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This Article Full Text Full Text (PDF) All Versions of this Article: jcp.2006.044305v1 60/12/1403    most recent Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Citation Map Services Email this link to a friend Similar articles in this journal Similar articles in PubMed Add article to my folders Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Burum-Auensen, E Articles by Clausen, O P F Search for Related Content PubMed PubMed Citation Articles by Burum-Auensen, E Articles by Clausen, O P F Pubmed/NCBI databases Medline Plus Health Information Ulcerative Colitis

Spindle proteins Aurora A and BUB1B, but not Mad2, are aberrantly expressed in dysplastic mucosa of patients with longstanding ulcerative colitis

¹ The Pathology Clinic, Rikshospitalet-Radiumhospitalet Medical Center, University of Oslo, Faculty of Medicine, Oslo, Norway
² Department of Biostatistics, University of Oslo, Faculty of Medicine, Oslo, Norway
³ Department of Pathology, Akershus University Hospital HF, University of Oslo, Faculty of Medicine, Oslo, Norway

Correspondence to:
Mr Espen Burum-Auensen, The Pathology Clinic, Rikshospitalet-Radiumhospitalet Medical Center, University of Oslo, Faculty of Medicine, 0027 Oslo, Norway; espen.burum-auensen{at}medisin.uio.no

Background: Long term ulcerative colitis (UC) increases the risk of colorectal cancer (CRC). DNA aneuploidy is a common feature of both dysplastic and non-dysplastic colonic epithelia from patients with longstanding UC, and is regarded as an early sign of possible malignant transformation. The spindle proteins Aurora A, BUB1B and Mad2 have been implicated as contributors to aneuploidy and carcinogenesis.

Aims: To investigate the role of these spindle proteins in relation to DNA aneuploidy and during the progressive morphological changes in ulcerative colitis associated colorectal cancer (UCCRC).

Methods: Tissue microarrays were made from 31 colectomy specimens from patients with longstanding UC. Expression of Aurora A, BUB1B and Mad2 was investigated by immunohistochemistry and their relation to ploidy status, mucosal morphology and Ki67 levels was explored.

Results: Expression of Aurora A and BUB1B was significantly associated with the progressive morphological changes of UCCRC. In the progression from non-dysplastic to dysplastic mucosa, Aurora A expression decreased while BUB1B expression increased. There was an increasing incidence of aneuploidy with progression towards cancer; expression of all spindle proteins was associated with the level of Ki67 but not with aneuploidy.

Conclusion: Due to the significant differences in Aurora A and BUB1B expression in dysplastic compared non-dysplastic mucosa, these proteins may serve as putative biological markers for the progressive morphological changes in UC associated carcinogenesis. The close relationship to Ki67 levels reflect that spindle proteins are expressed in tissues with a high proliferative rate; a role for these proteins in the development of aneuploidy was not found.

Abbreviations: CC, correlation coefficient; CRC, colorectal cancer; GLMM, general linear mixed model; MW, Mann–Whitney; UC, ulcerative colitis; UCCRC, ulcerative colitis associated colorectal cancer