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Molecular Oncology, Markers, Clinical Correlates |
Departments of Haematology and Oncology [D. L. S., C. E., D. M. A.] and Anatomical Pathology [C. W. C.], Royal Childrens Hospital, and Departments of Anatomical Pathology [M. F. G.] and Surgery [D. M. A.], Royal Melbourne Hospital, Parkville 3052, Melbourne, Victoria, Australia; and Ludwig Institute for Cancer Research, Brussels Branch, and Cellular Genetics Unit, Université Catholique de Louvain, B-1200 Brussels, Belgium [F. B.]
The mRNA expression of the tumor-associated antigens MAGE and GAGE was examined in 60 high-grade brain tumors. This analysis was performed by using reverse transcription-PCR, Southern blotting, and sequencing. It was demonstrated that, of the eight GAGE genes, GAGE-2 and -7 were expressed in five of seven normal brains. Four groups of tumorsadult glioblastoma multiforme (n = 20), pediatric glioblastoma multiforme (n = 9), medulloblastomas (n = 15), and ependymomas (n = 14)were analyzed for mRNA expression. The following frequencies were observed: MAGE-1, 0, 0, 13, and 0%, respectively; MAGE-2, 5, 11, 60, and 57%; MAGE-3 & -6, 0, 0, 13, and 0%; GAGE-1, 65, 11, 13, and 43%; and GAGE-36 and -8: 75, 78, 47, and 93%, respectively. Two unclassified tumors expressed GAGE-36 and -8 only. The absence of GAGE-1 expression in normal brain, its relatively high frequency of expression in high-grade brain tumors, and its unique 3' sequence, suggest it may represent a useful target for specific immunotherapy. The detection method of reverse transcription-PCR and Southern blotting may also be useful for rapid screening of biopsy specimens both for diagnostic purposes and to determine a patients eligibility for specific immunotherapy.
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