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Department of Medicine, Gastrointestinal Division, Department of Genetics, and Abramson Cancer Center [S. L. G., C. Y. D., G. H. E.], Department of Medicine, Division of Hematology-Oncology, and Abramson Cancer Center [M. S. G., W. M. F. L.]; Departments of Pathology and Medicine [E. E. F.]; and Department of Biostatistics and Epidemiology [C. B.] University of Pennsylvania, Philadelphia, Pennsylvania 19104; Sungkyunkwan University, Suwon, Republic of Korea [H-W. L.]; and Dana-Farber Cancer Institute, Boston, Massachusetts [R. A. D.]
The Ink4a/Arf locus is frequently methylated in colon carcinoma and other common human cancers,suggesting that the locus may play a broad, as yet poorly defined,role inhibiting tumor progression. We examined the influenceof the locus in mice with multiple intestinal neoplasia (Min). Colon tumors in 3-month-old Min mice that were null for the Ink4a/Arf locus (-/-) were moderately larger than in Ink4a/Arf-wild-type (+/+) animals (P = 0.032). More strikingly, one-half of the -/- colon tumors were grossly red in color, whereas most of the +/+ tumors were white (P = 0.0025). This color difference remained statistically significant after normalizing for tumor area (P = 0.016). On histological analysis, -/- colon tumors displayed more RBCs near the tumor surface, twice the number of functional vessels, and features of carcinoma in situ not found in +/+ tumors. Biochemical analyses showed that red tumors had higher hemoglobin and vascular endothelial growth factor (VEGF) content than white tumors. Surprisingly, the small intestinal tumor burden was actually lower in -/- animals, and none of these tumors were red, underscoring the importance of tissue context in the function of the locus. These results provide direct evidence that the Ink4a/Arf locus inhibits colon tumor progression. The enhanced vascularity of the -/- tumors is particularly significant in light of the clinical importance of this property in the detection, recurrence, and therapy of colon tumors.
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