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Molecular Biology, Pathobiology, and Genetics |
1 Department of Gynecologic Oncology, The University of Texas M.D. Anderson Cancer Center; 2 Texas Children's Cancer Center and Departments of 3 Pediatrics, 4 Neurosurgery, and 5 Pathology, Baylor College of Medicine, Houston, Texas; and 6 Department of Pediatrics, Catholic University of Rome, Italy
Requests for reprints: Kwong-Kwok Wong, Department of Gynecologic Oncology, The University of Texas M.D. Anderson Cancer Center, Unit 1362, 1515 Holcombe Boulevard, Houston, Texas 77030. Phone: 713-792-0229; Fax: 713-745-5099; E-mail: kkwong{at}mdanderson.org.
| Abstract |
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(PDGFR
) in a few of the 13 cases of glioblastoma multiforme analyzed. Interestingly, the amplified EGFR and PDGFR
were located within regions of LOH. SNP loci with LOH and copy number changes were validated by sequencing and quantitative PCR, respectively. Our results indicate that, in some pediatric glioblastoma multiforme, one allele each of EGFR and PDGFR
was lost but the remaining allele was amplified. This may represent a new molecular mechanism underlying tumor progression. (Cancer Res 2006; 66(23): 11172-8) | Introduction |
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Loss of heterozygosity (LOH) and deletion of tumor suppressor genes are observed frequently in malignant cells and can be associated with deregulation of cell division and apoptosis (3). Similarly, amplification of chromosomal regions can increase the expression of oncogenes during tumor progression. The recent introduction of oligonucleotide microarrays designed for whole-genome genotyping of single nucleotide polymorphisms (SNP) has facilitated detailed mapping for LOH and measurement of copy number changes at thousands of SNP loci (4, 5). In this study, we describe the use of this technique to characterize LOH and chromosome copy number changes in 14 high-grade and 14 low-grade pediatric gliomas.
| Materials and Methods |
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SNP GeneChip assay. DNA labeling and hybridization, as well as washing and staining of the 10K SNP mapping arrays, were done according to the standard Single Primer GeneChip Mapping Assay protocol (Affymetrix, Inc., Santa Clara, CA) as described elsewhere (5). Briefly, 250 ng of genomic DNA were digested with XbaI and then ligated to a XbaI adaptor before subsequent PCR amplification using AmpliTaq Gold (Applied Biosystems, Foster City, CA). To obtain enough PCR products, four 100-µL PCRs were set up for each XbaI adaptor-ligated DNA sample. The PCR products from the four reactions were then pooled and purified. A final 20 µg PCR product was fragmented with DNase I and visualized on a 4% Tris-borate EDTA agarose gel to confirm that DNA fragment sizes ranged from 50 to 100 bp. Fragmented PCR products were then end labeled with biotin. Hybridization and detection were done with an Affymetrix Fluidics Station 450 and GeneChip Scanner 3000.
Data analysis. Signal intensity data from the GeneChip Operating software were analyzed by GeneChip DNA analysis software (GDAS; version 3.0). GDAS Mapping Algorithm uses a model-based approach to do allele calling for all SNPs on GeneChip 10K mapping arrays (6). Information about the linear chromosome location and upstream and downstream associated microsatellite markers and genes for each SNP was extracted directly from NetAffx Analysis Center7 (6). Data from SNP array experiments were collated by using OmniViz software8, and all SNPs with LOH (genotype changing from AB in blood DNA to AA or BB in the corresponding tumor DNA) were identified by using a dynamic query tool within the OmniViz software package.
dChipSNP analysis. The cell files and the corresponding SNP typing text files exported from Affymetrix GDAS software were imported into dChip for LOH and copy number analysis as described elsewhere (7, 8). Normalized intensities of the SNP loci in blood DNA samples from the same 28 study patients were used as the baseline to estimate the copy number of the corresponding SNP loci in the tumor samples. dChip uses a hidden Markov model incorporating signal variations in the normal reference group to identify chromosomal alteration regions from SNP array data (8).
Validation of copy number changes by quantitative real-time PCR. Quantitative real-time PCR was done on an ABI Prism 7000 sequence detector (Applied Biosystems) by using a SYBR Green kit (Applied Biosystems). The target locus from each tumor DNA was normalized to the reference, Line-1, a repetitive element for which copy numbers per haploid genome are similar among all human normal and neoplastic cells (9). The relative target copy number level was calculated by using normal human genomic DNA as the calibrator. Copy number change of a target SNP locus relative to that of the calibrator was determined by using the comparative CT method (10). Quantitative real-time PCR for each primer set was done at least in triplicate, and means are reported. Conditions for the reaction were as follows: 1 cycle at 95°C for 10 minutes and 40 cycles at 95°C for 15 seconds and 60°C for 1 minute. At the end of the PCR, samples were subjected to a melting analysis to confirm specificity of the amplicon. Primers were designed by using Primer 39 to span a 100- to 150-bp nonrepetitive region and synthesized by Sigma-Genosys (The Woodlands, TX). Primer sequences for each target used in this study are published as supporting information (Supplementary Table S1).
Validation of LOH by sequencing of SNP loci from both blood and tumor samples. Sequences of interest from the LOH-associated SNP loci were retrieved from the dbSNP database at the National Center for Biotechnology Information. Primers flanking the SNP site were designed by using Primer 3. PCR-amplified SNP loci fragments from both blood and tumor DNA samples were sequenced to confirm the LOH involving that SNP in the tumor.
Detection of epidermal growth factor receptor expression using reverse-transcription PCR. cDNA was synthesized from total RNA and subjected to PCR using previously described primers that flank exons 2 to 7 of epidermal growth factor receptor (EGFR; ref. 11). PCR conditions were as follows: 1 cycle at 94°C for 1 minute; 40 cycles at 94°C for 30 seconds, 55°C for 1.5 minute, and 72°C for 30 seconds; and 1 cycle at 72°C for 5 minutes.
| Results |
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Genes associated with LOH regions in low-grade glioma are involved in regulation of cell cycle and ubiquitin cycle. For the low-grade astrocytomas, AST145 and SGCA419, LOH was detected at 6q23.3-q26 (
28.7 Mb) and 21q21.1-q22.3 (
22.7 Mb), respectively. Genes associated with these regions were subjected to ontology analysis. The results (Table 2
) indicated that several genes were involved in the ubiquitin cycle [TTC3 (21q22.2), PARK2 (6q25.2), and UBE2G2 (21q22.3)] and the cell cycle [ESR1 (6q25.1), HECA (6q23-q24), and ERG (21q22.3)].
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and EGFR were detected in glioblastoma multiforme. High-level amplifications (copy number 10) were found in four glioblastoma multiforme samples (GBM-CU1, GBM-CU3, GBM572, and GBM930). Amplified SNP loci were located at 4q12 and 7p11.2, and the amplifications were confirmed by semiquantitative real-time PCR (Table 3
). We sequenced the kinase domain of EGFR from exons 18 to 21 for both the blood and the corresponding tumor DNA of GBM572 but detected no mutation. Instead, a SNP located between exon 19 and 20 of EGFR indicated that only one allele of EGFR remained in the tumor (Fig. 2
). An additional SNP locus within the intron 1 of EGFR also indicated that only one allele of EGFR was remaining within the genome of GBM572 (Supplementary Fig. S2). Thus, amplification of EGFR was derived from the remaining allele. Similarly, we sequenced exons 12 and 18 of platelet-derived growth factor receptor
(PDGFR
) and detected no mutation. Sequencing analysis of a SNP within exon 18 of PDGFR
indicated that one allele of PDGFR
was lost in the tumor (Fig. 2).
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| Discussion |
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Loss of heterozygosity. Most of the low-grade gliomas exhibited no detectable LOH in any of the 11,562 SNP loci; the exceptions are two gangliogliomas (3q and 9p), one astrocytoma (6q), and two subependymal giant cell astrocytomas (16p and 21q). Ontology analysis of genes associated with LOH regions in these low-grade gliomas indicated that a possible defect in the ubiquitin cycle might be involved (Table 2). On the other hand, the high-grade gliomas had complex LOH involving 52 to 2,168 SNP loci on numerous chromosomes. LOH regions identified with high frequency in glioblastoma multiforme include 4q (54%), 6q (46%), 9p (38%), 10q (38%), 11p (38%), 12 (38%), 13q (69%), 14q (54%), 17 (38%), 18p (46%), and 19q (38%). A previous analysis of 13 malignant astrocytomas in children and young adults identified extensive genomic loss and gain by comparative genomic hybridization (14). In that study, the most common recurrent copy number aberrations were losses of 16p (54% of cases), 17p (38%), 19p (38%), and 22 (38%). Using SNP array, we detected similar frequencies of genomic losses in terms of LOH at 17p and 19p but lower occurrence of losses at 16p (15%) and 22 (23%). Additionally, we identified more regions with LOH than the previous study. This is probably because LOH detection by SNP array is based on genotyping calls of matched normal blood DNA and tumor DNA from the same patient and therefore can detect loss of one allele followed by reduplication of the remaining allele as LOH. In contrast, comparative genomic hybridization is based on DNA copy number ratios to a reference DNA and thus cannot detect reduplication of the remaining allele for LOH.
Although low-grade gliomas in children rarely progress to glioblastoma multiforme, a phenomenon of "malignant transformation" more frequently seen in adult patients, several of the most common recurrent regions of LOH (4q, 9p, 10q, 11p, and 13q) we identified in pediatric glioblastoma multiforme are associated with malignant progression in adult glioblastoma multiforme (15). Microsatellite markers have identified novel regions of allelic deletion on chromosome 18p in tumors of the lung, brain, and breast (16). Similarly, a region of common deletion in 22q13.3 in human glioma has been associated with astrocytoma malignant progression (17). In this study, 18p (46%) was one of the regions of most frequent LOH, whereas LOH in 22q13.3 was found in three glioblastoma multiforme. Apparently, LOH at these regions may be related to the aggressive biology of glioblastoma multiforme. Future prospective studies are needed to show any potential correlations between specific LOH and clinical outcomes.
Amplification of EGFR and PDGFR. SNP loci located at 4q12 and 7p11.2 were found to be highly amplified in glioblastoma multiforme. The amplifications of EGFR and PDGFR at these loci were confirmed by semiquantitative real-time PCR (Table 3). A previous study has shown that amplification of EGFR is the most common genetic alteration in adult glioblastoma multiforme (>40%) but occurs rarely in pediatric glioblastoma multiforme (18). In our study of pediatric glioblastoma multiforme, amplification of EGFR is indeed a rare event and was detected in only 2 of 13 glioblastoma multiformes. In adult glioblastoma multiforme, the expression of a truncated receptor with constitutive tyrosine kinase activity (19) and aberrant receptor signaling (20) is identified frequently. The most common rearrangement of the EGFR gene is a type III mutation, an in-frame deletion of 801-bp spanning exons 2 to 7 in the mRNA (12). RT-PCR and sequencing analysis of the EGFR transcript in GBM572 confirmed a type III mutation (Fig. 3). Whereas both GBM249 and GBM572 overexpressed EGFR, only GBM572 also had DNA amplification. Although pediatric glioblastoma multiforme must be considered independently from adult glioblastoma multiforme, demonstration of some cases of pediatric glioblastoma multiforme with amplification and rearrangement of EGFR provides the rationale for clinical trials with agents targeting EGFR (21).
Amplification of the PDGFR
gene has been shown recently by real-time quantitative PCR to occur in
15% of adult astrocytomas (22), and PDGFR
overexpression has been hypothesized to be an early event in malignant transformation of low-grade astrocytoma (23). In this study, we detected amplification of the PDGFR
gene in 2 of the 13 glioblastoma multiformes. From the expression profiles of GBM930, acquired with Affymetrix U133A chip, genes located at the 4q12 region (KIT, PDGFR
, and CHIC2) were expressed at very high levels (data not shown), indicating the concordance between DNA amplification and mRNA overexpression of these genes in GBM930.
Interestingly, both amplified EGFR and PDGFR
genes are located in regions of LOH, which implies amplification of a specific allele. Sequencing analysis and RT-PCR analysis of the EGFR transcript in GBM572 confirmed that the amplified EGFR allele carries a type III mutation and is the only allele being amplified in the region of LOH (Figs. 2 and 3). This may represent a new mechanism during tumor progression. A previous study of acute lymphoblastic leukemia also provided evidence that duplication of the remaining chromosome can occur in the event of an LOH involving one chromosome (24). Moreover, another recent study on 100 cases of lung cancer samples by SNP array has also revealed that DNA amplification is monoallelic or from the remaining alleles located at LOH regions (25).
Homozygous deletions. 9p is one of the most common sites for LOH in high-grade gliomas. In this study, we detected a homozygous deletion of a region located at 9p21, involving the ELAVL2 gene, in one of the glioblastoma multiformes. ELAVL2 (He1-N1) encodes a predicted 359-amino acid protein that shows significant similarity to the product of the Drosophila elav gene. Absence of the elav gene in Drosophila causes multiple structural defects and hypotrophy of the central nervous system of the fly. Homozygous deletion of the region centering around D9S126 (9p21) and ELAVL2 were found previously by microsatellite marker and fluorescence in situ hybridization analysis in a small cell lung cancer cell line, and ELAVL2 is suggested to be a candidate tumor suppressor gene in both small cell lung cancers and nonsmall cell lung cancers (26). The identification of a mutation in one of the glioblastoma multiforme cases in this study further supports the potential tumor suppressor role of ELAVL2. Another region of homozygous deletion is located at 11q25, which also has a high frequency of recurrent LOH in glioblastoma multiforme. One of the SNPs exhibiting homozygous deletion is located within an intron of the HNT gene. HNT is a member of the subfamily of immunoglobulin-like cell adhesion molecules and is differentially regulated during development of the central nervous system (27). Cell adhesion molecules are involved in cell dispersal and invasion (28). Future functional studies are needed to confirm whether a loss of HNT function would enhance the invasive and metastatic potential of tumor cells.
In summary, analysis of LOH and copy number changes by SNP microarrays in pediatric gliomas has identified significant areas of allelic imbalance. Novel loci with LOH, amplifications, and homozygous deletions will be of particular interest for the discovery of oncogenes and tumor suppressor genes involved in the pathogenesis of gliomas.
| Acknowledgments |
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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.
We thank the individuals and families who agreed to take part in these studies, the members of the Cancer Genomics Group for helpful discussions, and Kathryn Hale for editing the article.
| Footnotes |
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9 http://frodo.wi.mit.edu/cgi-bin/primer3/primer3_www.cgi. ![]()
Received 7/ 3/06. Revised 9/ 6/06. Accepted 9/19/06.
| References |
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