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Discovery Medicine [N. C. T., J. A. S., A. J. D., W. L. T., M. E. B.] and Expression Profiling Informatics [D. K. S.], Wyeth Research, Cambridge, Massachusetts 02140; Clinical Research and Development, Wyeth Research, Collegeville, Pennsylvania 19426 [B. M., G. D.]; University of Texas Health Science Center, San Antonio, Texas 78229 [M. H.]; University of Chicago, Chicago, Illinois 60637 [W. S.]; Indiana University, Indianapolis, Indiana 85012 [T. L.]; Our Lady of Mercy Medical Center, New York Medical College, Bronx, New York 10466 [J. D.]; and Fox Chase Cancer Center, Philadelphia, Pennsylvania 19111 [G. H.]
Expression profiling has demonstrated that transcriptomes of primary malignancies differ from those in normal tissue. It is unknown, however, whether there exist "surrogate" transcriptional markers in peripheral blood mononuclear cells (PBMCs) of patients with solid tumors. We identified transcripts expressed differentially between PBMCs from renal cell carcinoma patients and normal subjects, some of which appear to reflect specific immune responses of circulating cells. We also identified small sets of predictor genes distinguishing PBMCs from renal cell carcinoma patients and normal volunteers with high accuracy. The present findings have important implications for diagnosis and future clinical pharmacogenomic studies of antitumor therapies.
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