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96. Jahrestagung der Deutschen Gesellschaft für Pathologie e. V ...

96. Jahrestagung der Deutschen Gesellschaft für Pathologie e. V ...

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Abstracts<br />

FR-P-040<br />

MicroRNA expression profiling for prediction of resistance to<br />

neoadjuvant radiochemotherapy in squamous cell carcinoma of<br />

the oesophagus<br />

J . Slotta-Huspenina 1 , E . Drecoll 1 , M . Feith 2 , C . Wagner 3 , H . Höfler 1 , 4 ,<br />

K . Becker 1 , R . Langer 1<br />

1 Technical University of Munich, Institute of Pathology, München, 2 Technical<br />

University of Munich, Department of Surgery, 3 IMGM Laboratories GmbH,<br />

Martiensried, 4 Institute of Pathology, Helmholtz-Zentrum München, Oberschleissheim<br />

Aims. MicroRNA (miRNA) expression has been shown to play an important<br />

role in biology of malignant tumours, including sensitivity to<br />

chemotherapy and radiation. Neoadjuvant radiochemotherapy (RCTX)<br />

followed by surgery is a standard treatment strategy for locally advanced<br />

oesophageal squamous cell carcinoma (ESCC). However, a subset<br />

of patients does not respond to RCTX. In the present study we evaluated<br />

whether miRNA profiles can predict resistance to RCTX in ESCC.<br />

Methods. 31 patients with locally advanced ESCC (cT3-4, cN1-3, M0-1)<br />

un<strong>der</strong>went preoperative radiochemotherapy with cisplatin, 5-fluorouracil<br />

and 30-45 Gy, followed by resection of the oesophagus. Tumour response<br />

was evaluated by histopathological tumour regression. MiRNA<br />

profiling was done in pre-therapeutic formalin-fixed and paraffin embedded<br />

(FFPE) biopsies using the Agilent Human Microarray platform<br />

(Release 16.0), encompassing 1205 human miRNAs. Differential expression<br />

was identified in respon<strong>der</strong>s (n=15) and non-respon<strong>der</strong>s (n=16) by<br />

applying appropriate biostatistics to the data and validated by real-time<br />

quantitative PCR (qRT-PCR).<br />

Results. Even if the miRNA expression profiles of pre-therapeutic ESCC<br />

biopsies within and between non-respon<strong>der</strong>s (n=16) and respon<strong>der</strong>s<br />

(n=15) were highly similar (average correlation coefficients r=0.96, 0.94<br />

and 0.95), ten differentially expressed miRNAs could be identified by microarray<br />

analysis in non-respon<strong>der</strong>s and respon<strong>der</strong>s of ESCC (p

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