Detection of cancer clones in human colorectal adenoma as revealed by increased DNA instability and other bio-markers

An immunohistochemical differential staining of cancerous cells with anti-cytidine antibody after denaturation of nuclear DNA by acid hydrolysis with 2N HCl at 30°C for 20 min (DNA-instability test) has been used as a marker for malignancy. The test was applied to bioptic tissues of human colorectal...

Full description

Bibliographic Details
Main Authors: Y Jin, A Sun, S Noriki, Y Imamura, M Fukuda
Format: Article
Language:English
Published: PAGEPress Publications 2009-06-01
Series:European Journal of Histochemistry
Online Access:http://www.ejh.it/index.php/ejh/article/view/1005
_version_ 1819087713032208384
author Y Jin
A Sun
S Noriki
Y Imamura
M Fukuda
author_facet Y Jin
A Sun
S Noriki
Y Imamura
M Fukuda
author_sort Y Jin
collection DOAJ
description An immunohistochemical differential staining of cancerous cells with anti-cytidine antibody after denaturation of nuclear DNA by acid hydrolysis with 2N HCl at 30°C for 20 min (DNA-instability test) has been used as a marker for malignancy. The test was applied to bioptic tissues of human colorectal polyps assessed histopathologically as hyperplastic polyp (11 cases), tubular adenoma of mild (68 cases), moderate (102 cases), and severe (46 cases) dysplasia, and adenocarcinoma (30 cases). The serial sections of the same tissues were also subjected to immunohistochemical staining for Ki67, p53, DNA-fragmentation factor 45 (DFF45) and vascular endothelial growth factor (VEGF). The DNA-instability test was positive in 30 (100%) adenocarcinoma cases, 46 (100%) severe dysplasia adenoma cases, 36 (35.29%) moderate dysplasia adenoma cases, and 8 (11.76%) mild dysplasia adenoma cases, indicating malignancy. All hyperplastic polyps were negative to the DNA-instability test. Furthermore, the percentage of glands positive in the DNAinstability test steadily increased in going from mild (10%), to moderate (35%), to severe (100%) dysplasia, and adenocarcinoma (100%). All other biological markers tested in the present study showed significantly higher values in those adenoma glands that werepositive to the DNA-instability test, irrespective of the dysplasia grade, as compared to the markers in the adenoma glands that were negative to DNA instability testing. Furthermore, the former values were comparable to those in adenocarcinoma. The results indicate that cancer cell clones are already present at the adenoma stages showing positivity to DNA instability testing, enhanced proliferative activity, p53 mutation and induction of DFF45 and VEGF, at a time when the degree of morphological atypia are not yet large enough for them to be identified as cancer. These factors promote cancer cell proliferation, produce heterogeneous subclones due to DNA instability, enhance their survival by escaping apoptosis, and provide abundant nutrients by neovascularization during the early-stage progression of colorectal cancer.
first_indexed 2024-12-21T21:40:31Z
format Article
id doaj.art-7c64e40fe1e94ca18c28e968f84c2043
institution Directory Open Access Journal
issn 1121-760X
2038-8306
language English
last_indexed 2024-12-21T21:40:31Z
publishDate 2009-06-01
publisher PAGEPress Publications
record_format Article
series European Journal of Histochemistry
spelling doaj.art-7c64e40fe1e94ca18c28e968f84c20432022-12-21T18:49:22ZengPAGEPress PublicationsEuropean Journal of Histochemistry1121-760X2038-83062009-06-0151111010.4081/1005721Detection of cancer clones in human colorectal adenoma as revealed by increased DNA instability and other bio-markersY JinA SunS NorikiY ImamuraM FukudaAn immunohistochemical differential staining of cancerous cells with anti-cytidine antibody after denaturation of nuclear DNA by acid hydrolysis with 2N HCl at 30°C for 20 min (DNA-instability test) has been used as a marker for malignancy. The test was applied to bioptic tissues of human colorectal polyps assessed histopathologically as hyperplastic polyp (11 cases), tubular adenoma of mild (68 cases), moderate (102 cases), and severe (46 cases) dysplasia, and adenocarcinoma (30 cases). The serial sections of the same tissues were also subjected to immunohistochemical staining for Ki67, p53, DNA-fragmentation factor 45 (DFF45) and vascular endothelial growth factor (VEGF). The DNA-instability test was positive in 30 (100%) adenocarcinoma cases, 46 (100%) severe dysplasia adenoma cases, 36 (35.29%) moderate dysplasia adenoma cases, and 8 (11.76%) mild dysplasia adenoma cases, indicating malignancy. All hyperplastic polyps were negative to the DNA-instability test. Furthermore, the percentage of glands positive in the DNAinstability test steadily increased in going from mild (10%), to moderate (35%), to severe (100%) dysplasia, and adenocarcinoma (100%). All other biological markers tested in the present study showed significantly higher values in those adenoma glands that werepositive to the DNA-instability test, irrespective of the dysplasia grade, as compared to the markers in the adenoma glands that were negative to DNA instability testing. Furthermore, the former values were comparable to those in adenocarcinoma. The results indicate that cancer cell clones are already present at the adenoma stages showing positivity to DNA instability testing, enhanced proliferative activity, p53 mutation and induction of DFF45 and VEGF, at a time when the degree of morphological atypia are not yet large enough for them to be identified as cancer. These factors promote cancer cell proliferation, produce heterogeneous subclones due to DNA instability, enhance their survival by escaping apoptosis, and provide abundant nutrients by neovascularization during the early-stage progression of colorectal cancer.http://www.ejh.it/index.php/ejh/article/view/1005
spellingShingle Y Jin
A Sun
S Noriki
Y Imamura
M Fukuda
Detection of cancer clones in human colorectal adenoma as revealed by increased DNA instability and other bio-markers
European Journal of Histochemistry
title Detection of cancer clones in human colorectal adenoma as revealed by increased DNA instability and other bio-markers
title_full Detection of cancer clones in human colorectal adenoma as revealed by increased DNA instability and other bio-markers
title_fullStr Detection of cancer clones in human colorectal adenoma as revealed by increased DNA instability and other bio-markers
title_full_unstemmed Detection of cancer clones in human colorectal adenoma as revealed by increased DNA instability and other bio-markers
title_short Detection of cancer clones in human colorectal adenoma as revealed by increased DNA instability and other bio-markers
title_sort detection of cancer clones in human colorectal adenoma as revealed by increased dna instability and other bio markers
url http://www.ejh.it/index.php/ejh/article/view/1005
work_keys_str_mv AT yjin detectionofcancerclonesinhumancolorectaladenomaasrevealedbyincreaseddnainstabilityandotherbiomarkers
AT asun detectionofcancerclonesinhumancolorectaladenomaasrevealedbyincreaseddnainstabilityandotherbiomarkers
AT snoriki detectionofcancerclonesinhumancolorectaladenomaasrevealedbyincreaseddnainstabilityandotherbiomarkers
AT yimamura detectionofcancerclonesinhumancolorectaladenomaasrevealedbyincreaseddnainstabilityandotherbiomarkers
AT mfukuda detectionofcancerclonesinhumancolorectaladenomaasrevealedbyincreaseddnainstabilityandotherbiomarkers