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Departments of Medical Biochemistry [Ko. S., T. U., M. K.] and Surgery and Science [Y. M., Kei. S.], Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, and Departments of Surgery II [Ken. S., T. O., K. Y.] and Molecular Biology [K. K.], University of Occupational and Environmental Health, Yahatanishi-ku, Kitakyushu 807-8555, Japan
| ABSTRACT |
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| INTRODUCTION |
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, and MDR1 contain a CCAAT box in the regulatory regions (1, 2, 3, 4, 5, 6)
. YB-1 appears to play a critical role in cell proliferation and growth, DNA replication, cell cycle, and drug resistance, as well as malignancy. YB-1 is localized mainly in the cytoplasm but is translocated into the nucleus when human cancer cells are treated with either UV irradiation or anticancer agents (7)
. YB-1 is overexpressed in cisplatin-resistant cancer cell lines (8)
. Moreover, YB-1 specifically binds to cisplatin-modified DNA and apurinic DNA and interacts with PCNA (9)
and p53 (10)
, which suggests that YB-1 may be involved in DNA repair and/or DNA damage response, in addition to its role as a transcription factor.
In clinical studies on YB-1, nuclear or cytoplasmic localization of YB-1 were found to be closely associated with expression of P-glycoprotein encoded by the MDR1 gene in breast cancers, osteosarcomas, ovarian cancers (11, 12, 13)
, and also with DNA topoisomerase II
and PCNA expression in colon cancers (14)
. Kamura et al. (13)
reported that patients with YB-1 nuclear-positive tumors have a poor prognosis in comparison with those with YB-1 nuclear-negative tumors in ovarian cancers. Cellular localization of YB-1 in the cytoplasm or nucleus may be associated with cellular states of malignancy or drug resistance in human tumors. However, it remains unclear if YB-1 plays important role in other human malignancies.
Lung cancer is one leading cause of cancer death in North America and in Japan. Lung cancer is divided into two morphological types: SCLC and NSCLS. About 30% of NSCLC patients have localized disease, and surgical management with long-term disease control is generally restricted to this group of patients in early stages (15) . Using currently available prognostic tools, it is often difficult to predict either which surgically managed patients are at risk for an early disease relapse or which advanced stage patients may have long-term survival (15) . In our present study, we determined whether expression of YB-1 could be associated with disease progression or malignant properties in NSCLC.
| MATERIALS AND METHODS |
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Antibodies and Immunohistochemical Analysis of YB-1 Expression.
Antibody to YB-1 was prepared against a 15-amino acid synthetic peptide in the COOH-terminal domain (residues 299313) as described (8)
. Immunohistochemistry was done using by a streptavidin-biotin-peroxidase complex method (12)
. Sections (6-µm-thick) cut from formalin-fixed, paraffin-embedded tissues were deparaffinized with xylene and rehydrated in ethanol. The sections were pretreated for 15 min at 100°C in a microwave oven for antigen retrieval. Endogenous peroxidase activity was blocked by methanol containing 0.3% hydrogen peroxidase for 15 min. The sections were then treated at 4°C overnight with primary antibody (1:100 dilutions) followed by staining using streptavidin-biotin-peroxidase kits (Nichirei, Tokyo, Japan). The sections were stained with diaminobenzidine solution and then counterstained with hematoxylin. The results were evaluated independently by two observers (Ko. S. and Ke. S.), who had no knowledge of clinical data and other immunohistochemical-related data. Negative controls were processed using a control IgG as the primary antibody. Paraffin sections of breast cancer were served as positive controls for YB-1 (11
, 12)
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Statistical Analysis.
Clinicopathological data were stored in an IBM 3090 mainframe computer (IBM, Armonk, NY). The Biomedical Computer Program was used for all of the statistical analysis (18)
. The Biomedical Computer Program P4F and P3S programs were used for
2 and Mann-Whitney tests to compare characteristics between groups. The Biomedical Computer Program P1L program was used for the Kaplan-Meier analysis of survival rates and the Mantel-Cox test was used to test for equality of survival curves. The Biomedical Computer Program P2L program was used for simultaneous multivariate adjustments of all of the covariates by the Cox regression analysis (19)
. The level of statistical significance was set at P < 0.05.
| RESULTS |
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| DISCUSSION |
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One could argue why nuclear localization of YB-1 is associated with an unfavorable prognosis for patients with NSCLC. Translocation of YB-1 into the nucleus from the cytoplasm is often observed in human cancer cells in response to genotoxic stress such as UV irradiation or anticancer agents (7)
. The nuclear localization of YB-1 may not only act as a transcription factor of various genes that are closely associated with DNA replication, cell proliferation, and drug resistance but also exert SOS signaling to protect cells or DNA integrity from genotoxic factors such as cisplatin, mitomycin C, and ionizing irradiation (7
, 8
, 20) . The nuclear translocation of YB-1 is closely associated with MDR1 gene expression in breast cancers, osteosarcomas, and ovarian cancers (11, 12, 13)
. Moreover, nuclear localization of YB-1 might up-regulate expression of PCNA, epidermal growth factor receptor, DNA polymerase
, and thymidine kinase genes, resulting in promotion of DNA synthesis and cell growth of cancer cells (1
, 2
, 21)
. YB-1 expression correlates with PCNA and DNA topoisomerase II
expression in colon cancers (14)
. Our research demonstrated that introduction of antisense YB-1 cDNA resulted in enhanced drug sensitivity to anticancer agents (8)
and also inhibition of cell growth in the culture and tumor enlargement of xenografts in nude mice4
. The close association of nuclear localization of YB-1 with clinicopathological characteristics and prognosis in NSCLC might partly relate to transcriptional activation of genes involving DNA replication and cell proliferation. However, it remains unclear how YB-1 itself is involved in malignant behavior of lung cancer cells as well as other tumor types.
In conclusion, nuclear YB-1 expression correlated with T factor, lymph node metastasis, and malignant stages and indicated an unfavorable prognosis. This result indicates that YB-1 protein is an important marker of disease progression in NSCLC, especially in squamous cell carcinoma. Determination of the intracellular localization of YB-1 may prove useful to predict malignancy or disease progression in NSCLC.
| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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1 Supported by the Ministry of Education, Science, Technology, Sports and Culture of Japan Grant and also by the Ministry of Health and Welfare of Japan. ![]()
2 To whom requests for reprints should be addressed, at Department of Medical Biochemistry, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Fukuoka 812-8582, Japan. Phone: 81-92-642-6100; Fax: 81-92-642-6203; E-mail: kuwano{at}biochem1.med.kyushu-u.ac.jp ![]()
3 The abbreviations used are: YB-1, Y-box binding protein 1; NSCLC, non-small cell lung cancer; SCLC, small cell lung cancer; MDR1, multidrug-resistance 1; PCNA, proliferating cell nuclear antigen; CT, computed tomography. ![]()
4 K. Kohno, T. Uchiumi, and M. Kuwano, unpublished data. ![]()
Received 3/30/01; revised 7/16/01; accepted 7/16/01.
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