aggressive regions, representative of the histopathological diagnosis, revealed PTEN mutations in 4/14 anaplastic astrocytomas, 4/13 glioblastomas and 1 gliosarcoma, but not in 19 low-grade gliomas. Using a novel PCR procedure and direct sequence analysis of the entire coding sequence, TP53 mutations were detected in 1/3 pilocytic astrocytomas, 3/13 astrocytomas, 4/14 anaplastic astrocytomas, 5/13 glioblastomas and 1 gliosarcoma. All but one of the tumours with TP53 mutation showed p53 immunopositivity, but 5 low-grade and 10 high-grade gliomas had p53 protein nuclear accumulation in the absence of detectable mutation. p53 status was unrelated to p21 expression. Neither PTEN nor TP53 mutations influenced the proliferative index or microvessel density of high-grade astrocytomas. Unusual findings include: TP53 mutation in a juvenile pilocytic astrocytoma; TP53 and PTEN mutations in a de novo glioblastoma, a gliosarcoma with identical mutations in gliomatous and sarcomatous components, and an infratentorial anaplastic astrocytoma with an earlier supratentorial grade II astrocytoma bearing the same TP53 mutation but not the PTEN mutation or loss of heterozygosity (LOH) of 10q23. Similarly, the transition to high-grade histology was associated with acquisition of PTEN mutations and 10q23.3 LOH in two de novo high-grade tumours with regions of low-grade histology.


Assuntos
Neoplasias Encefálicas/genética , Glioma/genética , Proteínas Nucleares , Proteínas Supressoras de Tumor , Adolescente , Adulto , Idoso , Substituição de Aminoácidos , Neoplasias Encefálicas/irrigação sanguínea , Neoplasias Encefálicas/química , Neoplasias Encefálicas/patologia , Criança , Códon/genética , Inibidor de Quinase Dependente de Ciclina p21 , Ciclinas/análise , Análise Mutacional de DNA , DNA de Neoplasias/genética , Receptores ErbB/análise , Feminino , Genes p53 , Glioma/irrigação sanguínea , Glioma/química , Glioma/patologia , Humanos , Perda de Heterozigosidade , Masculino , Repetições de Microssatélites , Pessoa de Meia-Idade , Índice Mitótico , Mutação de Sentido Incorreto , Invasividade Neoplásica , Proteínas de Neoplasias/análise , Proteínas de Neoplasias/genética , Proteínas do Tecido Nervoso/análise , Proteínas do Tecido Nervoso/genética , PTEN Fosfo-Hidrolase , Monoéster Fosfórico Hidrolases/análise , Monoéster Fosfórico Hidrolases/genética , Reação em Cadeia da Polimerase , Proteínas Proto-Oncogênicas/análise , Proteínas Proto-Oncogênicas c-mdm2 , Estudos Retrospectivos , Proteína Supressora de Tumor p53/análise
11.
Br J Cancer ; 84(8): 1064-9, 2001 Apr 20.
Artigo em Inglês | MEDLINE | ID: mdl-11308255

RESUMO

Cyclin D1 is associated with cell cycle regulation and has more recently been shown to stimulate the transcriptional functions of the oestrogen receptor (ER). Furthermore, in normal breast there is a negative association between expression of ER and the proliferation marker Ki67 indicating that either ER positive cells are non-dividing or that the receptor is down-regulated as cells enter cycle. This important relationship breaks down in many ER-positive cancers and precancerous breast lesions where the receptor is often detected on proliferating cells. The aims of the present study were to determine the interplay between ER, Ki67 and cyclin D(1)in individual cells within the spectrum of human breast lesions ranging from normal to invasive carcinoma by using dual staining immunofluorescence. We found that in normal breast there was a strong positive association between ER and cyclin D(1)expression. In contrast there was a strong negative association between cyclin D(1)and Ki67 expression. Similar findings were seen for the other precancerous and cancerous breast lesions. Thus immunodetectable cyclin D(1)within individual cells does not appear to be associated with cell cycle progression in the benign or malignant breast but instead may have important interactions with ER.


Assuntos
Neoplasias da Mama/metabolismo , Mama/química , Ciclina D1/análise , Antígeno Ki-67/análise , Lesões Pré-Cancerosas/metabolismo , Receptores de Estrogênio/análise , Anticorpos Monoclonais/análise , Especificidade de Anticorpos , Mama/patologia , Neoplasias da Mama/patologia , Humanos , Hiperplasia/metabolismo , Hiperplasia/patologia , Imuno-Histoquímica , Mitose , Invasividade Neoplásica , Lesões Pré-Cancerosas/patologia
12.
J Pathol ; 193(3): 333-8, 2001 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-11241412

RESUMO

In normal breast, there is a negative association between expression of oestrogen receptor (ER) and the proliferation marker Ki67, indicating that ER-positive (ER+) cells do not divide, or that the receptor is down-regulated when they do so. However, dual staining has been found in carcinomas and precancerous lesions, indicating that abnormal regulation of ER could be important in breast tumourigenesis. ER expression in relationship to cell proliferation was studied in 241 foci of hyperplasia of usual type (HUT), a lesion associated with a 1.5 to 2-fold increase in risk of developing breast cancer. Dual label immunofluorescence was employed, using the antibodies 1D5 and Ki67. Two hundred and thirteen foci of HUT contained ER+ cells, which were distributed singly or contiguously and increased with age. Most foci resembled normal breast, but 51 contained dual labelled cells, which did not increase with age. Some of these foci exhibited few, scattered ER+ cells with greater proliferation rates than the ER-negative (ER-) cells, whereas others contained many, contiguous ER+ cells, whose rate of proliferation was less than that of the ER- cells. The latter picture is similar to that which has previously been reported in atypical ductal hyperplasia and ductal carcinoma in situ. The first type of HUT may evolve into the second. The proportion of Ki67+ cells that was ER+ was similar in both types, suggesting a homeostatic mechanism that slows the proliferation of ER+ cells as they become confluent. Overriding this inhibition may be crucial in further progression. Non-atypical hyperplasia is thus heterogeneous in ER expression and proliferation and a significant proportion exhibit abnormal regulation of ER. These findings could have implications for pathological diagnosis, risk assessment, and prophylactic hormonal therapy.


Assuntos
Biomarcadores Tumorais/metabolismo , Neoplasias da Mama/metabolismo , Mama/patologia , Lesões Pré-Cancerosas/metabolismo , Receptores de Estrogênio/metabolismo , Adulto , Fatores Etários , Idoso , Divisão Celular , Feminino , Imunofluorescência , Humanos , Hiperplasia/metabolismo , Antígeno Ki-67/metabolismo , Pessoa de Meia-Idade , Proteínas de Neoplasias/metabolismo
13.
J Clin Pathol ; 53(10): 778-83, 2000 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-11064673

RESUMO

BACKGROUND: In normal breast tissue the oestrogen receptor (ER) and the proliferation associated antigen Ki67 are negatively associated, indicating that ER+ cells are non-dividing, or that the receptor is downregulated as cells enter cycle. This relation is completely or partially lost in many ER+ breast cancers and in in situ proliferations associated with an increased cancer risk, where coexpression of the two markers is often found. AIMS: To determine whether similar changes can be identified in other risk associated breast lesions. PATIENTS/METHODS: Paraffin wax blocks from 12 cases of lactational change, 21 apocrine metaplasias, 22 duct ectasias, 20 sclerosing adenosis, 20 fibroadenomas, 19 phyllodes tumours, 20 radial scars, 21 papillomas (15 solitary and six multiple), 15 gynaecomastias, and nine postmortem male breast tissues were retrieved. Immunohistochemistry was used to determine the expression of ER and dual labelling immunofluorescence was used to detect cells expressing both ER and Ki67. RESULTS: Increased numbers of ER+ cells were seen in sclerosing adenosis, radial scars, papillomas, fibroadenomas, and phyllodes tumours but not in apocrine cysts (where no ER+ cells were detected) or duct ectasia (where normal numbers were found). As in the normal breast, the proportion of ER+ cells increased with age in all lesions with the exception of fibroadenomas. Coexpression of ER and Ki67 was found in an increased proportion of cells of all risk associated lesions studied. ER+ cells were less likely to be dividing than ER- cells in all cases, although this was significant only for sclerosing adenosis. The data on sclerosing adenosis, radial scars, papillomas, and fibroadenomas are comparable with those reported previously in hyperplasia of usual type, whereas those in duct ectasia are similar to those of the normal breast. The findings in all lesions, however, differed from those in ductal carcinoma in situ, where proportions of ER+ and ER+/Ki67+ cells are higher and the relation between ER+ cell numbers and age is lost. Thus, the nature and degree of dysregulation of ER in benign breast lesions is broadly in accordance with the degree of risk of developing breast cancer with which they are associated. In gynaecomastia, the proportions of ER+ and ER+/Ki67+ cells were comparable with those seen in benign female breast lesions, but changes with age were not observed. However, the changes in gynaecomastia were similar to those seen in normal male breast. CONCLUSION: These findings are in keeping with the contention that the dissociation of ER and Ki67 expression is a very early change in the pathway to many breast cancers. However, this change might only have preneoplastic importance in the hormonal milieu of the female breast.


Assuntos
Biomarcadores Tumorais/metabolismo , Neoplasias da Mama/metabolismo , Lesões Pré-Cancerosas/metabolismo , Receptores de Estrogênio/metabolismo , Adulto , Idoso , Envelhecimento/metabolismo , Mama/metabolismo , Doenças Mamárias/metabolismo , Feminino , Técnica Indireta de Fluorescência para Anticorpo , Ginecomastia/metabolismo , Humanos , Antígeno Ki-67/metabolismo , Masculino , Pessoa de Meia-Idade
14.
Diagn Mol Pathol ; 9(2): 110-9, 2000 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-10850547

RESUMO

Evidence suggests that up to 25% of p53 mutations are outside of exons 5-8 and that insertions, deletions, and polymorphic sites in the p53 gene may play a significant role in the process of carcinogenesis. A novel polymerase chain reaction (PCR) approach for the analysis of the entire p53 coding and splice site regions from microdissected, formalin-fixed, paraffin-embedded tumor tissues has been developed which allows multiple genetic analyses to be performed from one primary amplification reaction. The method was initially evaluated using well-characterized cell lines. In addition to confirming the published p53 mutations for HT29, Molt 4, A431, and HN5, a 16 base pair (bp) duplication within intron 3 was detected in both the A431 and HT29 cell lines. Analysis of archival samples of ovarian cancer identified the same 16-bp duplication and coding region variations. In all samples, using GenBank submission U94788 as a reference, a C-insertion was detected at nucleotide positions 11818 and 11874 within intron 2. At nucleotide position 14168, within intron 7, a T-to-G base change was found. This novel PCR approach has the potential to reduce the amount of clinical material required by up to 95%, thus facilitating retrospective studies on archival tumor collections. Furthermore, a wider analysis of the p53 gene, including splice sites and intronic regions, may yield additional information regarding cancer predisposition, response to therapy, and progression.


Assuntos
Carcinoma/genética , Mutação , Neoplasias Ovarianas/genética , Reação em Cadeia da Polimerase/métodos , Proteína Supressora de Tumor p53/genética , Sequência de Bases , Carcinoma/patologia , Análise Mutacional de DNA , Primers do DNA/química , DNA de Neoplasias/análise , Eletroforese em Gel de Ágar , Feminino , Humanos , Masculino , Micromanipulação , Dados de Sequência Molecular , Neoplasias Ovarianas/patologia , Inclusão em Parafina , Células Tumorais Cultivadas , Proteína Supressora de Tumor p53/metabolismo
15.
Am J Pathol ; 155(6): 1811-5, 1999 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-10595909

RESUMO

Recently it has been shown that epithelial cell expression of the estrogen receptor (ER) and that of the proliferation-associated marker Ki-67 are almost mutually exclusive in the normal premenopausal human breast but that coexpression frequently occurs in estrogen receptor-positive (ER+) breast cancers. This coexpression may indicate disordered expression of ER in the cell cycle or failure to suppress division of ER+ cells and could be important in neoplastic transformation. The purpose of this study was to determine whether in situ proliferations known to be associated with different levels of risk for developing breast cancer contain these coexpressing cells and, if so, the stage at which they occur. We found that ER+ proliferating cells were rare in premenopausal lobules but increased with age in the normal breast. There was no difference in nonlesional tissue between cancerous and noncancerous breasts. The percentage of dual-expressing cells was significantly increased, however, in all of the in situ proliferations and correlated positively with the level of risk of developing breast cancer. We suggest that development of at least some human breast cancers is associated with increasing failure to down-regulate ER as cells enter the cycle or to suppress division of ER+ cells. The mechanism may involve the loss of a tumor suppressor gene.


Assuntos
Neoplasias da Mama/metabolismo , Neoplasias da Mama/patologia , Mama/metabolismo , Transformação Celular Neoplásica , Lesões Pré-Cancerosas/metabolismo , Lesões Pré-Cancerosas/patologia , Receptores de Estrogênio/metabolismo , Mama/citologia , Carcinoma in Situ/metabolismo , Carcinoma in Situ/patologia , Carcinoma Ductal de Mama/metabolismo , Carcinoma Ductal de Mama/patologia , Ciclo Celular , Divisão Celular , Regulação para Baixo , Feminino , Imunofluorescência , Humanos , Hiperplasia , Antígeno Ki-67/metabolismo , Pós-Menopausa , Pré-Menopausa
16.
Br J Cancer ; 79(9-10): 1542-8, 1999 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-10188904

RESUMO

The PTEN gene, located on 10q23.3, has recently been described as a candidate tumour suppressor gene that may be important in the development of advanced cancers, including gliomas. We have investigated mutation in the PTEN gene by direct sequence analysis of PCR products amplified from samples microdissected from 19 low grade (WHO Grade I and II) and 27 high grade (WHO grade III and IV) archival, formalin-fixed, paraffin-embedded gliomas. Eleven genetic variants in ten tumours have been identified. Eight of these are DNA sequence changes that could affect the encoded protein and were present in 0/2 pilocytic astrocytomas, 0/2 oligoastrocytomas, 0/1 oligodendroglioma, 0/14 astrocytomas, 3/13 (23%) anaplastic astrocytomas and 5/14 (36%) glioblastomas. PTEN mutations were found exclusively in high grade gliomas; this finding was statistically significant. Only two of the PTEN genetic variants have been reported in other studies; two of the genetic changes are in codons in which mutations have not been found previously. The results of this study indicate that mutation in the PTEN gene is present only in histologically more aggressive gliomas, may be associated with the transition from low histological grade to anaplasia, but is absent from the majority of high grade gliomas.


Assuntos
Astrocitoma/genética , Cromossomos Humanos Par 10/genética , Genes Supressores de Tumor/genética , Monoéster Fosfórico Hidrolases/genética , Neoplasias Supratentoriais/genética , Proteínas Supressoras de Tumor , Adolescente , Adulto , Idoso , Criança , Análise Mutacional de DNA , Feminino , Glioblastoma/genética , Glioma/genética , Humanos , Masculino , Repetições de Microssatélites/genética , Pessoa de Meia-Idade , PTEN Fosfo-Hidrolase , Reação em Cadeia da Polimerase
17.
Biochem Soc Symp ; 63: 273-94, 1998.
Artigo em Inglês | MEDLINE | ID: mdl-9513730

RESUMO

The metastatic spread of cancer is a little understood process, in part because it is difficult to model the entire process using experimental approaches in vitro. The ability to transfer DNA into non-metastatic mammary cells and to observe the induction of metastasis in vivo provides a means for identifying DNA sequences that are associated with the development of metastatic capability. Using these techniques, a metastasis-associated cytoskeletal calcium binding protein, S100A4 (p9Ka), has been identified as an inducer of metastatic capability in benign rat mammary epithelial cells. Metastasis can also be induced in the rat mammary epithelial cells by fragments of DNA from metastatic, but not from benign, human breast tumour cells. These non-coding fragments of DNA act via the induction of osteopontin, an extracellular, integrin binding, calcium binding protein. Since both osteopontin and S100A4 are thought to be associated with malignancy in human breast cancer specimens, gene transfer techniques can identify genes for metastasis-inducing proteins that may play a role in breast cancer, and further suggest that cell migration/motility might be important in the metastatic process.


Assuntos
DNA de Neoplasias/genética , Técnicas de Transferência de Genes , Neoplasias Mamárias Experimentais/genética , Metástase Neoplásica/genética , Animais , Proteínas de Ligação ao Cálcio/metabolismo , Células Epiteliais/metabolismo , Feminino , Humanos , Neoplasias Mamárias Experimentais/patologia , Metástase Neoplásica/patologia , Osteopontina , Sialoglicoproteínas/genética , Sialoglicoproteínas/metabolismo
18.
J Biol Chem ; 272(32): 20283-90, 1997 Aug 08.
Artigo em Inglês | MEDLINE | ID: mdl-9242709

RESUMO

The S100-related calcium-binding protein S100A4 (p9Ka) is expressed at a low level in rat mammary epithelial cells from normal mammary gland and benign mammary tumors. In transgenic mice, expressed rat S100A4 transgenes co-operate with the activated c-erbB-2 oncogene, neu, to form metastatic mammary tumors. Elevated levels of S100A4 (p9Ka) in cultured benign rat or mouse mammary epithelial cells are associated with the induction of metastatic capability. A cis-acting sequence related to the consensus recognition sequence of GC-factor, 1,300 base pairs upstream of the start site of transcription of the rat S100A4 gene, acts as a cis-acting inhibitor of transcription of the S100A4 (p9Ka) gene in a low S100A4 (p9Ka)-expressing benign rat mammary epithelial cell line, but not in highly expressing rat mammary epithelial cell lines. There is an inverse relationship between the level of S100A4 (p9Ka) mRNA and the level of GC-factor mRNA in a range of rat mammary cell lines. The results suggest a novel mechanism for regulating the expression of the mRNA encoding an S100 protein.


Assuntos
Proteínas de Ligação ao Cálcio/genética , Regulação para Baixo , Neoplasias Mamárias Experimentais/genética , Proteínas S100 , Transcrição Gênica , Animais , Sequência de Bases , Sítios de Ligação , Proteínas de Ligação ao Cálcio/metabolismo , Células Cultivadas , Feminino , Neoplasias Mamárias Experimentais/metabolismo , Camundongos , Dados de Sequência Molecular , Regiões Promotoras Genéticas , RNA Mensageiro/metabolismo , Ratos , Mapeamento por Restrição , Proteína A4 de Ligação a Cálcio da Família S100 , Deleção de Sequência
19.
Int J Cancer ; 71(5): 832-7, 1997 May 29.
Artigo em Inglês | MEDLINE | ID: mdl-9180153

RESUMO

Northern and Western blotting techniques were used to study expression of the mRNA and corresponding protein product of the S100-related calcium-binding molecule p9Ka in 6 different metastatic cell lines of the Dunning R3327 rat prostate cancer model. In cells with the lowest metastatic capability (G cells), p9Ka mRNA was barely detectable. In 2 weakly metastatic cell lines (AT-1 and AT-2), p9Ka transcript amounts were, respectively, 6.29 +/- 0.74 and 5.55 +/- 1.11 times that detected in the G cells. In 3 highly metastatic cell lines (AT-3, MAT-LyLu and MAT-Lu), the amounts of p9Ka mRNA were, respectively, 12.85 +/- 2.82, 13.06 +/- 1.69 and 11.62 +/- 1.81 times that expressed in the G cells. Western blot analyses detected no p9Ka protein in the G cells. The amounts of p9Ka protein expressed by tumour cells of intermediate metastatic capability (AT-1 and AT-2) were 3.4 +/- 1.3 microg and 3.3 +/- 1.4 microg, respectively, per 1 x 10(6) cells. The amounts of p9Ka protein expressed by the tumour cells of highest metastatic capability (AT-3, MAT-LyLu and MAT-Lu) were 8.3 +/- 1.1 microg, 8.7 +/- 1.6 microg and 9.6 +/- 1.7 microg, respectively, per 1 x 10(6) cells. Our data reveal a direct association between the elevated expression of mRNA and the p9Ka protein amounts and the increased metastatic capability of individual prostatic cancer cell lines. We suggest that calcium-binding protein p9Ka may play an important role in the metastatic behaviour of rat prostate cancer.


Assuntos
Proteínas de Ligação ao Cálcio/genética , Expressão Gênica , Neoplasias da Próstata/metabolismo , Neoplasias da Próstata/patologia , Animais , Northern Blotting , Western Blotting , Sondas de DNA , Masculino , Metástase Neoplásica , RNA Mensageiro/análise , Ratos , Proteína A4 de Ligação a Cálcio da Família S100 , Proteínas S100 , Células Tumorais Cultivadas
20.
Oncogene ; 13(8): 1631-7, 1996 Oct 17.
Artigo em Inglês | MEDLINE | ID: mdl-8895508

RESUMO

Increased levels of S100A4 (p9Ka) confer metastatic ability on a normally non-metastatic epithelial cell line. To find out whether S100A4 can induce metastasis in vivo, transgenic mice expressing high levels of S100A4, but which show no phenotypic effect, have been mated with MMTV-neu transgenic mice which succumb to stochastic mammary neoplasia related to expression of the MMTV-neu transgene. Resultant bitransgenic, multiparous, female progeny expressing both S100A4 and Neu have a slightly earlier incidence of palpable mammary tumours than the MMTV-neu offspring and specifically exhibit macroscopic metastatic lesions in the lungs. The S100A4 transgene is expressed in primary and secondary lesions of bitransgenic offspring and its expression is particularly associated with regions of invasion of primary lesions and metastases.


Assuntos
Proteínas de Ligação ao Cálcio/genética , Genes erbB-2 , Neoplasias Mamárias Experimentais/genética , Neoplasias Mamárias Experimentais/patologia , Vírus do Tumor Mamário do Camundongo/genética , Proteínas S100 , Animais , Feminino , Imuno-Histoquímica , Neoplasias Pulmonares/secundário , Camundongos , Camundongos Transgênicos , Metástase Neoplásica/genética , Proteína A4 de Ligação a Cálcio da Família S100 , Transgenes
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