Metastasis of Neuroendocrine Tumors Are Characterized by Increased Cell Proliferation and Reduced Expression of the ATM Gene 英文参考文献.docVIP
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Metastasis of Neuroendocrine Tumors Are Characterized by Increased Cell Proliferation and Reduced Expression of the ATM Gene 英文参考文献
MetastasisofNeuroendocrineTumorsAreCharacterized
byIncreasedCellProliferationandReducedExpression
oftheATMGene
JeeyunLee1.,ChangOhkSung2.¤,EuiJ.Lee3,In-GuDo4,Hee-CheolKim5,SeongHyeonYoon5 ,Woo
YongLee5,HoKyungChun5,Kyoung-MeeKim2*,YoungSukPark1*
1DivisionofHematology-Oncology,DepartmentsofMedicine,SungkyunkwanUniversitySchoolofMedicine,Seoul,Korea,2Pathology,SungkyunkwanUniversitySchool
ofMedicine,Seoul,Korea,3ResearchInstitute,IncheonSt.MaryHospital,CatholicUniversityofKorea,Seoul,Korea,4SamsungCancerResearchInstitute,Sungkyunkwan
UniversitySchoolofMedicine,Seoul,Korea,5Surgery,SamsungMedicalCenter,SungkyunkwanUniversitySchoolofMedicine,Seoul,Korea
Abstract
Purpose: Gastroenteropancreatic neuroendocrine tumors (GEP-NETs) are rare group of tumors with a wide spectrum of
clinicalbehavior.However,therearenoknownclinicallyrelevantbiomarkerstopredictmetastasis.
Experimental Design: To investigate differential gene expression signatures of metastatic vs non-metastatic NETs, we
studied cell cycle regulatory genes in 19 metastatic and 22 non-metastatic colorectal NETs by PCR arrays.
Immunohistochemistry (IHC) and quantitative real-time RT-PCR were performed to verify the results and another set of
38GEP-NETswerefurtherstudiedforvalidation.
Results:WefirstdelineatedsixcandidategenesformetastasisincludingATM,CCND2,RBL2,CDKN3,CCNB1,andGTSE1 .ATM
wasnegativelycorrelatedwithmetastaticNETs(p,0.001)withmorethan2-foldchangecomparedtonon-metastaticNETs.
OverexpressionofATMproteinbyIHCwasstronglycorrelatedwithhighATMmRNAlevelsandlowKi-67labelingindex.
Patients with ATM-negativity by IHC showed significantly decreased overall survival than patients with ATM-positivity
(medianOS,metastaticvsnon-metastaticNETs;2.7yearsvsnotreached;p=0.003)and85.7%ofmetastaticNETswereATM-
negative.InanothervalidationsetofGEP-NETs,decreasedmRNAofATMgenewasassociatedwithmetastasisandremained
significant(p =0.023).
Conclusions: ATM down-regulation was strongly associated with metastatic NETs when com
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