DETECTION OF N-MYC GENE AMPLIFICATION IN NEUROBLASTOMA BY COMPARATIVE, IN SITU,AND REAL-TIME POLYMERASE CHAIN REACTION

Zsombor Melegh, MD, MSc, Ildikó Bálint, MSc, Erika Tóth, MD, Erzsébet Csernák, MSc, Zoltán Szentirmay, MD, PhD, Kálmán Nagy, MD, PhD
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Abstract

We have used semiquantitative comparative and real-time quantitative polymerase chain reactions (PCR) to detect n-myc gene-amplification in 20 frozen neuroblastoma biopsies and IMR 32 cell line to predict biological behavior of the tumors. Two primer pairs were used for the semiquantitative method to co-amplify a 520-bp fragment of the g -globin gene--used as a single copy reference standard--and a 258-bp fragment of the n-myc gene. After 30 cycles the PCR products were electrophoresed through an agarose gel and were compared to each other with use of a gel-densitometer. Real-time quantitative analyses were performed in a LightCycler instrument. A single primer pair was used to amplify a 120-bp fragment of the n-myc oncogene and a LC640-labeled fluorescent probe pair to detect the product. Calibration curve, set up from a serial dilution including samples with 1, 2, 10, 13, 25-fold n-myc oncogene amplification, was used for quantitative analysis. The semiquantitative method did not show distinct difference between tumor groups with no amplification and less than 10-fold amplification, whereas quantitative LightCycler analysis was able to detect even 2-fold amplification. Differentiated neuroblastomas seldom show n-myc amplification. In spite of this, we have found two partly differentiated tumor samples that contained n-myc amplification. In these cases in situ PCRs were performed to examine the tumor heterogeneity. We used biotinated ATP labeling and the same primer pair as for the LightCycler analysis. In both cases differentiated cells did not show n-myc gene amplification, whereas considerable amplification was detected in the neuroblasts.
通过比较、原位和实时聚合酶链反应检测神经母细胞瘤中n-myc基因扩增
我们使用半定量比较和实时定量聚合酶链反应(PCR)检测20例冷冻神经母细胞瘤活检和imr32细胞系的n-myc基因扩增,以预测肿瘤的生物学行为。使用两对引物进行半定量方法,共扩增g -珠蛋白基因的520-bp片段(用作单拷贝参考标准)和n-myc基因的258-bp片段。30个循环后,PCR产物通过琼脂糖凝胶电泳,并使用凝胶密度计相互比较。在LightCycler仪器上进行实时定量分析。用单个引物对扩增n-myc癌基因的120 bp片段,用lc640标记的荧光探针对检测产物。采用1、2、10、13、25倍n-myc癌基因扩增样品进行一系列稀释,建立校准曲线进行定量分析。半定量方法在没有扩增和小于10倍扩增的肿瘤组之间没有明显差异,而定量LightCycler分析甚至可以检测到2倍扩增。分化的神经母细胞瘤很少显示n-myc扩增。尽管如此,我们发现两个部分分化的肿瘤样本含有n-myc扩增。在这些病例中,原位pcr检测肿瘤异质性。我们使用生物素化ATP标记和与LightCycler分析相同的引物对。在这两种情况下,分化细胞均未显示n-myc基因扩增,而在神经母细胞中检测到相当大的扩增。
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