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Journal of Clinical Pathology 2004;57:1312-1318; doi:10.1136/jcp.2004.017954
Copyright © 2004 by the BMJ Publishing Group Ltd & Association of Clinical Pathologists.
Journal of Clinical Pathology 2004;57:1312-1318
© 2004 BMJ Publishing Group Ltd & Association of Clinical Pathologists

ORIGINAL ARTICLE

nm23-H1 expression and loss of heterozygosity in colon adenocarcinoma

S Kapitanovic1, T Cacev1, M Berkovic1, M Popovic-Hadzija1, S Radosevic2, S Seiwerth3, S Spaventi4, K Pavelic1 and R Spaventi2

1 Division of Molecular Medicine, Rudjer Boskovic Institute, HR-10000 Zagreb, Croatia
2 PLIVA d.d., Research and Development, HR-1000 Zagreb, Croatia
3 Institute of Pathology, Faculty of Medicine, University of Zagreb, HR-1000 Zagreb, Croatia
4 Croatian Academy of Sciences and Arts, HR-1000 Zagreb, Croatia

Correspondence to:
Correspondence to:
Dr S Kapitanovic
Division of Molecular Medicine, Rudjer Boskovic Institute, Bijenicka c. 54, HR-10000 Zagreb, Croatia; kapitan{at}irb.hr

Background: The discovery that genetic alterations in oncogenes and tumour suppressor genes accompany tumour formation in many human tumours has encouraged the search for genes that promote or suppress tumour spread and metastasis; nm23 is a promising candidate for a metastasis suppressing gene.

Aims: To evaluate whether expression of nm23-H1 protein or loss of heterozygosity (LOH) of the nm23-H1 gene is associated with colon cancer progression.

Materials/Methods: Paraffin wax embedded tissue sections were analysed immunohistochemically. DNA isolated from normal and tumour tissue was used for LOH analysis using a variable nucleotide tandem repeat (VNTR) marker located in the untranslated 5' region of the nm23-H1 gene. RNA isolated from tumour and normal tissue was used for "real time" RT-PCR.

Results: Of 102 adenocarcinomas examined, 58.8% stained weakly for nm23-H1 protein. There was a negative correlation between nm23-H1 positivity and tumour histological grade. In VNTR analysis, 70.2% of patients were informative and 27.4% of tumours had nm23-H1 LOH. There was a positive correlation between nm23-H1 LOH and both tumour histological grade and Dukes’s stage. Expression of nm23-H1 mRNA was increased in 22 of 30 colon tumours compared with normal tissue. No significant correlation was found between nm23-H1 mRNA expression and histological grade or Dukes’s stage of tumours.

Conclusions: These findings suggest that nm23-H1 protein expression in early stages may have a role in suppressing metastasis in sporadic colon cancer, whereas at a later stage both reduced nm23-H1 protein expression and LOH of the nm23-H1 gene may play role in colon cancer progression and metastasis.

Abbreviations: LOH, loss of heterozygosity; NDP, nucleoside diphosphate; PBS, phosphate buffered saline; PCR, polymerase chain reaction; RT, reverse transcription; VNTR, variable nucleotide tandem repeat

Keywords: loss of heterozygosity; colon carcinoma; nm23-H1; protein expression; real time reverse transcription polymerase chain reaction


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