| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
Regular Articles |
Cancer Genetics Branch, National Human Genome Research Institute, NIH, Bethesda, MD 20892-4094 [P. M. P.], and Joint Experimental Oncology Program of the Queensland Institute of Medical Research, the University of Queensland, and the Queensland Cancer Fund, Queensland, 4029 Australia [J. W., N. K. H.]
| ABSTRACT |
|---|
|
|
|---|
locus. In the remaining eight tumors, multiplex PCR demonstrated
that the observed heterozygosity was not attributable to
homozygous deletion and stromal contamination at D9S1748, D9S942, or
D9S974, as measured by comparative amplification strengths, which
indicates that retention of heterozygosity with flanking LOH does not
always indicate a homozygous deletion. This report supports the
conclusions of previous studies that at least two TSGs involved in
melanoma development in addition to CDKN2A may reside on
chromosome 9p. | INTRODUCTION |
|---|
|
|
|---|
Although the high rate of CDKN2A mutations in immortalized
cell lines is probably attributable to the acquisition of mutations
during culture and/or the preferential establishment of cell lines from
tumors carrying CDKN2A mutations, this still leaves the
paradoxically low frequency of CDKN2A mutations in those
tumors demonstrating 9p21 LOH. A review of the relevant literature
reveals that although LOH on chromosome 9p is observed in 3070% of
all uncultured melanomas, mutations in CDKN2A have been
observed only in 510% of samples. Several explanations for this
paradox have been put forward including the following: failure to
identify 100% of the coding region mutations because of technical
limitations and/or their presence outside the coding region;
transcriptional silencing of CDKN2A by methylation of the
CpG island spanning the promoter and exon 1
of the gene; the
inactivation of CDKN2A by HD; and the presence of another
TSG(s) within this region that accounts for 9p21 LOH in a subset of
tumors. It is the difficulty in assessing the presence of HDs in tumors
presenting with LOH on chromosome 9p21 that lies at the foundation of
some of the debate surrounding the possibility of another TSG mapping
to this region.
Before the cloning of the CDKN2A gene, Cairns et
al. (10)
reported the detection of HDs at
IFNA on 9p21 by the ROH at this marker flanked by regions of
LOH. Comparative multiplex PCR was used to demonstrate that this
apparent ROH was attributable to an amplification signal originating
from a small number of stromal cells present in those tumor samples.
This evidence was taken to represent HD of this locus. With the
isolation of new polymorphic markers mapping either side of the
CDKN2A locus, Cairns et al. reexamined a panel of
primary bladder tumors in which a low frequency of CDKN2A
mutations had been reported previously (8)
. HDs were
reported in a total of 126 (71%) of 178 primary bladder tumors
demonstrating 9p21 LOH (11)
, and the authors concluded
that this argued against the presence of another TSG mapping to
chromosome 9p21. They scored the tumors as carrying HDs when one or
more markers near CDKN2A demonstrated apparent ROH and
flanking markers exhibited LOH. However, in contrast to their original
paper, in this study, the authors did not report the use of multiplex
PCR, without which one cannot conclusively distinguish between apparent
ROH attributable to a HD and real ROH. Moreover, examination of the
figure (Fig. 1)
supplied in this article, casts some doubt on their conclusions. In
Fig. 1b
there is very little residual signal observed from the
lost allele (markers IFNA and D9S171) indicating very little stromal
contamination in this tumor; however, at those markers demonstrating
ROH (PKY2 and PKY3) the signals obtained from the tumor show no
reduction in intensity compared with the normal lane. This is
surprising if the same amount of DNA and the same number of cycles were
used to amplify all markers. Unwittingly, this article
(11)
is at the center of the controversy regarding
additional TSG loci mapping to chromosome 9p, because numerous
subsequent studies have reported ROH with flanking LOH at markers
surrounding CDKN2A and have interpreted this to represent
the presence of HDs, without performing either multiplex PCR or
Southern blotting to verify the conclusions.
|
We have analyzed 37 melanoma tumors from 35 patients for mutations in the CDKN2A gene and for LOH at 9p1324. Multiplex amplification of two and/or three microsatellite markers was performed to ascertain HDs at those markers flanking CDKN2A demonstrating apparent ROH where markers on one or both sides of the gene demonstrated LOH. This report provides further evidence for two TSG loci, in addition to CDKN2A, mapping to chromosome 9p2122 that may be involved in the progression of melanoma (14 , 15) .
| MATERIALS AND METHODS |
|---|
|
|
|---|
SSCP Analysis of CDKN2A.
SSCP analysis was used to screen for CDKN2A mutations in all
of the samples using primer sequences taken from Hussussian
et al. (25)
. PCR reactions included 75 ng of
template, 15 pmol of each primer, 0.15 units Taq, 10% DMSO, 1.5
mM final MgCl2
concentration, and 1 µCi of [
-32P]dCTP in
a 15-µl total volume. Amplification was carried out using a touchdown
PCR protocol in which the annealing temperature was dropped 1° every
2 cycles from 65°C to 56°C, followed by an additional 15 cycles
with an annealing temperature of 55°C. For all cycles, 60 s
annealing and extension times and a 45 s denaturation time were
used. Resultant PCR products were heated to 95°C for 5 min with two
volumes of stop dye, snap-cooled on ice, and then separated on a
0.5x MDE (FMC Inc.) matrix in 0.6x
Tris/borate/EDTA. Gels were routinely run at 9 W for 68 h or 5
W overnight. Multiple DNA samples with known mutations
(26)
were included in every SSCP experiment as positive
controls.
Sequencing.
CDKN2A amplification for sequencing was performed under the
same conditions, and the PCR products were purified using a gel
extraction kit (Qiagen, Hilden, Germany). Applied Biosystems
Incorporated (ABI) dye terminator sequencing kits were used according
to the manufacturers specifications and reactions were run on an ABI
377 automated sequencer (Applied Biosystems). Sequences generated from
each tumor were aligned with Sequencher (Gene Codes Corporation) for
analysis, in addition to being scanned manually for heterozygous peaks
not detected by the sequencing analysis software.
Microsatellite Analysis.
A panel of 11 microsatellites mapping from 9p13 to 9p24 was typed in
all of the samples to detect LOH (Table 3)
. Four additional
microsatellite markers (D9S168, D9S736, D9S1604, and D9S15) were
amplified in those samples demonstrating LOH, to further delineate
potential borders of loss. All of the primer sequences were obtained
from the Genome
Database.3
PCR reactions, cycling conditions, and electrophoresis were
carried out as described previously (26)
with the
exception of D9S1748, which was amplified using the conditions
described for D9S974. For all of the equivocal results, PCRs were
repeated, the samples were rerun several times, and the autoradiographs
independently scored by at least two co-authors. In addition,
various exposures of all of the autoradiographs were taken to ensure
that overexposure of a given lane did not obscure interpretation of the
signal. Multiplex amplification of two and/or three microsatellite
markers was performed to ascertain for HDs at markers flanking
CDKN2A in eight samples. In these cases, D9S974, D9S942, and
D9S1748 were multiplexed with another marker mapping to chromosome 9p21
and demonstrating LOH in that sample, so that the level of stromal
contamination could be assessed. Markers D9S942 and D9S1748 were
multiplexed with D9S171 and/or D9S169, and D9S974 was multiplexed with
D9S162. LOH can result from either deletion of chromosomal regions or
mitotic recombination. In the latter case, LOH manifests as both a
decrease in signal from the lost allele and an increase in signal from
the retained allele (allelic imbalance). This adds complexity to the
interpretation of data generated from duplex PCRs, especially when one
marker demonstrates LOH and the other marker may or may not be
homozygously deleted. For this reason, triplex amplification with an
additional marker mapping to chromosome 10q (either D10S539 or D10S221)
was used as an additional control for equal loading. Because the 10q
LOH status of these tumors was known, attempts were made to choose a
control marker at which the tumor was heterozygous; however, this was
not always possible, and, in some cases, the tumor was known to
demonstrate LOH at the control marker. In duplex and triplex PCRs, only
27 cycles were used.
|
-32P]dCTP in a final
volume of 10 µl with 0.5 units of Amplitaq Gold using 1.5
mM MgCl2. PCR conditions consisted of
an initial denaturation step at 94°C for 10 min followed by 30 cycles
at 94°C for 45 s, 55°C for 45 s, and 72°C for 45 s, with a final 5 min extension at 72°C. | RESULT |
|---|
|
|
|---|
TT mutation was detected in both of the metastases taken from the
left and right axillary nodes, and in patient 40438, a CC
TT
mutation was identified in metastases removed from the submandibular
and preauricular nodes, which indicated that in these two patients, the
CDKN2A mutations were probably present in the primary
tumors. The most common mechanism of inactivating both copies of
CDKN2A is via HD, or hemizygous deletion with a
corresponding mutation on the remaining allele. Surprisingly, patient
41070 was found to carry two mutations within exon 2 of
CDKN2A. No LOH was detectable in this tumor (results not
shown) and sequencing of CDKN2A in the germ line of this
individual revealed no mutation (results not shown). Subcloning and
sequencing confirmed that this tumor had acquired two CDKN2A
somatic mutations, one on each allele (results not shown).
|
|
TT tandem
substitutions or C
T transitions at the 3' pyrimidine of a
dipyrimidine pair. In all of the tumors carrying CDKN2A
mutations, the original site of the primary lesion was a sun-exposed
site, e.g., forehead, back of neck, back, leg, or arm.
Microsatellite Analysis to Detect LOH.
An example of LOH for each marker analyzed is presented in Fig. 3
, and the results for those tumors demonstrating LOH are summarized in
Table 2
. LOH was identified at one or more markers in 22 (57%) of 37 of the
melanomas; however, only 10 (24%) of 37 tumors demonstrated LOH at
D9S942 and/or D9S1748, the markers located closest to the
CDKN2A gene. Of the remaining 12 tumors with LOH: 1 tumor
was noninformative at D9S942 and D9S1748 but demonstrated LOH at every
informative marker analyzed; 7 tumors demonstrated LOH at one or more
markers either centromeric and/or telomeric to CDKN2A but
demonstrated apparent ROH at several markers adjacent to
CDKN2A; 2 tumors demonstrated ROH at D9S942 with flanking
LOH at several centromeric markers; and the remaining 2 tumors
demonstrated LOH at one or more noncontiguous markers. Of the tumors
carrying CDKN2A mutations, six of seven demonstrated LOH
across the whole region examined, whereas the seventh had no LOH but
carried two point mutations (detailed above). Replication errors were
observed in tumors from four patients, although replication error at
multiple markers was not observed in any individual. The apparent ROH
of markers at or near CDKN2A with LOH detected on either one
or both sides of the gene indicated that either (a)
these tumors are homozygously deleted for this region or (b)
the ROH surrounding CDKN2A is real. In the latter case this
would suggest that the LOH observed targeted other regions of 9p, in
turn suggesting the presence of one or more additional TSGs. We,
therefore, used multiplex amplification of microsatellite markers to
distinguish between these possibilities.
|
|
|
| DISCUSSION |
|---|
|
|
|---|
8%. This is likely to be an underestimate because not every
study screened the entire gene for mutations. The overall frequency of
CDKN2A mutations is slightly higher in primary tumors
compared with metastases (10 versus 6%, respectively). It
has been hypothesized that the close proximity of the alternate exon
1ß of CDKN2A means that, if both p16 and
p14ARF are inactivated by HD, it could result in
an additional growth advantage, which may explain the slightly higher
frequency of point mutations in primary tumors (27)
.
Although it is likely that aberration of CDKN2A is likely to
occur by a combination of mutation, HD, or transcriptional
silencing, in those studies that have combined these analyses with 9p21
LOH, these mechanisms of inactivation together still account only for
just under one-half of all melanomas demonstrating LOH on chromosome
9p21.
LOH on Chromosome 9p21: Evidence for Additional TSG Loci Mapping to
Chromosome 9p2124 Involved in Melanoma.
This study supports the data presented by Ruiz et al.
(15)
and several earlier studies that indicated the
presence of possibly two or more additional TSGs on 9p2122 involved
in melanoma development. Fig. 5
summarizes the data obtained from the present and previous
studies, which indicate two regions of loss in addition to
CDKN2A. In many studies, a SRO that specifically
targets CDKN2A and excludes these additional loci is not
evident, because many tumors demonstrate LOH over a large portion of
9p21. Nevertheless, there is remarkable concordance among studies
regarding the location of the additional TSG loci. Holland et
al. (12)
identified a very small additional SRO
telomeric to CDKN2A, mapping between D9S157 and
IFNA; however, subsequent studies (Refs. 14
, 15,
and the present study) have failed to confirm this distal
border. Given that multiplex PCR was not performed in the former study,
D9S157 cannot be confidently assumed to mark the distal border of this
region (Fig. 5
, Region 1). The current study used D9S168, by
far the most telomeric marker analyzed in any melanoma study to date.
We still observe LOH at this marker, which suggests the possibility
that the candidate region to which a putative TSG maps may extend into
9p2324, far beyond D9S157. Further localization of the putative TSG
telomeric to CDKN2A requires analysis of additional markers
mapping to 9p2324 in the various tumor panels. The SRO centromeric to
CDKN2A (Fig. 5
, Region 2) has been localized to
between D9S265 and D9S161 by Ruiz et al. (15)
.
Although our results cannot further refine this SRO, they overlap with
this region and support the location of an additional TSG centromeric
to CDKN2A. It should be noted that the original HDs
identified on chromosome 9p21 in melanoma cell lines by Fountain
et al. (28)
encompassed the D9S126 locus and
the polymorphic RFLP marker S3, both of which map within region 2 (Fig. 5)
. Small HDs affecting CDKN2A cannot be ruled out in the
five tumors in this study that demonstrate LOH at all of the 9p markers
but that do not carry detectable CDKN2A mutations.
Nevertheless, it is tempting to speculate that these tumors may also
support the presence of additional TSG loci mapping to this region.
|
|
In contrast, the SRO identified in melanomas as Region 1,
spans 3 smaller delineated regions, one of which is common to NSCLC,
SCLC, HNSCC, pituitary adenomas, and oral carcinomas, the other two
regions having only been identified in breast carcinomas. It should be
noted that the small SRO defined by Holland et al.
(12)
is identical to the SRO identified by Farrell
et al. (18)
in pituitary adenomas and
overlaps with Region C (Fig. 6)
. It remains to be seen
whether an analysis of additional markers mapping to chromosome
9p2124 will reveal more than one candidate region in melanoma. If so,
this may explain the more distal LOH observed in this study. The only
detailed LOH study using markers mapping to 9p2324 has been performed
in breast carcinoma samples, and because this region is relatively
underinvestigated, it is unknown at present whether similar analyses in
a wide range of tumor types will support the presence of additional
TSGs in this region.
Functional Evidence for Additional TSG Loci Mapping to 9p21.
The reintroduction of CDKN2A into a variety of cell types
results in growth suppression. To investigate chromosome 9p for the
presence of additional TSGs, Parris et al. (31)
have used microcell-mediated chromosome transfer, harboring different
microdeletions that remove CDKN2A, into the cell line
UACC-903. The first variant, designated chromosome 9a, carried a
deletion encompassing only CDKN2A, CDKN2B, and
p14ARF. The second variant, designated chromosome
9b, harbored a much larger deletion extending from
IFNA to D9S171. The hybrids constructed with
chromosome 9a demonstrated an increased ability to suppress growth in
soft agar and suppressed both tumor formation and metastasis in nude
mice to a greater extent than the hybrids constructed with chromosome
9b. These data suggest the presence of a TSG in addition to
CDKN2A that is inactivated by the microdeletion extending
from IFNA to D9S171. These data contrast with the candidate
regions delineated by LOH studies (Fig. 5)
, which map just outside this
region; however, one possibility is that the deletion disrupts
sequences important for the regulation of one of the putative TSGs.
Nevertheless, hybrids containing chromosome 9b did result in
suppression of growth in soft agar and a statistically significant
reduction in tumor volume compared with the control when injected into
nude mice. Together, these data provide functional evidence for one or
more TSG loci mapping to chromosome 9p in addition to
CDKN2A. Moreover, the presence of hybrids, which have lost
their ability to suppress tumor formation because of the acquisition of
small regions of HD, may provide a resource with which to map the
location of these novel TSGs.
In conclusion, the LOH data in this study support previous reports that additional TSG loci involved in melanoma progression map both centromeric and telomeric to CDKN2A. Furthermore, they indicate the importance of multiplex PCR to distinguish possible HDs manifesting as apparent ROH from real ROH.
| FOOTNOTES |
|---|
1 To whom requests for reprints should be
addressed, at Cancer Unit, Queensland Institute of Medical Research,
Post Office Royal Brisbane Hospital, Herston, QLD 4029 Australia.
Phone: 61-7-33620306; Fax: 61-7-33620107; E-mail: nickH{at}qimr.edu.au ![]()
2 The abbreviations used are: TSG, tumor
suppressor gene; HD, homozygous deletion; LOH, loss of heterozygosity;
IFNA, IFN
locus; ROH, retention of heterozygosity; SCLC, small cell
lung cancer; NSCLC, non-SCLC; SSCP, single-strand conformation
polymorphism; smallest region of overlap; HNSCC, head and neck squamous
cell carcinoma. ![]()
3 Internet address: http://gdbwww.gdb.org/. ![]()
Received 3/16/00. Accepted 11/28/00.
| REFERENCES |
|---|
|
|
|---|
This article has been cited by other articles:
![]() |
S. Sinha, N. Chunder, N. Mukherjee, N. Alam, A. Roy, S. Roychoudhury, and C. K. Panda Frequent Deletion and Methylation in SH3GL2 and CDKN2A Loci are Associated with Early- and Late-onset Breast Carcinoma Ann. Surg. Oncol., April 1, 2008; 15(4): 1070 - 1080. [Abstract] [Full Text] [PDF] |
||||
![]() |
K Laud, C Marian, M F Avril, M Barrois, A Chompret, A M Goldstein, M A Tucker, P A Clark, G Peters, V Chaudru, et al. Comprehensive analysis of CDKN2A (p16INK4A/p14ARF) and CDKN2B genes in 53 melanoma index cases considered to be at heightened risk of melanoma J. Med. Genet., January 1, 2006; 43(1): 39 - 47. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. Hoek, D. L. Rimm, K. R. Williams, H. Zhao, S. Ariyan, A. Lin, H. M. Kluger, A. J. Berger, E. Cheng, E. S. Trombetta, et al. Expression Profiling Reveals Novel Pathways in the Transformation of Melanocytes to Melanomas Cancer Res., August 1, 2004; 64(15): 5270 - 5282. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. Ueki, A. W. Hsing, Y.-T. Gao, B.-S. Wang, M.-C. Shen, J. Cheng, J. Deng, J. F. Fraumeni Jr., and A. Rashid Alterations of p16 and Prognosis in Biliary Tract Cancers from a Population-Based Study in China Clin. Cancer Res., March 1, 2004; 10(5): 1717 - 1725. [Abstract] [Full Text] [PDF] |
||||
![]() |
B. Taback, S. J. O'Day, P. D. Boasberg, S. Shu, P. Fournier, R. Elashoff, H.-J. Wang, and D. S. B. Hoon Circulating DNA Microsatellites: Molecular Determinants of Response to Biochemotherapy in Patients With Metastatic Melanoma J Natl Cancer Inst, January 21, 2004; 96(2): 152 - 156. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. M. Wong, J. M. F. Lee, T. C. M. Lau, S. T. Fan, and I. O. L. Ng Clinicopathological Significance of Loss of Heterozygosity on Chromosome 13q in Hepatocellular Carcinoma Clin. Cancer Res., July 1, 2002; 8(7): 2266 - 2272. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. M. Goldstein and M. A. Tucker Genetic Epidemiology of Cutaneous Melanoma: A Global Perspective Arch Dermatol, November 1, 2001; 137(11): 1493 - 1496. [Full Text] [PDF] |
||||
![]() |
B. Taback, Y. Fujiwara, H.-J. Wang, L. J. Foshag, D. L. Morton, and D. S. B. Hoon Prognostic Significance of Circulating Microsatellite Markers in the Plasma of Melanoma Patients Cancer Res., August 1, 2001; 61(15): 5723 - 5726. [Abstract] [Full Text] [PDF] |
||||
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| Cancer Research | Clinical Cancer Research |
| Cancer Epidemiology Biomarkers & Prevention | Molecular Cancer Therapeutics |
| Molecular Cancer Research | Cancer Prevention Research |
| Cancer Prevention Journals Portal | Cancer Reviews Online |
| Annual Meeting Education Book | Meeting Abstracts Online |