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Tubedown Expression Correlates with the Differentiation Status and Aggressiveness of Neuroblastic Tumors

Authors' Affiliations: ¹ Department of Medicine, Memorial University of Newfoundland, St. John's, Newfoundland, Canada; ² Department of Pathology, University of Michigan Hospitals and Clinics, Ann Arbor, Michigan; ³ Division of Neuropathology, Washington University School of Medicine, St. Louis, Missouri; and ⁴ Department of Pathology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio

Requests for reprints: Hélène Paradis, Department of Medicine, Memorial University of Newfoundland, 300 Prince Philip Drive, St. John's, Newfoundland, Canada A1B 3V6. Phone: 709-777-8556; Fax: 709-777-8619; E-mail: hparadis{at}mun.ca.

Purpose: The discovery and validation of new prognostic factors and further refinement of risk group stratification are needed to improve clinical interpretation of neuroblastoma. Our laboratory isolated and characterized a developmentally regulated gene named TUBEDOWN against which we have raised a monoclonal antibody (OE5). Tubedown becomes down-regulated postnatally yet remains strongly expressed in some neuroblastomas. The purpose of this study is to define the utility of Tubedown expression as a new measure of the differentiation status and aggressiveness of neuroblastic tumors.

Experimental Design: Tubedown protein expression was quantitatively assessed in neuroblastic tumors (neuroblastomas, ganglioneuroblastomas, and ganglioneuromas) and normal adrenal tissues using Western blot and OE5 immunohistochemistry. Regulation of Tubedown expression during retinoic acid–induced neuronal differentiation in neuroblastoma cell lines was assessed by Western blotting.

Results: High levels of Tubedown expression are observed in tumors with significant neuroblastic component, unfavorable histopathology, advanced stage, high-risk group, and poor outcome. In contrast, more differentiated subsets of neuroblastic tumors, ganglioneuroblastomas with favorable histopathology and ganglioneuromas, express low levels of Tubedown. In vitro, marked retinoic acid–induced neuronal differentiation responses of neuroblastoma cells are associated with a significant decrease in Tubedown expression, whereas limited neuronal differentiation responses to retinoic acid were associated with little or no decrease in Tubedown expression.

Conclusions: Our results indicate that the levels of Tubedown expression are linked to the differentiation status and aggressiveness of neuroblastic tumors and represent an independent prognostic factor for neuroblastoma. Tubedown expression may be useful to more accurately define different neuroblastic tumor subsets and ultimately provide more adequate assessment and treatment for neuroblastoma patients.

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				H. Paradis, T. Islam, S. Tucker, L. Tao, S. Koubi, and R. L. Gendron Tubedown associates with cortactin and controls permeability of retinal endothelial cells to albumin J. Cell Sci., June 15, 2008; 121(12): 1965 - 1972. [Abstract] [Full Text] [PDF]