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2008 Summer Meeting - Leeds - The Pathological Society of Great ...

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O9Development and characterisation <strong>of</strong> a new breast cancer cellline <strong>of</strong> basal phenotypeV Speirs 1 , CA Green 1 , RH Partanen 1 , AM Shaaban 2 , AM Hanby 11 <strong>Leeds</strong> Institute <strong>of</strong> Molecular Medicine, University <strong>of</strong> <strong>Leeds</strong>, 2 St James'sInstitute <strong>of</strong> Oncology, St James's University Hospital, <strong>Leeds</strong>Breast cancer is heterogeneous and current cell line models cannot adequatelyreflect all the phenotypic and genotypic changes observed clinically. During ourroutine development <strong>of</strong> short term primary cultures <strong>of</strong> breast cancer epithelialcells we observed spontaneous immortalisation <strong>of</strong> one <strong>of</strong> these cultures after 12months in vitro. <strong>The</strong>se cells, termed LGI1T, were isolated in 2002 from arecurrent breast tumour from an elderly patient who received tamoxifen asprimary therapy and grew as a monolayer with cobblestone morphology. <strong>The</strong>primary tumour was classified as a lymph node, ER and PR negativesquamous cell carcinoma but expressed ER. Phenotypic characterisation byimmun<strong>of</strong>luorescence revealed expression <strong>of</strong> basal cytokeratins CK5/6 andCK14, the hormone receptors ER1 and ER2 but not ER or HER2 or theluminal markers CK18 and CK19, which is consistent with basal breast cancer.As with the primary tumour, LGI1T cells remained unresponsive to tamoxifenin vitro, however there was some evidence <strong>of</strong> hypersensitivity at low doses(>10 - 10M). Telomerase activity was assessed by a PCR-based ELISA andremained high in LGI1T cells which is indicative <strong>of</strong> escape from senescence. Insummary we have developed and characterised a new breast cancer cell line <strong>of</strong>basal phenotype. As there is currently considerable interest in understanding thebiology <strong>of</strong> basal breast cancer this cell line represents a powerful new tool forinvestigating this further.O11Combining Proteomics and Genomics to Identify Biomarkersfor Colorectal CancerMDe Wit 1 , CR Jimenez 2 , B Carvalho 1 ,SPiersma 2 , R Lamerichs 3 ,GA Meijer 1 , RJA Fijneman 1,21 Department <strong>of</strong> Pathology VU University Medical Centre, Amsterdam, <strong>The</strong>Netherlands, 2 Department <strong>of</strong> Medical Oncology, VU University MedicalCentre, Amsterdam, <strong>The</strong> Netherlands, 3 Philips Research, Eindhoven, <strong>The</strong>NetherlandsIntroduction and Aim: Detection <strong>of</strong> colorectal cancer (CRC) at an early stage <strong>of</strong>disease is a realistic approach to reduce cancer death. <strong>The</strong> aim <strong>of</strong> this study is toidentify biomarkers that discriminate low-risk colon adenomas from high-riskadenomas and CRC and that can be applied for molecular imaging. Bymicroarray expression analysis, we obtained a list <strong>of</strong> genes <strong>of</strong> which mRNAlevels are increased in CRC compared to low-risk adenomas. Genes encodingproteins with extracellular domains are the most promising candidates formolecular imaging. <strong>The</strong>refore we set out to identify cell surface proteins.Methods: CRC cell lines were cultured until 70-80% confluency and incubatedwith Biotin to biotinylate cell surface proteins, which were isolated from thewhole cell lysate. Protein mixtures were fractionated by gradient 1D SDS-PAGE and further processed for in-depth proteomics analysis by liquidchromatographyfollowed by tandem mass spectrometry (LC-MS/MS).Results: A total <strong>of</strong> 1046 proteins were identified upon analysis <strong>of</strong> threebiological replicates <strong>of</strong> colo 205 cells, 563 <strong>of</strong> which were reproducibly detectedin all three samples. Integration <strong>of</strong> the cell-surface proteomics data with themicroarray expression data showed that 98 <strong>of</strong> the 1046 proteins matched withgenes that showed mRNA overexpression in CRC compared to low-riskadenomas.Conclusion: <strong>The</strong>se preliminary data indicate that this strategy resulted in thesuccessful identification <strong>of</strong> cell surface biomarkers. Currently we are extendingthe experiments to other CRC cell lines and the results <strong>of</strong> these experimentsshall be presented.O10Methylation Pattern <strong>of</strong> High Risk Flat Adenomas in CRCQJM Voorham 1 , B Carvalho 1 , AJ Spiertz 2 , NCT Van Grieken 1 ,SDerks 2 , H Grabsch 3 , B Rembacken 4 ,AP De Bruïne 2 ,M Van Engeland 2 , GA Meijer 1 .1 Dept <strong>of</strong> Pathology, VU University Medical Centre, Amsterdam, <strong>The</strong>Netherlands, 2 Dept <strong>of</strong> Pathology, University Maastricht, Maastricht, <strong>The</strong>Netherlands, 3 Pathology and Tumour Biology, <strong>Leeds</strong> Institute <strong>of</strong>Molecular Medicine, University <strong>of</strong> <strong>Leeds</strong>, UK, 4 Centre for DigestiveDiseases, <strong>Leeds</strong> General Infirmary, <strong>Leeds</strong>, UKIntroductionFlat colorectal adenomas are considered to have a different molecularpathogenesis than polypoid-shaped lesions and are associated with moreaggressive clinical behaviour. In CRC development methylation is an earlyevent, but little is known about promoter hypermethylation in flat lesions.AimTo analyze the methylation status <strong>of</strong> 16 CRC related genes in flat adenomas andcompare this to established methylation patterns <strong>of</strong> polypoid lesions.Materials and methods44 FFPE flat adenomas, (classified according to the Paris classification) and 11flat carcinomas were used. Promoter methylation status <strong>of</strong> 16 genes (O 6 MGMT,hMLH1, APC, p14 ARF , p16 INK4A , RASSF1A, RASSF2A, GATA-4, GATA-5,CHFR, NEUROG1, IGF2, HLTF, CACNA1G, RUNX3 and SOCS1) wasstudied by methylation-specific PCR.Results<strong>The</strong> methylation frequency <strong>of</strong> these genes in flat adenomas was comparable tothat observed in polypoid adenomas, except for CHFR (P=0.02) and GATA-5(P=0.03) which where significantly less frequently methylated in flat adenomas.In the panel <strong>of</strong> flat carcinomas the promoter regions <strong>of</strong> GATA-4 (73%) andGATA-5 (100%) were most frequently methylated. Similar methylationpatterns were found for flat and polypoid carcinomas, except for CHFR(P=0.03), which shows less methylation in flat carcinomas.ConclusionFor these 16 genes methylation status was similar for flat and polypoid lesions,except for lower promoter methylation for GATA-5 and CHFR in flatadenomas and for CHFR in flat carcinomas. This is consistent with methylationbeing an early event in pathogenesis <strong>of</strong> both flat and polypoid colorectalcarcinoma.O12Chromosomal aberrations and APC promoter methylation insporadic and coeliac disease related small intestinaladenocarcinomasB Diosdado 1 , TE Buffart 1 ,MTijssen 1 , BJ Bolijn 1 , B Ylstra 1 ,B Carvalho 1 , R Watkins 2 ,FLewis 2 , ID Nagtegaal 3 ,CJJ Mulder 4 ,K Maude 5 , HI Grabsch 2 ,PQuirke 2 , P Howdle 5 , GA Meijer 11 Department <strong>of</strong> Pathology, VU University Medical Centre, Amsterdam,<strong>The</strong> Netherlands, 2 Pathology and Tumour Biology, <strong>Leeds</strong> Institute <strong>of</strong>Molecular Medicine, University <strong>of</strong> <strong>Leeds</strong>, 3 Department <strong>of</strong> Pathology,University Medical Centre Nijmegen, Nijmegen, <strong>The</strong> Netherlands,4 Department <strong>of</strong> Gastroenterology, VU University Medical Centre,Amsterdam, <strong>The</strong> Netherlands, 5 Section <strong>of</strong> Medicine, Surgery andAnaesthesia, <strong>Leeds</strong> Institute <strong>of</strong> Molecular Medicine, University <strong>of</strong> <strong>Leeds</strong>Background: Small intestinal adenocarcinoma (SIAC) is a rare malignancyaccounting for less than 2% <strong>of</strong> all gastrointestinal cancers. <strong>The</strong> molecularmechanisms involved in SIAC pathogenesis are not completely characterized.Coeliac disease (CD) is a chronic disorder caused by intolerance to gluten ingenetically predisposed individuals. CD patients show 80-fold increased risk <strong>of</strong>developing SIAC. Despite this evidence, DNA copy number and methylationchanges <strong>of</strong> CD-related to non-CD SIAC have not been compared.Aim: To determine the patterns <strong>of</strong> DNA copy number alterations in non-CDand CD-related SIAC.Methods: Array Comparative Genome Hybridization, microsatellite instabilityand APC promoter hypermethylation status were determined in 35 non-CD and15 CD-related SIAC.Results: Gains <strong>of</strong> 7p22-p22, 7q22-q34, 8q24, 20q11-q13 overlapped betweenCD-related and non-CD SIAC. CD-related SIAC showed frequent (>15%)losses <strong>of</strong> 5q15-q23 and gains <strong>of</strong> 5p13-p15, 7p36, 9q34, 13q12-q13 and 20p13-20q11, whereas non-CD-related SIAC showed frequent losses <strong>of</strong> 4q12-q35. T<strong>of</strong>urther investigate the association between 5q15-q23 loss and the APC gene, wedetermined the methylation status <strong>of</strong> the APC promoter region. 58% <strong>of</strong> the CDrelatedand 32% <strong>of</strong> the non-CD SIAC showed APC promoter hypermethylation(p=0.009).Conclusions: this is the largest study comparing CD-related and non-CD SIAC,which show similar patterns <strong>of</strong> chromosomal aberrations, however, CD-relatedSIAC present increased frequency <strong>of</strong> 5q15-q23 losses, APC promoterhypermethylation and decreased frequency <strong>of</strong> 4q12-q35 losses.80 <strong>Summer</strong> <strong>Meeting</strong> (194 th ) 1–4 July <strong>2008</strong> Scientific Programme

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