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The MYCN-HMGA2-CDKN2A pathway in non-small cell lung carcinoma--differences in histological subtypes
Hanne A Eide1,2, Ann Rita Halvorsen3, Maria Moksnes Bjaanæs4,5
1Department of Cancer Genetics, Institute for Cancer Research, Oslo University Hospital-The Norwegian Radium Hospital, Oslo, Norway. haeid@rr-research.no.
Background:
Extensive research has increased our understanding of the molecular alterations needed for non-small cell lung cancer (NSCLC) development. Deregulation of a pathway including MYCN, HMGA2 and CDKN2A, with the participation of DICER1, is of importance in several solid tumours, and may also be of significance in the pathogenesis of NSCLC.
Methods:
Gene expression of MYCN, HMGA2, CDKN2A and DICER1 were investigated with RT-qPCR in surgically resected NSCLC tumour tissue from 175 patients. Expression of the let-7 microRNA family was performed in 78 adenocarcinomas and 16 matching normal lung tissue samples using microarrays. The protein levels of HMGA2 were determined by immunohistochemistry in 156 tumour samples and the protein expression was correlated with gene expression. Associations between clinical data, including time to recurrence, and expression of mRNA, protein and microRNAs were analysed.
Results:
Compared to adenocarcinomas, squamous cell carcinomas had a median 5-fold increase in mRNA expression of HMGA2 (p = 0.003). A positive correlation (r = 0.513, p < 0.010) between HMGA2 mRNA expression and HMGA2 protein expression was seen. At the protein level, 90% of the squamous cell carcinomas expressed high levels of the HMGA2 protein compared to 47% of the adenocarcinomas (p < 0.0001). MYCN was positively correlated with HMGA2 (p < 0.010) and DICER1 mRNA expression (p < 0.010), and the expression of the let-7 microRNAs seemed to be correlated with the genes studied. MYCN expression was associated with time to recurrence in multivariate survival analyses (p = 0.020).
Conclusions:
A significant difference in HMGA2 mRNA expression between the histological subtypes of NSCLC was seen with a higher expression in the squamous cell carcinomas. This was also found at the protein level, and we found a good correlation between the mRNA and the protein expression of HMGA2. Moreover, the expression of MYCN, HMGA2, and DICER1 seems to be correlated to each other and the expression of the let7-genes impacted by their expression. MYCN gene expression seems to be of importance in time to recurrence in this patient cohort with resected NSCLC.
Insights
Squamous cell carcinomas show higher HMGA2 expression than adenocarcinomas in non-small cell lung cancer (NSCLC). MYCN gene expression is linked to recurrence time in NSCLC patients.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Non-small cell lung cancer (NSCLC) development involves complex molecular alterations.
- The MYCN, HMGA2, CDKN2A, and DICER1 pathway is implicated in various solid tumors and potentially in NSCLC pathogenesis.
Purpose of the Study:
- To investigate the gene and protein expression of MYCN, HMGA2, CDKN2A, and DICER1 in NSCLC.
- To explore the correlation between these genes, let-7 microRNAs, and clinical outcomes, specifically time to recurrence.
Main Methods:
- Gene expression analyzed using RT-qPCR in 175 NSCLC tumor samples.
- Microarrays used for let-7 microRNA family expression in 78 adenocarcinomas.
- HMGA2 protein levels assessed via immunohistochemistry in 156 tumor samples.
Main Results:
- Squamous cell carcinomas exhibited significantly higher HMGA2 mRNA and protein expression compared to adenocarcinomas.
- Positive correlations observed between MYCN and HMGA2 mRNA, and MYCN and DICER1 mRNA expression.
- MYCN gene expression was associated with a shorter time to recurrence in multivariate survival analyses.
Conclusions:
- HMGA2 expression differs significantly between NSCLC histological subtypes, with higher levels in squamous cell carcinomas.
- MYCN, HMGA2, and DICER1 expression appear interconnected, potentially influencing let-7 microRNA levels.
- MYCN gene expression is a potential prognostic marker for time to recurrence in NSCLC.
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