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Sabato 27 ottobre 2012 - Pacini Editore

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PoStER<br />

for protein expression of PAR-2 and density of MC-Try by<br />

immunohistochemical double-staining. PAR-2 expression was<br />

evaluated both in the areas overexpressing the receptor and at the<br />

sites where MC most intensively accumulated. The relationship<br />

of these two tumor markers with clinicopathologic parameters<br />

were also analyzed.<br />

Results.The MC count in normal mucosa adjacent to colon cancer<br />

(79.2 MC/mm 2 , range 22.5-192.7) was significantly higher than<br />

density in the stroma of the primary CRC (56.3 MC/mm 2 , 15.8-<br />

97.8) (p < 0.000). Tumor invasive front showed a higher PAR-2<br />

expression (26.5%, 6.7-62.0) than expression in normal mucosa<br />

(2.70%, 0-17.7) (p < 0.000). Also in areas where MC-Try most<br />

intensively accumulated, tumor showed a statistically higher median<br />

expression of PAR-2 (34.4%, 7.7-78.4) than normal mucosa<br />

(2.5%, 0-18.9) (p < 0.000). In tumor compartment, a significant<br />

positive correlation was found between PAR-2 expression and<br />

MC-Try density (r = 0.393, p< 0.018).<br />

Moreover, it was demonstrated a higher PAR-2 expression in<br />

tumors with poor differentiation grade (p = 0.005), positive Peritumoral-Vascular–Invasion<br />

(p = 0.010) and with positive lymph<br />

node (p = 0.007) and distant metastasis (p = 0.002) status. Additionally,<br />

higher MC-Try density occurred in poor differentiation<br />

grade cancers (p = 0.031) and in male patients (p = 0.004).<br />

Conclusions. We found that the distribution of MC and PAR-2<br />

varied passing from tumor to adjacent normal mucosa and the<br />

increased expression of PAR-2 was positively related to MC-Try<br />

density and to colonic tumors with poor prognosis. The results<br />

of our study suggest that, in the context of developing CRC,<br />

infiltrating MC-Try might influence the expression of PAR-2,<br />

contributing to tumor invasion and metastasis. Further studies are<br />

needed to support these observations.<br />

references<br />

1 Maltby S, Khazaie K, McNagny KM. Mast cells in tumor growth:<br />

angiogenesis, tissue remodelling and immune-modulation. Biochim<br />

Biophys Acta 2009;1796:19-26.<br />

2 Rattenholl A, Steinhoff M. Proteinase-activated receptor-2 in the<br />

skin: receptor expression, activation and function during health and<br />

disease. Drug News Perspect. 2008;21:369-81.<br />

3 Nishibori M, Mori S, Takahashi HK. Physiology and pathophysiology<br />

of proteinase-activated receptors (PARs): PAR-2-mediated proliferation<br />

of colon cancer cell. J Pharmacol Sci 2005;97:25-30.<br />

An association study of two single nucleotide<br />

polymorphisms (SnPs) in the SPArC and EGF genes<br />

with hepatocellular carcinoma<br />

S. Marasà1 , D. Balasus2 , A. Giacalone2 , L. Marasà2 , L. Giannitrapani2<br />

, E. Sinagra3 , G. Montalto2 1 2 Institute of Pathologic Anatomy, University of Palermo; Department<br />

of Clinical Medicine and Emerging Pathologies, University of Palermo;<br />

3 Division of Internal Medicine, V.Cervello Hospital, Palermo<br />

Introduction. Hepatocellular carcinoma (HCC) is responsible<br />

for 85% of all the liver tumors 1 . It is the sixth most common<br />

neoplasm and the third most frequent cause of cancer-related<br />

deaths worldwide 2 . HCC incidence varies among countries and<br />

continents and, is strictly connected to endemic risk factors.<br />

Theoretically any agents leading to chronic liver inflammation<br />

could be risk factors. In fact HCV (hepatitis C virus) and HBV<br />

(hepatitis B virus) infections are widely recognized HCC risk<br />

factors, they account for 70-80% of HCC cases. The remaining<br />

percentage of HCCs is caused primarily by aflatoxin B, alcohol,<br />

hemochromatosis and autoimmune hepatitis 3 , HCC often develops<br />

from a state of liver cirrhosis.. As for gender, males have<br />

higher liver cancer rates than females with a 3 to 1 ratio 4 . Despite<br />

of the fact that HCV infection is the main HCC risk factor not all<br />

of the HCV-positive subjects develop the disease. This happens<br />

for almost all the others risk factors. In fact many have founded<br />

a lot of genetic variations that predispose to liver cancer onset<br />

375<br />

and development 5 . In particular a lot of single nucleotide polymorphisms<br />

(SNPs) have been associated to HCC 6 . Nevertheless<br />

genetic variations may have different involvements in the disease<br />

depending on the ethnic groups. In this context the secreted<br />

protein acidic and rich in cysteine (SPARC) and the epidermal<br />

growth factor (EGF) protein could be involved in hepatocellular<br />

carcinogenesis. The aim of this study was to evaluate the association<br />

between HCC susceptibility and the rs2304052(position<br />

151034420, substitution T > C) and the rs4444903(position<br />

111053559, substitution > A) single nucleotide polymorphisms<br />

(SNPs), located respectively on the SPARC and EGF protein.<br />

Methods and materials. Genomic DNA was extracted from the<br />

whole blood samples (75 HCC cases and 170 healthy controls<br />

were collected from a Southern Italian population).DNA was<br />

isolated from Buffy coat using the High Pure PCR Template<br />

Preparation Kit (Roche®). DNA concentration was evaluated<br />

for every sample through a comparison with four standard DNA<br />

samples having known concentrations. Genotypes were detected<br />

by restriction fragment length polymorphism (RFLP) method.<br />

For the rs2304052 SNP the restriction reaction was performed in<br />

20 µl with 2 U of EcoO109I. The digestion products were electrophoresed<br />

on a 2% agarose gel. The digestion with EcoO109I<br />

produced two fragments of 222 bp and 197 bp in case of C homozygous,<br />

three fragments of 419 bp, 222 bp and 197 bp in case of<br />

heterozygous and one fragment in case of T homozygous as it is<br />

shown in Figure 1. For the rs4444903 SNP the restriction reaction<br />

was performed in 20 µl with 1 U of AluI. The digestion with AluI<br />

produced two fragments of 91 bp and 187 bp in case of A homozygous,<br />

three fragments of <strong>27</strong>8 bp, 187 bp and 91 bp in case of heterozygous<br />

and one fragment of <strong>27</strong>8 bp in case of G homozygous<br />

as it is shown in Figure 2. Genotype frequencies were evaluated by<br />

direct gene counting. Control and cases alleles distribution fitted<br />

to Hardy-Weinberg equilibrium (p 2 + 2pq + q 2 = 1, where p is the<br />

Fig. 1. 2% agarose gel stained with SYBR Safe®. lane 1, 2: C/t heterozygous.<br />

lanes 3, 5, and 6: t/t homozygous.lane 4: C/C homozygous.<br />

l: 100 bp DNa ladder.<br />

Fig. 2. 2% agarose gel stained with Gel Red®. lane 1: a/a homozygous.<br />

lane 2: G/a heterozygous. lane 3: G/G homozygous. l: 100 bp dNa ladder.

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