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Molecular Oncology, Markers, Clinical Correlates |
Research Institute and Hospital, National Cancer Center, Goyang, Gyeonggi 411-764, Korea [S. Y. P., S-Y. J., H. K. K., J-G. P.], and Korean Hereditary Tumor Registry, Laboratory of Cell Biology, Cancer Research Center and Cancer Research Institute [I-J. K., H. C. K., J-H. P., Y. S., J-L. K., J-G. P.] and Department of Surgery [S-B. L., J-G. P.], Seoul National University College of Medicine, Seoul, Korea
| ABSTRACT |
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90% of ß-catenin mutations have been found in 11 codons (codons 29, 31, 32, 33, 34, 35, 37, 38, 41, 45, and 48) as missense mutations or in-frame deletions. We have developed an oligonucleotide microarray for detecting ß-catenin mutations at these 11 codons. The developed oligonucleotide microarray can detect a total of 110 types of ß-catenin mutations, including the 60 mutations reported previously. Nine ß-catenin mutations were identified in this study by five different methods, i.e., PCR- single-strand conformational polymorphism, denaturing high performance liquid chromatography, direct sequencing, cloning-sequencing, and with an oligonucleotide microarray. All nine of the mutations were identified by denaturing high performance liquid chromatography, cloning-sequencing, and by the oligonucleotide microarray. However, PCR-single-strand conformational polymorphism missed 1 ß-catenin mutation and direct sequencing missed 2. Five ß-catenin mutations from 74 colorectal carcinomas (34 proximal colon cancers and 40 distal colorectal cancers) and 4 ß-catenin mutations from 31 colorectal cancer cell lines (7 from the proximal colon, 6 from the distal colorectum, and 18 unknown) were identified. In colorectal carcinomas, all 5 of the ß-catenin mutations were found in proximal colon tumors. In colorectal cancer cell lines, 2 of 4 cell lines with ß-catenin mutations originated from the proximal colon, and the remaining 2 cell lines were simply described as having originated from the colon. Considering the relationships among ß-catenin mutations, MSI, and tumor location, the frequency of ß-catenin mutations was found to be meaningfully higher in colorectal carcinomas with MSI than in those with microsatellite stability (P < 0.001); moreover, MSI was found to be more frequent in proximal colon tumors (P < 0.01). In addition, ß-catenin mutations were also found to be associated with proximal colon cancer (P = 0.017). | Introduction |
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| Materials and Methods |
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GCC, Thr
Ala) and SNU-719 mutation at codon 34 (GGA
GTA, Gly
Val). Genomic DNA was extracted from frozen specimens using TRI reagent (Molecular Research Center, Cincinnati, OH) or the automatic magnetic bead-based system (KingFisher; ThermoLabsystems, Vantaa, Finland).
Oligonucleotides for the ß-Catenin Microarray.
All of the oligonucleotides for this work were 21-bp long, and the mismatch sequence was located in the middle of oligonucleotides (after 10th base sequence). Oligonucleotides were modified with 5'-amino residues for chemical binding with the slides (Metabion, Martinsried, Germany). Twelve carbon spacers were used to increase the efficiency of the hybridization and to make the target sample (labeled with fluorescent dye) approach the spotted oligonucleotides more easily. Nine oligonucleotides were designed to cover all of the possible substitutions at each codon, and 1 oligonucleotide for the wild type. Thus, a total of 10 oligonucleotides were designed for 1 codon. One hundred and ten oligonucleotides were designed for codons 29, 31, 32, 33, 34, 35, 37, 38, 41, 45, and 48, and 11 oligonucleotides were designed to detect in-frame deletions (3-bp deletion) of the 11 codons. In total, the 121 designed oligonucleotides covered all of the substitutions and in-frame deletions in the above 11 codons of exon 3. The concentrations of oligonucleotides for each codon were determined by preliminary experimentation. Twenty pmol/µl of oligonucleotides were spotted for codons 37, 41, and 45, and 40 pmol/µl for the remaining 8 codons. Sequence information for all of the oligonucleotides is available on request.
ß-Catenin Oligonucleotide Microarray Manufacture.
Manufacturing steps were conducted in a dust-free clean room. The manufacturing processes used were similar to that described for our previous microarray (16)
. Micro spotting solution (TeleChem International Inc., Sunnyvale, CA), aldehyde-coated glass slides (26 x 76 x 1 mm; CEL Associates Inc., Houston, TX), and a pin microarrayer (Cartesian Microsys 5100; Cartesian Technologies Inc., Irvine, CA) were used to create the ß-catenin oligonucleotide microarray.
Sample Preparations, Hybridization, and Washing.
Cy5-labeled dCTP was incorporated directly into DNA templates during PCR. After PCR amplification, Cy5-labeled PCR product was purified using a purification kit (Qiagen Inc., Valencia, CA), digested with 0.25 units of DNase I (Takara, Shiga, Japan) at 25° for 10 min, and the enzyme was inactivated at 85° for 10 min. PCR-prepared products were then resuspended in prewarmed 5x HybIt Solution (TeleChem International Inc.) at 3.5 µl, and hybridized in a saturated vapor tube or automatic hybridization system (GeneTAC; Genomic Solutions, Ann Arbor, MI) at 56° for 3 h. The microarray was washed in 0.2% SDS solution and sodium borohydride solution (Sigma Chemical Co., St. Louis, MO) before it was hybridized with the prepared samples. The hybridized microarray was then rinsed three times at room temperature in a buffer of 2x SSC and 0.2% SDS in the dark.
Analysis of Signals.
The ß-catenin oligonucleotide microarray was scanned using a ScanArray Lite (Packard Instrument Co., Meriden, CT), and analyzed using Imagene (Biodiscovery, version 4.2) and quantitative microarray analysis software (QuantArray, version 2.0). Eleven wild-type signals were compared with each other and adjusted to be equal by signal normalization. The remaining 110 signals at each codon were also adjusted in the same way as the wild-type signals. After signal normalization, all of the signals were reanalyzed as described previously (16)
. The mean (BA) and the SD (BSD) of the background signals were calculated, and the cutoff level was established to be BA +2.58 BSD. BA +2.58x BSD indicated the upper limit of the 99% confidence interval; signals over this value were identified as specific signals. All of the data analysis was carried out using a SigmaPlot (SPSS Inc., San Rafael, CA), and means and SDs were calculated.
PCR Amplification.
The PCR primers for exon 3 were used as described previously (5)
. For the interstitial deletion, genomic DNA was amplified using a primer set by Udatsu et al. (7)
. PCR product of 1115 bp was visualized on 1% agarose gel with ethidium bromide to detect samples with size alterations. PCR conditions consisted of 35 cycles of 94° for 30 s, 56° for 30 s, and 72° for 1 min, with a final elongation of 7 min at 72°. The PCR reactions contained 50 µM of each of dATP, dTTP, and dGTP, and 10 µM of each of Cy5-dCTP and dCTP, and were performed in thermal cycler (Perkin-Elmer Corp. 9600; Roche Molecular Systems, Inc., Pleasanton, CA).
Mutational Analysis (PCR-SSCP, DHPLC, protein truncation test, Cloning, and Sequencing).
After all of the samples were first investigated by the ß-catenin oligonucleotide microarray, PCR-SSCP and DHPLC analysis were then performed in all of the samples. All of the samples showing abnormal bands or signals in PCR-SSCP, DHPLC, and a ß-catenin oligonucleotide microarray were then investigated by direct sequencing and cloning sequencing. PCR-SSCP and DHPLC analysis were performed as described previously (17
, 18)
. DHPLC analysis was done using WAVE (Transgenomic, Omaha, NE), and running conditions were optimized using WAVEMAKER software. A protein truncation test was performed for mutation detection of the MCR (codons 12631513) of the APC gene, as described previously (19)
. During the cloning, fresh PCR products were ligated into PCR-TOPO vectors, and subcloned using the TA cloning system (Invitrogen, Carlsbad, CA). Bidirectional sequencing was performed using a Taq dideoxy terminator cycle sequencing kit and an ABI 3100 DNA sequencer (Applied Biosystems, Foster City, CA).
MSI Analysis.
Genomic DNA purified from 74 colorectal carcinomas was amplified using BAT-26 to determine the MSI status, as described previously (10
, 20)
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Statistical Methods.
Statistical analyses were performed using the
2 or Fishers exact test to determine the strength of the correlations among the ß-catenin mutations, MSI, and tumor location.
= 0.05 was set as the significance level using the STATISTICA software (StatSoft Inc., Tulsa, OK).
| Results |
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TTT, Ser
Phe). No interstitial large deletion of the ß-catenin gene was detected in this study. All 9 of the samples with the ß-catenin mutations were investigated for APC mutations in the MCR (codons 12631513). Only 1 cell line (SNU-1047) harbored an APC truncation mutation at codon 1369 (4107delC). The cell line LS174T, which had been reported not to carry ß-catenin mutation, was found to harbor a ß-catenin mutation (codon 45, TCT
TTT, Ser
Phe) in the present study (21)
. A total of 74 colorectal tissues were classified according to the tumor grade and stages. Tumor grade was classified into a low (well-differentiated and moderately differentiated adenocarcinomas) and a high (poorly differentiated, undifferentiated, and mucinous adenocarcinomas) grade. Tumor stage was also classified according to the TNM staging. ß-Catenin mutations have no statistical significance with the characteristics (stage and grade) of tumors. Clinical information of 5 colorectal tissues with ß-catenin mutations were summarized in Table 2
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ß-Catenin Oligonucleotide Microarray.
The ß-catenin oligonucleotide microarray was developed to cover all of the point mutations and in-frame deletions at the hypermutable 11 codons. The mutations identified in the ß-catenin oligonucleotide microarray were also confirmed by the DHPLC and cloning-sequencing analysis. In the ß-catenin oligonucleotide microarray, the abnormal signal, along with the wild-type signals, which indicated a ß-catenin mutation, was shown in all 9 of the samples. In the case of tissue 400, an additional signal in combination with wild-type signals was shown, which indicated a missense mutation at codon 45 (TCT
TTT, Ser
Phe; Fig. 1
). Eight of the 9 samples with ß-catenin mutations showed both wild-type signals at each codon and an aberrant signal, which indicated the presence of heterozygous mutations, whereas LS174T showed only an abnormal signal in the absence of a wild-type signal at codon 45. This meant that LS174T had a homozygous ß-catenin mutation. The screening results obtained using 5 different techniques are shown in Table 3
. After the mutational analysis, a total of 60 samples from 74 colorectal cancers and 31 colorectal cancer cell lines including the 9 ß-catenin mutation-positive samples were investigated to confirm the validity of the ß-catenin oligonucleotide microarray in a blind manner. All 9 of the ß-catenin mutations were detected by the oligonucleotide microarray, and 1 mutation-negative sample showed an ambiguous signal, which was regarded as false positive by the oligonucleotide microarray.
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| Discussion |
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TTT, Ser
Phe; in samples 395, 400, SNU-1047, and LS174T), and 2 were the same in-frame deletions in samples 396 and HCT 116. The in-frame deletion at codon 45 was reported previously in a colorectal cancer cell line and in colorectal carcinoma, but not in other types of cancer (21
, 22)
. The in-frame deletion at codon 45 may result in the loss of highly conserved serine residues in a region of the protein that serves as a target for the enzyme GSK-3ß (21)
. In many types of cancer, most of the ß-catenin mutations occur at codons 32, 33, 34, 37, and 41 (1, 2, 3
, 6)
. It had been reported that a specific codon 45 mutation (Ser45Phe) was frequent in colorectal carcinomas, and that codon 41 mutations, which predominate in hepatoblastomas, are rare in colorectal carcinomas (8)
. In this study, our results indicate that codon 45 mutations, including the in-frame deletion, are common in colorectal carcinomas but are not common in other types of cancer. The remaining ß-catenin mutation occurred at codon 32 in colon tissue 207. It has been proposed that codon 32 is important for ß-catenin ubiquitination and proteasome-dependent degradation (23)
. Mutations at codons 32 might influence serine 33 accessibility by GSK-3ß kinase, thus preventing its phosphorylation (8)
. In the MSI study using the BAT-26 marker, our results show that MSI is highly associated with proximal colon cancer, which agrees with previous reports (P < 0.01; Refs. 5
, 12
). We used BAT-26 for the MSI analysis, because it has been found that BAT-26 sufficiently represents MSI status in colorectal cancers (24)
. In terms of the correlation between MSI and ß-catenin mutations, 5 of the 12 (42%) colorectal carcinomas with MSI had ß-catenin mutations, but 0 of the 62 (0%) MSS colorectal carcinomas was found to harbor ß-catenin mutations. All 5 of the colon carcinomas with ß-catenin mutations had MSI, and all 5 of the ß-catenin mutations were found in proximal colon cancers. These results confirm that MSI is significantly involved in ß-catenin mutations and demonstrate that ß-catenin mutations are highly associated with proximal colon cancer. It has been suggested previously that ß-catenin mutations could uniquely substitute for APC mutations, and that ß-catenin mutations account for approximately half of colorectal cancers with intact APC (25)
. In the present study, only 1 colorectal cancer cell line (SNU-1047) of the 9 samples with ß-catenin mutations had APC mutations in the MCR, as expected. Several groups have tried recently to diagnose colorectal cancers by using molecular markers (12, 13, 14) . Three to five markers have been used for colorectal cancer diagnosis using fecal DNA (13 , 14) . In addition, MSI has been used for the diagnosis of proximal colon cancers, which should be the most difficult to detect, because among colorectal cancers, they are located furthest from the anus (12) . ß-Catenin may be a diagnostic marker for proximal colon cancer if ß-catenin mutations correlate with the location of the tumor in the proximal colon. The results of the present study show MSI in 29% of proximal colon cancers and ß-catenin mutations in 15%. Although all of the samples with ß-catenin mutations exhibited MSI, ß-catenin alone or with MSI may be used for the diagnosis of proximal colon cancer.
In the present study, we developed an oligonucleotide microarray for the fast and reliable mutation detection of the ß-catenin gene. This oligonucleotide microarray can easily detect point and in-frame deletion mutations of the ß-catenin gene at its 11 hypermutable codons. Eleven codons were selected based on previous reports on ß-catenin mutations, and we expected to observe
90% of ß-catenin mutations at these 11 codons (1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11
, 21, 22, 23)
. All of the experimental work from DNA extraction to microarray scanning can be completed within a day (1011 h) using fast DNA extraction. Although frameshift mutations and novel point mutations at the other sites will not be detected, most of the ß-catenin mutations may be restricted at these hypermutable 11 codons in colorectal cancer. We compared several techniques with the oligonucleotide microarray using duplicate experiments (Table 3)
. Automatic direct sequencing, which has been widely used for mutational analysis, clearly detected 7 of the 9 ß-catenin mutations. However, in the remaining 2 cases (tissues 207 and 400) chromatogram was not clearly recognized as a heterozygous mutation in both directions in the repetitive experiments (Fig. 1b)
. Although this ambiguous peak requires additional experiments for confirming mutation, it is prone to be misunderstood as a background one. It was also reported that DNA sequencing is less sensitive than enzyme restriction for the detection of ß-catenin mutations in cancer tissues (1)
. PCR-SSCP also missed 1 ß-catenin mutation. These false-negative results might have been caused by excessive wild-type DNA in cancer tissues or by the low sensitivity of these two methods. DHPLC, cloning-sequencing, and the oligonucleotide microarray detected all of the ß-catenin mutations. To confirm the sensitivity and specificity of the ß-catenin oligonucleotide microarray, a total of 60 samples including 9 mutation-positive samples were investigated blindly. All 9 of the samples harboring the ß-catenin mutations were identified as mutation positive by the oligonucleotide microarray, and only 1 sample without ß-catenin mutation showed nonspecific signals indicating a false positive result. However, this false-positive result was not repeated in repeat microarray experiments. Such false positive results might have been caused by the poor quality of the amplified target DNA or by insufficient slide washing. In our experience, nonspecific results are rarely produced by deviations from the expected experimental conditions. Thus, standardized experimental conditions should be established to reduce nonspecific results to a minimum, and optimal data analysis systems for the different microarrays should be designed.
In this work, we found that ß-catenin mutations are prone to occur in proximal colon cancer. This study also resulted in the development of a ß-catenin oligonucleotide microarray, which we hope will be widely used for ß-catenin mutational analysis.
| FOOTNOTES |
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1 Supported by a research grant 2002 from National Cancer Center, Korea, and the 2002 BK21 project for Medicine, Dentistry, and Pharmacy (to I-J. K., H. C. K., J-H. P.). ![]()
2 These authors contributed equally to this work. ![]()
3 To whom requests for reprints should be addressed, at National Cancer Center, 809 Madu-dong, Ilsan-gu, Goyang, Gyeonggi, 411-764, Korea. Phone: 82-31-920-1501; Fax: 82-31-920-1511; E-mail: jgpark{at}plaza.snu.ac.kr ![]()
4 The abbreviations used are: APC, adenomatous polyposis coli; GSK-3ß, glycogen synthase kinase-3ß; SSCP, single-strand conformation polymorphism; MSI-H, high frequency microsatellite instability; MSS, microsatellite stability; DHPLC, denaturing high-performance liquid chromatography; MCR, mutation cluster region; MSI, microsatellite instability; TNM, Tumor-Node-Metastasis. ![]()
Received 10/23/02; revised 1/14/03; accepted 1/23/03.
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