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[Cancer Research 59, 1846-1851, April 1, 1999]
© 1999 American Association for Cancer Research

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[Cancer Research 59, 1846-1851, April 15, 1999]
© 1999 American Association for Cancer Research


Advances in Brief

Expression of DMBT1, a Candidate Tumor Suppressor Gene, Is Frequently Lost in Lung Cancer1

Weiguo Wu, Bonnie L. Kemp, Monja L. Proctor, Adi F. Gazdar, John D. Minna, Waun Ki Hong and Li Mao2

Departments of Thoracic/Head and Neck Medical Oncology [W. W., W. K. H., L. M.] and Pathology [B. L. K.], The University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030, and Hamon Center for Therapeutic Oncology Research, The University of Texas Southwestern Medical Center, Dallas, Texas 75235 [M. L. P., A. E. G., J. D. M.]


    ABSTRACT
 Top
 ABSTRACT
 Introduction
 Materials and Methods
 Results
 Discussion
 REFERENCES
 
DMBT1 is a candidate tumor suppressor gene located at 10q25.3–26.1. Homozygous deletion of the gene was found in a subset of medulloblastoma and glioblastoma multiforme; lack of expression was noted in the majority of these tumors. In adult tissues, DMBT1 is highly expressed only in lung and small intestine tissues, indicating its important role in these organs. By analyzing lung cancer cell lines and primary lung tumors using reverse transcription-PCR, we found that 100% (20 of 20) of small cell lung cancer (SCLC) cell lines and 43% (6 of 14) of non-small cell lung cancer (NSCLC) cell lines lacked DMBT1 expression. Furthermore, 45% (9 of 20) of the primary NSCLCs exhibited a markedly low level of gene expression compared with corresponding normal lung tissues, indicating that lack of gene expression also occurs in primary lung cancers. To determine the potential mechanisms for lack of DMBT1 expression in lung cancer, we analyzed tumor cell lines for potential intragenic homozygous deletions of the gene and found such homozygous deletions in 10% (4 of 40) of SCLC cell lines but in none of 14 NSCLC cell lines. Moreover, the loss of expression could not be rescued by treatment with a demethylation agent (5-azacytidine) in two NSCLC cell lines lacking DMBT1 expression, suggesting that de novo methylation of the promoter region of the gene is unlikely to play a role in inactivation of the gene. We then sequenced the whole coding region of DMBT1 in 8 NSCLC cell lines that expressed DMBT1 and 20 primary NSCLCs. A potential point mutation at codon 52 was detected in a NSCLC cell line and resulted in an amino acid change from serine to tryptophan. Three common polymorphisms were also detected in tissues analyzed. Our data demonstrate that DMBT1 expression is frequently lost in lung cancer due to gene deletion and to other not yet identified mechanisms, suggesting that inactivation of DMBT1 may play an important role in lung tumorigenesis.


    Introduction
 Top
 ABSTRACT
 Introduction
 Materials and Methods
 Results
 Discussion
 REFERENCES
 
Lung cancer is the leading cause of cancer-related death in the United States. More than 171,000 new cases are estimated to occur in the United States in 1998 (1) . Despite improvements in detection and treatment of the disease over the past two decades, the overall 5-year survival rate for patients with lung cancer is still <15%. It is clear that cigarette smoking is a major cause of lung cancer and that smoking cessation can reduce the risk for lung cancer development. However, genetic damage caused by cigarette smoking may still exist in former smokers (2 , 3) . In fact, according to recent reports, about half of all new patients with lung cancer in the United States are former smokers (4 , 5) , suggesting that lung cancer incidence may remain high for a long period of time, even with a successful, nationwide antismoking campaign.

DMBT1 was cloned through a representational differential analysis that is used to identify potential homozygous deletions in target genomic DNA (6) . The gene was localized to 10q25.3–q26.1, a region with frequent LOH3 in many types of human cancers including lung cancer (7, 8, 9, 10) . Intragenic homozygous deletions of DMBT1 were found in 23–38% of medulloblastoma and glioblastoma multiforme cell lines and primary glioblastoma multiforme (6 , 11) . Interestingly, loss of DMBT1 gene expression was found in 80% of these tumor cell lines (6) . These data suggest that DMBT1 is a candidate tumor suppressor gene and may play an important role in brain tumorigenesis. Deduced DMBT1 protein contains at least nine SRCR domains that allow the gene to be classified as a new member of the SRCR superfamily. Some members of this superfamily have been linked to initiation of cell proliferation and differentiation in immune system tissue and other tissues (12, 13, 14, 15) or have been associated with the polarity of epithelial cells (16) . A leader sequence present in DMBT1 protein, together with the presence of SRCR, CUB, and ZP domains and N-glycosylation sites, suggests that DMBT1 is likely a secreted or membrane protein (12, 13, 14, 15, 16, 17) . In adult humans, DMBT1 is highly expressed only in lung and small intestine, suggesting that the protein has an important role in these tissues (6) . Furthermore, the gene is located within one of the two minimally deleted regions at chromosome 10q identified in primary SCLCs (10) , raising the possibility that the gene may be also important in lung tumorigenesis. In this study, we investigated whether DMBT1 is altered in lung cancer and found an intragenic homozygous deletion of the gene in 10% of the SCLC cell lines tested and lack of the gene expression in all of the SCLC cell lines tested. Furthermore, more than 40% of NSCLC cell lines and primary NSCLCs also lacked DMBT1 expression. The identification of a potential point mutation in the gene in a NSCLC cell line further supports the notion that DMBT1 may play an important role in lung tumorigenesis.


    Materials and Methods
 Top
 ABSTRACT
 Introduction
 Materials and Methods
 Results
 Discussion
 REFERENCES
 
Cell Lines and Tissue Specimens.
All of the lung cancer cell lines have been deposited in the American Type Culture Collection (Rockville, MD). The SCLC cell lines used in this study were NCI-H60, -H69, -H82, -H128, -H146, -H182, -H187, -H196, -H211, -H249, -H289, -H345, -H378, -H524, -H526, -H711, -H719, -H735, -H738, -H740, -H748, -H841, -H847, -H865, -H889, -H1045, -H1092, -H1105, -H1184, -H1238, -H1284, -H1304, -H1417, -H1450, -H1514, -H1522, -H1618, -H1672, -H1688, -H1882, -H1963, -H2081, -H2107, -H2141, -H2171, and -H2227. The NSCLC cell lines used were NCI-H460, -H157, -H226, -H1792, -H522, -H292, -H1944, -H1648, A549, -H727, S966, A427, Calu-1, and SK-Mes-1. These cell lines were grown in RPMI 1640 with 10% fetal bovine serum. Primary NSCLC samples and corresponding normal lung tissues were obtained from surgical resection specimens collected by the Department of Pathology at M. D. Anderson Cancer Center and stored at -80°C until the experiment.

DNA and RNA Extraction and cDNA Synthesis.
Genomic DNA was isolated from SCLC and NSCLC cell lines by proteinase-K digestion (0.1 mg/ml) at 50°C overnight, followed by phenol/chloroform extraction and ethanol precipitation. For fresh tissues, samples were sectioned using a cryostat microtome. Selected sections were stained with H&E and reviewed for the presence of tumor cells. Only tumor samples containing about 70% or more tumor cells and normal lung tissues without tumor cells were used for DNA extraction. The proteinase-K digestion and DNA purification methods are the same as those used for cell lines. For total RNA extraction from cell lines, the cell pellets were quickly suspended in RNAzol B solution (Biotecx Laboratories, Inc., Houston, TX) to lyse the cells. For fresh tissue samples, 20–50 mg of tissue were mechanically homogenized in 1 ml of RNAzol B solution (Biotecx Laboratories, Inc., Houston, TX). Five µg of total RNA from each sample were then used to synthesize single-strand cDNA using SUPERSCRIPT II RNase H- reverse transcriptase (Life Technologies, Grand Island, NY), following the manufacturer’s protocol. The synthesized cDNA was used immediately for PCR amplification or stored at -20°C for further analysis.

PCR Analysis.
PCR for genomic DNA was conducted using a 20-ng genomic DNA sample as described previously (10) . Primer sets used for detecting deletions of DMBT1 gene were 36k, g14, g14ext, and 101n as reported previously (6) . A primer set for ß-actin was used to amplify a 415-bp fragment as a control for DNA quality. The primer sequences for the ß-actin fragment were 5'-CTCACATCGTGCCCATCTAT-3' (sense) and 5'-GATCCTTGCGAATATCCACA-3' (antisense). For multiplex PCR analysis, one primer set for a target molecule was used together with the primer set for the ß-actin fragment. To amplify cDNA, each of the PCR reactions was performed in a 25-µl volume containing 0.5 µl of reverse transcriptase reaction mixture, 3% DMSO, 1.5 mM of deoxynucleotide triphosphate, 6.7 mM of MgCl2, 16.6 mM of (NH4)2SO4, 67 mM of Tris, 10 mM of ß-mercaptoethanol, 6.7 µM EDTA, 2.5 units of Taq polymerase (Life Technologies), and 0.4 µM each of the primers. Reactions without templates were used as negative controls to rule out the possibility of contamination. Thermal cycling was performed in a temperature cycler (Hybaid; Omnigene, Woodbridge, NJ) in 500-µl plastic tubes for one initial cycle of denaturation at 95°C for 2 min, followed by 30 cycles of denaturation at 95°C for 30 s, annealing at 59°C for 45 s, extension at 70°C for 1 min, and a final elongation step at 70°C for 5 min. The PCR products were then separated in a 2% agarose gel containing 0.5 µg/ml ethidium bromide. Primers used for cDNA amplification are as follows: DMBT-1 A/2AS, 5'-GCAGCAGAAATATACCACCC-3' (sense) and 5'-CCACCCACCTGTAGATAG-3' (antisense); DMBT-1 4S/4AS, 5'-CAGGAGCTATCTCCAATC-3' (sense) and 5'-ACACCAAGAGGAACATCC-3' (antisense).

Sequence Analysis.
After PCR, we excised the bands we were interested in from a 1.5% agarose gel and purified them using Qiaquick resin columns (Qiagen, Valencia, CA). Between 10 and 15 ng of DNA per sample were used for each direct sequencing reaction containing a primer labeled with [{gamma}-33P]ATP and amplified by PCR for 35 cycles using the AmpliCycle sequencing kit (Perkin-Elmer, Branchburg, NJ) according to the manufacturer’s protocol. Each amplified product (3 µl) was run on a 6% long-range gel (FMC BioProducts, Rockland, ME) and exposed to film. RT-PCR and sequencing primers for DMBT1 cDNA are as follows: DMBT-1 S1, 5'-GCTA-GGTACCTATAAATGTC-3'; DMBT1 AS1, 5'-TCTTCACTATGGCCACAG-3'; DMBT-1 S2, 5'-TTGTCCTGGATGATGTGC-3'; DMBT-1 AS2, 5'-AACACACTTAGCA-TTGTTGG-3; DMBT-1 S3, 5'-ATTGTGGTGGCT-TCTTATTC-3'; DMBT-1 AS3, 5'-ACCAG-GTTCGGCGTTATC-3'; DMBT-1 S4, 5'-CAGGAGCTATCTCCAATC-3'; DMBT-1 AS4, 5'-ACACCAAGAGGAACATCC-3'; DMBT-1 AF, 5'-GCAGCAGAAATATACCACCC-3'; and DMBT-1 BR, 5'-TCCTGAACCCTGGCCAAA-3'.

LOH Analysis.
Fifty ng of DNA were used in each PCR amplification. The microsatellite markers used were D10S209 and D10S587 (Research Genetics, Huntsville, AL). For PCR amplification, one of the primers for each marker was end-labeled with [{gamma}-32P]ATP (4500 Ci/mmol; ICN Biomedicals, Costa Mesa, CA) and T4 DNA polynucleotide kinase (New England Biolabs, Beverly, MA). PCR reactions were carried out in a 12.5-µl volume containing 3% DMSO, 200 µM of deoxynucleotide triphosphate, 1.5 mM MgCl2, 0.4 µM of PCR primers including 0.01 µM [{gamma}-32P] labeled primer, and 0.5 unit of Taq DNA polymerase (Life Technologies, Inc.). DNA was amplified for 35 cycles at 95°C for 30 s, 56–60°C for 60 s, and 70°C for 60 s, followed by a 5-min extension at 70°C in a temperature cycler (Hybaid; Omnigene) in 500-µl plastic tubes. PCR products were separated on a 7% polyacrylamide-urea-formamide gel and then exposed to X-ray film. LOH was defined as a >50% reduction of intensity by visual inspection in one of the two alleles as compared with that seen in the corresponding normal control.


    Results
 Top
 ABSTRACT
 Introduction
 Materials and Methods
 Results
 Discussion
 REFERENCES
 
To determine the expression pattern of the DMBT1 gene in lung cancer, we analyzed 20 SCLC cell lines, 14 NSCLC cell lines, and 20 primary NSCLC tumors by RT-PCR. We used two primer sets to amplify DMBT1 cDNA fragments separately at two different regions to verify expression status. The two fragments (165 and 909 bp) were located at the 5' end and the 3' end of the coding sequences, respectively. Consistent results have been obtained by using the two different primer sets. No PCR product could be obtained by amplifying genomic DNA using the primer set for the 909-bp 3' end fragment, indicating the presence of a large intron or introns within the cDNA fragment or primers designed to cross-over an intron/exon boundary. Although the primer set for the 165-bp fragment could also be used to amplify genomic DNA, our negative control experiment showed that genomic DNA contamination in these cDNA samples was minimal (data not shown) and unlikely to change the experimental result. For each cDNA specimen from the cell lines, a set of primers for a 543-bp cDNA fragment of ß-actin was used to verify the quality of cDNA specimens. We found that DMBT1 was not expressed in any of the 20 (100%) SCLC cell lines nor in 6 (43%) of the 14 NSCLC cell lines (Fig. 1, A and B)Citation . Twenty primary NSCLC tumors (10 adenocarcinomas and 10 squamous cell carcinomas) were also analyzed for DMBT1 expression by semiquantitative multiplex PCR in which ß-actin was used as an internal control for both cDNA quality and efficiency of PCR amplification. DMBT1 expression was greatly reduced in nine (45%) tumors (four adenocarcinomas and five squamous cell carcinomas) compared with DMBT1 expression in paired normal lung tissues (Fig. 1C)Citation , suggesting that gene expression was lost in these primary tumors.



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Fig. 1. Expression of DMBT1 in lung cancer cell lines and primary NSCLC tissues. A, examples of DMBT1 expression in SCLC cell lines. No DMBT1 cDNA fragment could be detected. B, expression of DMBT1 in NSCLC cell lines. The gene expression was not detectable in six cell lines (H460, H727, H522, A427, H226, and H1648). C, examples of DMBT1 expression in primary NSCLC. DMBT1 expression was significantly reduced in tumors (11 and 15) using a semiquantitative RT-PCR. D, locations of primer sets used to determine DMBT1 expression.

 
To determine whether intragenic homozygous deletions of the gene contributed to such loss of gene expression, we analyzed genomic DNA from 40 SCLC cell lines including 14 cell lines used for gene expression analysis and 14 NSCLC cell lines that had all been used for gene expression analysis. Three intragenic STS markers (36k, g14, and 101n) flanking an ~65-kb fragment of DMBT1 (6) were used to screen these tumor cell lines. A primer set for the ß-actin genomic DNA fragment was used as an internal control in each PCR reaction. Homozygous deletion was detected in 4 (10%) SCLC cell lines (H711, H889, H1450, and H1963) at g14 (Fig. 2A)Citation . Because g14 is located between 36k and 101n, which were not homozygously deleted in these four tumor cell lines, the homozygous deletions should be smaller than 65 kb. No homozygous deletion was found in any of the 14 NSCLC cell lines tested. To rule out the possibility that the lack of PCR amplification was due to a rare nucleotide polymorphism within the primers used for g14, we tested another primer set, g14ext, which amplifies a genomic DNA fragment close to g14. DNA also could not be amplified by g14ext in the four cell lines also showing homozygous deletion at g14 (Fig. 2B)Citation , confirming the existence of intragenic homozygous deletions in DMBT1 in these tumor cell lines.



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Fig. 2. Homozygous deletion of DMBT1 in SCLC cell lines. A, homozygous deletion was detected in four SCLC cell lines (14, H711; 20, H889; 29, H1450; and 35, H1963) using a g14 primer set for an intragenic STS. B, the homozygous deletion was confirmed in these cell lines by using another primer set (g14ext) for STS adjacent to the genomic sequence of g14.

 
De novo methylation of the promoter regions has been shown to play an important role in inactivation of certain tumor suppressor genes, such as p16 and VHL, in multiple tumor types (18, 19, 20) . Because the promoter sequence of DMBT1 has not been identified, it is unclear whether its promoter sequences contain CpG sites that might be the targets for methylation. Nevertheless, we treated two NSCLC cell lines lacking expression of DMBT1 with 0.5 µM and 1.0 µM concentrations of 5-azacytidine for 3 and 5 days, respectively. DMBT1 transcription could not be rescued by such treatment, indicating methylation of the promoter region of the gene was unlikely to be the mechanism by which DMBT1 expression came to be lacking.

To determine whether there are mutations in DMBT1 that play a role in its inactivation, we sequenced the coding region of DMBT1 in eight NSCLC cell lines expressing the gene. Four nucleotide substitutions were identified in these cell lines compared with the published DMBT1 cDNA sequence (GenBank accession number AJ000342). One substitution (nucleotide 5227 G-> A) was identified at the 3' end of the gene in these lines (Calu-1, H1792, and SK-MES-1) without a change in the encoded amino acid. The other three nucleotide substitutions were found at the 5' end of the gene with amino acid changes also present. One substitution is located at codon 42. This codon was originally determined to be glutamine, derived from a coding sequence CAA (GenBank Accession Number AJ000342). However, based on our sequencing analysis of DMBT1 cDNA from 50 individuals, the coding for this codon appears to be ACA encoding a threonine residue. A nucleotide substitution changed the codon from ACA to CCA, resulting in the threonine to proline substitution that was observed in four cell lines (Table 1)Citation . Another substitution was identified at codon 54 in the same four cell lines (Table 1)Citation . The coding sequence for this codon was changed from TTG to TCG, resulting in an amino acid change from a leucine to a serine. Finally, a substitution was found at codon 52 in one cell line (Calu-1). The coding sequence TCG was changed to TGG, resulting in an amino acid substitution from a serine to a tryptophan (Fig. 3)Citation .


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Table 1 Summary of DMBT1 alteration in NSCLC cell lines and primary tumors

 


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Fig. 3. A potential point mutation was identified in Calu-1 cells. The sequence of codon 52 was changed from TCG to TGG, resulting in an amino acid substitution from serine to tryptophan. Arrow, site where the nucleotide substitution was located.

 
To determine whether the three nucleotide substitutions that cause amino acid changes represent polymorphisms, we analyzed 20 primary NSCLC tumors and their corresponding normal lung tissues and 22 normal lung tissues from patients with cancers other than lung cancer. We found that the threonine->proline substitution at codon 42 was present in 8 (40%) of the 20 NSCLC tumors and in their corresponding normal lung tissues (Table 1)Citation . This substitution was also found in 6 (27%) of the 22 normal lung tissues from patients with other types of malignancies. The leucine->serine substitution at codon 54 was found in the same tumor and normal tissue specimens exhibiting the codon 42 substitution. Thus, we think that these two substitutions represent frequent, linked polymorphisms. However, the serine->tryptophan substitution at codon 52 was not observed in any of the specimens from the 42 unrelated individuals tested and seven cell lines studied.

We further performed microsatellite analysis to determine potential LOH at the DMBT1 region in the 20 primary NSCLC tumors in which DMBT1 expression had been analyzed using two microsatellite markers flanking the gene. LOH at the locus was found in 10 (50%) of the 20 tumors. Interestingly, 8 (80%) of the 10 tumors with LOH at the locus had reduced DMBT1 gene expression, whereas the other two tumors with LOH had normal amounts of DMBT1 expression (Table 1)Citation . Statistical analysis showed that tumors with LOH at DMBT1 locus have a significantly higher rate of lack of DMBT1 expression than those without LOH at the locus (P = 0.005 by Fisher’s exact test).


    Discussion
 Top
 ABSTRACT
 Introduction
 Materials and Methods
 Results
 Discussion
 REFERENCES
 
DMBT1 was identified by using a representative difference analysis, a method for identifying homozygous deletions in target tissues (21) , to subtract DNA between normal tissues and medulloblastoma cell lines (6) . The gene was mapped to chromosome 10q25.3–26.1, a region frequently lost in many tumor types and that spans less than 65 kb (6) . In the original report, intragenic homozygous deletions were found in three of the nine brain tumor cell lines and 22% (7/32) of the primary glioblastomas, indicating that the gene may be disrupted by such deletions in these tumors. A subsequent report confirmed the observation by finding intragenic homozygous deletion of DMBT1 in 38% (8/21) of primary glioblastomas (11) . However, the lack of DMBT1 expression was also observed in glioblastoma cell lines without homozygous deletions (6) , suggesting the existence of alternative mechanisms for inactivation of DMBT1 in these tumors. Cytogenetic analysis has shown a complex rearrangement of this region in a glioblastoma cell line, and fluorescence in situ hybridization analysis suggested that one of the translocation breakpoints lies in the vicinity of the gene (11) . Although the functions of DMBT1 as a tumor suppressor are presently unknown, the genetic evidence supports the notion that the gene is important in brain tumors.

The study presented in this report is the first demonstrating that DMBT1 is also altered frequently in lung cancer. The abnormalities exist not only in tumor cell lines but also in primary tumors. We found a similar rate (~45%) of loss of DMBT1 expression in both NSCLC cell lines and primary NSCLC specimens. The discordance between the frequency of homozygous deletions (10% in SCLC and none in NSCLC) and the lack of DMBT1 expression (100% in SCLC and 43% in NSCLC) in lung cancer cell lines suggests that other, yet to be identified mechanisms play a role in the inactivation of the gene. However, it is unlikely that methylation in the promoter region of DMBT1 gene plays an important role because the gene is not GC-rich in sequence content, and a demethylation treatment could not restore DMBT1 expression. However, we cannot exclude the possibility that small deletions exist and are located within DMBT1 but away from regions we examined. It is interesting that most of the primary NSCLC tumors exhibiting lack of DMBT1 expression also lost one of the DMBT1 alleles (LOH), whereas LOH was rare in tumors expressing normal amounts of DMBT1 (P = 0.005; Table 1Citation ), suggesting that LOH plays an important role in inactivating DMBT1. Further studies are required to study subtle alterations within the gene and to identify molecules that control the gene’s expression.

DMBT1 is considered a member of the SRCR superfamily because at least nine SRCR domains are present in its predicted protein sequence. It also contains two CUB domains and one ZP domain. It is interesting that a unique domain with 20–23 amino acid residues (known as SID, for SRCR interspersed domain) is located between every SRCR domain (6) . In the mouse, the structure of CRP-ductin is very similar to that of DMBT1, with eight SRCR domains, 5 CUB domains, and one ZP domain (15) . A unique domain with high homology was also found between every SRCR domain in CRP-ductin; it is known as CRP. The {alpha} form of the protein contains a short transmembrane domain and a cytoplasmic domain, whereas the ß form lacks these domains (15) . In fetal lung tissue, there are three DMBT1 mRNA species of 8.0, 7.5, and 6.0 kb. The sequence reported previously was from the smallest transcript (6) . Therefore, it is possible that the larger transcripts of DMBT1 contain more coding sequences for a transmembrane and a cytoplasmic domain as demonstrated in the mouse CRP-ductin {alpha} form. Alternatively, more SRCR domains are present in the larger form of DMBT1. Nevertheless, the lack of gene expression was detected using primers for both the 3' end and the 5' end of the DMBT1 cDNA sequence in this study, indicating that none of these potential isoforms were expressed in these lung tumors.

Previous studies suggest that some of the SRCR superfamily members play a role in cell differentiation (14 , 15) . Thus, it is possible that the lack of DMBT1 expression results in the loss of epithelial cell differentiation. However, we did not observe clear association between loss of DMBT1 expression and tumor differentiation status or squamous versus adenocarcinoma histology (Table 1)Citation .

We have identified three amino acid substitutions in DMBT1 at a narrowed NH2-terminal region in lung cancer cell lines and primary tumors. The region contains about 70 amino acids and has no homology to any known protein. Although these substitutions represent nonconservative amino acid changes, two of the substitutions were found in both primary NSCLC tumors and in the corresponding normal lung tissues in 40% of cases analyzed, indicating they are likely to be examples of polymorphism. These polymorphisms are probably also common in patients with other types of cancers (27%). We are presently unable to examine the frequency of these nucleotide changes in a normal population because DMBT1 is not expressed in peripheral lymphocytes, and the genomic sequence of DMBT1 is not yet available. Therefore, we cannot exclude the possibility that these changes may have functional consequences in tumorigenic processes and may be enriched in patients with cancer as a germ-line alteration predisposing to cancer development. The other amino acid substitution at codon 52 was found in only one NSCLC cell line but not in any of the other tumor cell lines, primary tumors, and normal tissues from 49 unrelated individuals, suggesting this substitution may be a somatic mutation. However, this hypothesis requires confirmation by functional analysis in future studies. Thus, it will be interesting to see how replacing wild-type DMBT1 in our tumor cell lines with homozygous deletions compares with a DMBT1 gene with the codon 42 and 54 substitutions.

In summary, we have demonstrated that expression of DMBT1 is frequently lost in lung cancer, particularly in SCLC. We found that intragenic homozygous deletions of DMBT1 exist in a fraction of SCLC cell lines and that LOH status at the DMBT1 region was significantly associated with reduced expression of DMBT1 in primary NSCLC tumors. We also identified three nucleotide substitutions in DMBT1 resulting in nonconservative amino acid changes, including one potential point mutation. These data support the hypothesis that DMBT1 is a tumor suppressor gene and that it plays an important role in lung tumorigenesis.


    ACKNOWLEDGMENTS
 
We thank Julie Starr for critical editorial review of the manuscript.


    FOOTNOTES
 
The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

1 Supported in part by American Cancer Society Grant RPG-98-054, National Cancer Institute Grants PO1 CA74173 and Lung SPORE Grant CA 70907, and NIH Fellowship Training Grant T32 CA 66187. W. K. H. is an American Cancer Society Clinical Research Professor. Back

2 To whom requests for reprints should be addressed, at Molecular Biology Laboratory, Department of Thoracic/Head and Neck Medical Oncology, The University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX 77030. Phone: (713) 792-6363; Fax: (713) 796-8865; E-mail: lmao{at}notes.madcc.tmc.edu Back

3 The abbreviations used are: LOH, loss of heterozygosity; SCLC, small cell lung cancer; NSCLC, non-small cell lung cancer; RT-PCR, reverse transcription-PCR; STS, specific tag sequence; SRCR, scavenger receptor cysteine-rich; CUB, complement subcomponents Clr/Cls, Uegf, Bmp1; ZP, zona pellucida. Back

Received 12/14/98. Accepted 3/ 2/99.


    REFERENCES
 Top
 ABSTRACT
 Introduction
 Materials and Methods
 Results
 Discussion
 REFERENCES
 

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