RRC ID 42863
著者 Fujita Y, Terashima M, Hoshino Y, Ohtani S, Kashimura S, Kanzaki N, Osuka F, Kogure M, Gotoh M.
タイトル Detection of cancer cells disseminated in bone marrow using real-time quantitative RT-PCR of CEA, CK19, and CK20 mRNA in patients with gastric cancer.
ジャーナル Gastric Cancer
Abstract BACKGROUND:To determine the significance of bone marrow disseminated tumor cells in gastric cancer, we investigated the mRNA expression levels of carcinoembryonic antigen (CEA), cytokeratin 19 (CK19), and cytokeratin 20 (CK20) using the real-time quantitative reverse-transcription polymerase chain reaction (RQ-PCR).
METHODS:Bone marrow samples were aspirated from the sternum at the time of surgery in 65 patients with resectable gastric cancer. Total RNA was extracted from bone marrow; and the expression levels of CEA, CK19, and CK20 mRNA were determined by RQ-PCR using an ABI PRISM 7000 and quantified against the GAPDH mRNA level.
RESULTS:The detection limits of these genes were determined in the gastric cancer cell line MKN-45 and the colon cancer cell line C-1, which had been serially diluted in peripheral blood mononuclear cells (PBMCs). A rate of 1 cancer cell/million PBMCs was obtained by detecting CEA and CK19 mRNA in MKN-45 and by detecting CK20 mRNA in C-1. In the clinical samples, only 1 of the 65 gastric cancer patients (1.5%) who had stage IV disease was positive for CEA, CK19, and CK20 mRNA; none of CEA, CK19, or CK20 mRNA was positive in the remaining 64 patients. No significant correlation was observed between disseminated cancer cells in bone marrow and clinicopathological features, including simultaneous or metachronous hepatic metastasis and patient survival.
CONCLUSION:The incidence of disseminated cancer cells in bone marrow in our study appears low, unlike that in previous reports. The significance of disseminated cancer cells in bone marrow may also be quite low in gastric cancer.
巻・号 9(4)
ページ 308-14
公開日 2006-1-1
DOI 10.1007/s10120-006-0398-z
PMID 17235634
MeSH Adenocarcinoma / genetics Adenocarcinoma / metabolism Adenocarcinoma / pathology Adenocarcinoma, Mucinous / genetics Adenocarcinoma, Mucinous / metabolism Adenocarcinoma, Mucinous / pathology Adenocarcinoma, Papillary / genetics Adenocarcinoma, Papillary / metabolism Adenocarcinoma, Papillary / pathology Adolescent Adult Aged Aged, 80 and over Biomarkers, Tumor / genetics* Biomarkers, Tumor / metabolism Bone Marrow / metabolism Bone Marrow / pathology Bone Marrow Neoplasms / genetics* Bone Marrow Neoplasms / metabolism Bone Marrow Neoplasms / secondary Carcinoembryonic Antigen / genetics* Carcinoembryonic Antigen / metabolism Carcinoma, Signet Ring Cell / genetics Carcinoma, Signet Ring Cell / metabolism Carcinoma, Signet Ring Cell / pathology Female Humans Keratin-19 / genetics* Keratin-19 / metabolism Keratin-20 / genetics Keratin-20 / metabolism Liver Neoplasms / genetics Liver Neoplasms / metabolism Liver Neoplasms / secondary Lymphatic Metastasis / pathology Male Middle Aged Peritoneal Neoplasms / genetics Peritoneal Neoplasms / metabolism Peritoneal Neoplasms / secondary RNA, Messenger / metabolism* RNA, Neoplasm / genetics RNA, Neoplasm / metabolism Reverse Transcriptase Polymerase Chain Reaction Stomach Neoplasms / genetics* Stomach Neoplasms / metabolism Stomach Neoplasms / pathology
IF 7.088
リソース情報
ヒト・動物細胞