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Ocular clusterin expression in von Hippel-Lindau disease
Min Zhou1, Defen Shen, James E Head
1National Eye Institute, National Institutes of Health, Bethesda, MD, USA.
Molecular Vision
|December 15, 2007
Summary
Clusterin levels are decreased in ocular tumors associated with von Hippel-Lindau (VHL) disease. This suggests clusterin may play a role in VHL tumor suppression and could be a biomarker.
Area of Science:
- Ophthalmology
- Oncology
- Molecular Biology
Background:
- Clusterin is a glycoprotein with widespread mRNA expression, notably in von Hippel-Lindau (VHL) disease target organs.
- Reduced clusterin secretion is observed in VHL disease-associated renal cell carcinoma.
- Ocular manifestations of VHL disease, such as retinal hemangioblastomas, warrant investigation for clusterin's role.
Purpose of the Study:
- To investigate ocular clusterin expression in patients with VHL disease.
- To determine if clusterin levels are altered in VHL disease-related ocular tumors.
Main Methods:
- Retrospective case series involving nine eyes with VHL disease-associated retinal hemangioblastoma/hemangioma.
- Inclusion of one eye from a patient with VHL disease and CNS hemangioblastomas, one optic nerve hemangioblastoma, and three normal control eyes.
- Immunohistochemistry and quantitative real-time PCR (microdissection) to assess clusterin expression and mRNA levels in VHL-associated ocular tumors versus normal tissue.
Main Results:
- Retinal and optic nerve hemangioblastomas showed a marked decrease in clusterin immunoreactivity compared to normal retinal tissue.
- Vascular and glial components within the tumors exhibited clusterin reactivity similar to normal retina.
- Quantitative real-time PCR confirmed significantly lower clusterin mRNA levels in VHL-associated ocular tumors.
Conclusions:
- Clusterin expression is downregulated in ocular VHL-associated hemangioblastomas.
- Clusterin may be involved in tumor suppression mediated by the VHL gene product (pVHL).
- Clusterin presents potential as a novel biomarker for retinal hemangioblastomas in VHL disease.
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