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2008 Barcelona - European Society of Human Genetics

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Cancer genetics<br />

P04.127<br />

FGFR3 mutations and 3p, 9p, 9q & p53 deletions in noninvasive<br />

bladder cancer<br />

A. Y. Babayan 1 , O. A. Kuznetsova 1 , S. V. Bashkatov 2 , O. B. Karyakin 2 , D. V.<br />

Zaletaev 1,3 , M. V. Nemtsova 1,4 ;<br />

1 Research Institute for Molecular Medicine, Moscow, Russian Federation,<br />

2 Medical Radiology Reserch Centre RAMS, Obninsk, Russian Federation,<br />

3 Research Centre for Medical <strong>Genetics</strong>, RAMS, Mosocw, Russian Federation,<br />

4 Research Centre for Medical <strong>Genetics</strong>, RAMS, Moscow, Russian Federation.<br />

The bladder cancer is one <strong>of</strong> the most severe oncological diseases .<br />

Importance <strong>of</strong> the development <strong>of</strong> new diagnostic clinical markers is<br />

dictated by its high incidence and aggressive tumor growth . Cancer<br />

development is a complex, multistage process involving various genetic<br />

and epigenetic alterations . In our study we have tried to establish<br />

associations between several genetics alterations (loss <strong>of</strong> heterozygosity<br />

(LOH) at 3p, 9p, 9q and p53 loci and S249C activating mutation<br />

in FGFR3) and tumor clinical phenotype (tumor differentiation, type <strong>of</strong><br />

growth and a non-recurrent period) . During the last year and the half<br />

we have studied 40 matched samples (blood and tissue) from patients<br />

with primary bladder cancer and 35 samples from patients with recurrent<br />

bladder cancer, <strong>of</strong> which 17 patients demonstrated recurrence<br />

within one year . All samples were divided into groups by differentiation<br />

rate: 53 samples classified as G1+G2 and 22 as G3. By growth type<br />

53 samples were unifocal and 39 multifocal . LOH at 3p, 9p, 9q and<br />

p53 loci were detected by microsatellite analysis, and SSCP and direct<br />

sequencing sought for identification <strong>of</strong> FGFR3 activating mutations .<br />

Statistical analysis <strong>of</strong> the results included comparison <strong>of</strong> the patients’<br />

clinical groups by Fisher’s exact test, calculation <strong>of</strong> odds ratios and<br />

corresponding 95% confidence intervals, with GraphPad InStat v.3.5<br />

s<strong>of</strong>tware. Our results demonstrate that 9p deletions are significantly<br />

more frequent in tumors with high recurrence rate (within one year) .<br />

FGFR3 mutations are prevalent in G1+G1 group <strong>of</strong> tumors . No significant<br />

differences were found between tumors with various growth<br />

types .<br />

P04.128<br />

Evidences for cancer cells showing stem features from human<br />

bladder transitional cell carcinoma<br />

A. Bentivegna1 , D. Conconi1 , E. Panzeri1 , E. Sala2 , G. Bovo2 , M. Casu2 , P.<br />

Viganò2 , G. Strada2 , L. Dalprà1,2 ;<br />

1 2 Università degli Studi di Milano-Bicocca, Monza, MI, Italy, S. Gerardo Hospital,<br />

Monza, MI, Italy.<br />

Transitional cell carcinoma (TCC) is the most common type <strong>of</strong> bladder<br />

cancer accounting for more than 90-95% and it <strong>of</strong>ten recur (75% after<br />

5 years) .<br />

Emerging evidence has suggested that the capability <strong>of</strong> a tumor to<br />

grow, propagate and recur is dependent on a small subset <strong>of</strong> cells<br />

within it, termed cancer stem cells (CSCs) . Current failure <strong>of</strong> cancer<br />

therapies may be due to their lower effect on CSCs that are resistant<br />

and retain their full capacity to divide and restore the tumor cell mass .<br />

Although data have been provided to support this theory in human<br />

blood, brain, and breast cancers, the identity <strong>of</strong> bladder cancer stem<br />

cells has not been determined. Here, we report the initial findings towards<br />

the isolation and preliminary characterization <strong>of</strong> a putative CSCs<br />

population from human bladder TCCs . These cells, isolated from fresh<br />

surgical specimens, were induced to proliferate in vitro in serum-free<br />

medium containing the mitogenic growth factors EGF and bFGF . The<br />

proliferating cells generated within 48 h detached spheres that showed<br />

clonal origin. Cells also resulted positive by immun<strong>of</strong>luorescence for<br />

the stem cells’ markers CD133, Oct-4, Nestin and Cytokeratins . We<br />

also conducted a cytogenetic study on fresh chromosome spreads<br />

and, when possible, on chromosome spreads after different time <strong>of</strong><br />

culture and a parallel molecular cytogenetic study by FISH on paraffin<br />

embedded tissue sections and on fresh and after culture nuclei.<br />

We found important karyotype changes by culture selection, losing the<br />

complexity present in fresh tumors and a marked molecular heterogeneity<br />

between the tumors .<br />

P04.129<br />

Reliable methylation Analysis for Epigenetic Research - Novel<br />

Technologies <strong>of</strong>fering a complete and standardized workflow<br />

G. Schock, T. Träger, C. Korfhage, R. Peist, N. Rudinger, N. Fang, D. Jansen,<br />

D. Löffert;<br />

QIAGEN GmbH, Hilden, Germany.<br />

The analysis <strong>of</strong> changes in DNA methylation is challenging due to the<br />

lack <strong>of</strong> standardized methods for providing reproducible data . Here we<br />

present a complete and standardized workflow for methylation analysis<br />

.<br />

Bisulfite Conversion: QIAGEN’s EpiTect Bisulfite technology represents<br />

a unique system for DNA protection against DNA degradation<br />

which guarantees the highest conversion efficiency <strong>of</strong> ≥ 99% and highest<br />

DNA quality .<br />

Whole bisulfitome amplification: Since the quantity <strong>of</strong> converted<br />

DNA is <strong>of</strong>ten limited, we here present a novel technology for the reliable<br />

and representative amplification <strong>of</strong> the entire bisulfite converted<br />

genomic DNA _ the bisulfitome _ to overcome limitations in methylation<br />

analysis derived by limited DNA amounts .<br />

Dedicated PcR technology for methylation analysis: Methylation<br />

Specific PCR (MSP) reactions <strong>of</strong>ten require extensive optimization.<br />

We present a mutant Taq DNA Polymerase that has been genetically<br />

engineered to increase primer extension specificity through better discrimination<br />

<strong>of</strong> 3’ single base mismatches <strong>of</strong> the primer .<br />

For highly sensitive TaqMan probe based real-time PCR, we have developed<br />

a novel reagent that yields accurate methylation analysis in<br />

real-time. A selection <strong>of</strong> pre-developed MethyLight assays for a first set<br />

<strong>of</strong> genes will also be made available .<br />

Assay control reagents: Assay design and the success <strong>of</strong> methylation<br />

analysis by PCR can be facilitated and assessed by the use <strong>of</strong><br />

standardized human control DNAs .<br />

With its newly introduced EpiTect solutions, QIAGEN makes available<br />

standardized, pre-analytical and analytical solutions from DNA sample<br />

collection, stabilization and purification, to bisulfite conversion and<br />

real-time or endpoint PCR methylation analysis or sequencing .<br />

P04.130<br />

Karyotype alterations <strong>of</strong> CD133(+) stem-like cells <strong>of</strong> glioblastoma<br />

multiforme<br />

W. Yang 1 , D. Yang 1 , C. C. Lin 2 , L. Hsieh 2 , D. Cho 3 , C. Hung 1 , T. Li 1 ;<br />

1 Cell/Gene Therapy Research Lab., China Medical Univ Hospital, Taichung,<br />

Taiwan, 2 Dept <strong>of</strong> Medical Research China Medical Univ Hospital, Taichung,<br />

Taiwan, 3 Dept <strong>of</strong> Neurosurgery, China Medical Univ Hospital, Taichung, Taiwan.<br />

Recent studies have demonstrated the existence <strong>of</strong> cancer stem-like<br />

cells with CD133 surface marker in glioblastoma multiforme (GBM) .<br />

It is believed that these minor CD133(+) tumor cells possess more<br />

efficient DNA-repair function than the majority CD133(-) progeny cells<br />

and thus can survive the radiation therapy and/or chemotherapy and<br />

rapidly give rise to fatal tumor recurrence . To isolate CD133(+) GBM<br />

cells, we administered ionizing radiation to short-term tumor cell cultures<br />

from 8 new GBM patients (participants in a clinical trial <strong>of</strong> immunotherapy)<br />

. In one particular case, the GBM cells that survived irradiation<br />

contained 50- 60% highly clonogenic and neurosphere-forming<br />

CD133(+) cells . We also used FACS to isolate the CD133(+) cells<br />

from un-irradiated original GBM cell population <strong>of</strong> this patient . Karyotype<br />

analysis showed that the majority CD133(-) cells <strong>of</strong> initial culture<br />

were 46, XY, +7, +der(7;9)(p10;p10),-10, -18, der(19)(q13), with little<br />

change in near diploid karyotype within 10 passages in vitro . In contrast,<br />

majority <strong>of</strong> FACS-isolated un-irradiated CD133(+) cells showed<br />

a hypo-tetraploid with variation <strong>of</strong> chromosome number among them .<br />

The radiation-survived CD133(+) cells <strong>of</strong> this patient showed similar<br />

hypo-tetraploid patterns with slightly higher variation in chromosome<br />

number than the un-irradiated CD133(+) cells . Individual cell clones <strong>of</strong><br />

the two CD133(+) categories were consistently hypotetraploid but still<br />

with variation <strong>of</strong> chromosome number, suggesting chromosomal instability<br />

during cell proliferation . Using these hypotetraploid CD133(+)<br />

GBM cells, we have obtained preliminary results that certain therapeutic<br />

agents that down-regulated CD133(+) expression also could shift<br />

the hypotetraploid to the near diploid karyotypes <strong>of</strong> CD133(-) GBM<br />

cells .<br />

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