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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2002-3-28
pubmed:abstractText
To delineate more precisely the somatic von Hippel-Lindau disease (VHL) gene alteration as well as to elucidate its etiologic role in renal tumorigenesis, we examined a total of 240 sporadic renal cell carcinomas (RCCs) for somatic VHL gene alterations by DNA-SSCP followed by sequencing, methylation-specific PCR assay, microsatellite LOH study, and Southern blot analysis. Intragenic mutation of the VHL gene was found exclusively in clear-cell or variant-type RCCs at a frequency of 51% (104/202). Hypermethylation of the VHL promoter region was detected in an additional 11 clear-cell RCCs. Microsatellite analysis demonstrated that LOH of the VHL locus was found in 140/155 (90%) informative clear-cell RCCs. The VHL gene therefore seems to be inactivated in a two-hit manner by intragenic mutation or hypermethylation plus allelic loss in clear-cell RCC. Genomic rearrangement of the VHL gene detected by Southern analysis was not found (0/216 cases); this is in contrast to germ lines in which Southern aberrations consisted of 7-19% of the mutations. Clinicopathologic data demonstrated that VHL mutation/LOH did not vary according to tumor progression in clear-cell RCC, including tumor diameter, stage, grading, distant metastasis, and lymph node metastasis. Interestingly, VHL mutation was significantly less frequent in RCCs occurring in younger (< or = 55 years) than that in older (> or = 56 years) patients. These data suggested that the inactivation of the VHL tumor-suppressor gene is a specific genetic change in clear-cell RCC, and that it may occur at an early or first step in the clear-cell tumorigenic pathway rather than as a late event.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
1045-2257
pubmed:author
pubmed:copyrightInfo
Copyright 2002 Wiley-Liss, Inc.
pubmed:issnType
Print
pubmed:volume
34
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
58-68
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:11921283-Adult, pubmed-meshheading:11921283-Aged, pubmed-meshheading:11921283-Aged, 80 and over, pubmed-meshheading:11921283-Amino Acid Sequence, pubmed-meshheading:11921283-Blotting, Southern, pubmed-meshheading:11921283-Carcinoma, Renal Cell, pubmed-meshheading:11921283-DNA, Neoplasm, pubmed-meshheading:11921283-DNA Methylation, pubmed-meshheading:11921283-DNA Mutational Analysis, pubmed-meshheading:11921283-Female, pubmed-meshheading:11921283-Gene Rearrangement, pubmed-meshheading:11921283-Humans, pubmed-meshheading:11921283-Kidney Neoplasms, pubmed-meshheading:11921283-Ligases, pubmed-meshheading:11921283-Loss of Heterozygosity, pubmed-meshheading:11921283-Male, pubmed-meshheading:11921283-Middle Aged, pubmed-meshheading:11921283-Molecular Sequence Data, pubmed-meshheading:11921283-Mutation, pubmed-meshheading:11921283-Tumor Suppressor Proteins, pubmed-meshheading:11921283-Ubiquitin-Protein Ligases, pubmed-meshheading:11921283-Von Hippel-Lindau Tumor Suppressor Protein
pubmed:year
2002
pubmed:articleTitle
Comprehensive mutational analysis of the VHL gene in sporadic renal cell carcinoma: relationship to clinicopathological parameters.
pubmed:affiliation
Department of Urology, Yokohama City University School of Medicine, Yokohama, Japan.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't