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Clinical Cancer Research Vol. 6, 3199-3204, August 2000
© 2000 American Association for Cancer Research


Molecular Oncology, Markers, Clinical Correlates

Enhanced Expression of N-myc Messenger RNA in Neuroblastomas Found by Mass Screening1

Tadashi Matsunaga2, Hiroshi Shirasawa, Tomoro Hishiki, Hideo Yoshida, Katsunori Kouchi, Yasuhiro Ohtsuka, Kenji Kawamura, Takao Etoh and Naomi Ohnuma

Departments of Pediatric Surgery [T. M., T. H., H. Y., K. K., Y. O., N. O.] and Microbiology [H. S.], Chiba University, School of Medicine, Chiba 260-8677; Division of Pediatric Surgery, Matsudo Municipal Hospital, Chiba 271-0064 [K. K.]; and Division of Surgery, Chiba Children’s Hospital, Chiba 266-0007 [T. E.], Japan

A substantial fraction of neuroblastomas found by mass screening have been suggested to regress spontaneously because of the high incidence of infantile neuroblastomas in the screening population. In this study, 70 neuroblastomas were analyzed for expression of proto-oncogenes related to neuronal differentiation to clarify the biological significance of proto-oncogene expression in the screening-positive and -negative tumors. The tumors consisted of 39 neuroblastomas found by screening (group 1), 16 non-N-myc-amplified neuroblastomas found by clinical symptom(s) (group 2), and 15 N-myc-amplified neuroblastomas found by clinical symptom(s) (group 3). The expression of c-src, trk A, and N-myc in tumor tissues was analyzed by quantitative RNA PCR. Neuronal c-srcN2 expression varied significantly in the following order: group 1 > group 2 > group 3. The level of expression of trk A was markedly reduced in group 3 but did not differ in groups 1 and 2. Most tumors in group 3 overexpressed N-myc. However, N-myc expression in group 1 was significantly higher than that in group 2. Thus, the characteristics of proto-oncogene expression in screening-positive tumors included enhanced expression of c-srcN2 and N-myc mRNA, regardless of nonamplification of N-myc. Our results suggest that the role of N-myc differs in neuroblastomas detected by screening and in N-myc-amplified tumors.




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Molecular Cancer Research Cancer Prevention Research
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Copyright © 2000 by the American Association for Cancer Research.