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Session XIV : Transcriptional <strong>and</strong> translational control Poster XIV, 31<br />

Multiple isoforms of delta TA p73 transcripts accumulate in liver fluke related<br />

cholangiocarcinoma<br />

Patcharee Jearanaikoon1,5, Cheuypratoom P 1 Temduang Limpaiboon1,5 Banchob<br />

Sripa2,5 Leelayuwat C,3,5,Vajarabhongsa Bhudhisawasdi4,5<br />

1Department of Clinical Chemistry, Centre for Research <strong>and</strong> Development of Medical<br />

Diagnostic Laboratories, Faculty of Associated Medical Sciences, 2Department of<br />

clinical imunology , Faculty of Associated Medical Sciences , 3Pathology Department of<br />

Pathology, 4Department of Surgery, 5Liver Fluke <strong>and</strong> Cholangiocarcinoma Research<br />

Center, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thail<strong>and</strong>.<br />

E-mail: patjea@kku.acth<br />

Intrahepatic cholangiocarcinoma (CCA) is usually a fatal malignant neoplasm originating<br />

from bile duct epithelium. It is the highest incidence cancer in Northeast Thail<strong>and</strong> which is<br />

caused by liver fluke (Opisthorchis viverrrini) infection. No data describing the presence of<br />

oncogenic delta transactivation p73 transcripts( &TAp73) which lacking N terminal in<br />

correlation to the clinicopathological parameter has been reported in liver fluke related CCA.<br />

We examined the p73 expression in 88 tumors using IHC staining with two monoclonal<br />

antibodies specific to N <strong>and</strong> C terminal of TP73 in combination. Nearly to 80% (79/88cases)<br />

reveal no p73 expression indicating down regulation during tumor development. About 15%<br />

(13/88cases) of the IHC positive cases , demonstrate oncogenic( &TAp73) protein. To<br />

improve the lower sensitivity for the oncogenic p73detection , Nested RT –PCR was firstly<br />

established to investigate five TP73 (TAp73, p73 &ex2 , p73 &ex2/3, &Np73 <strong>and</strong> &N’p73)<br />

in 23 frozen tumor specimen. The frequency of f<strong>our</strong> p73 transcripts can be observed in wild<br />

type TA p73, &Np73,p73 &ex2 <strong>and</strong> p73 &ex2/3 with 74%,74 %,26 %<strong>and</strong> 26% ,respectively.<br />

The &Np73 oncogenic transcript is generated from the second promoter usage of p73 gene<br />

whereas p73 &ex2 <strong>and</strong> p73 &ex2/3 created by the alternate splicing of the common promoter.<br />

Our results demonstrate the accumulation of oncogenic isoforms simultaneously generating<br />

from both p73 promoters in 4/23 cases . Although, no statistical significance has been shown<br />

between the oncogenic transcript <strong>and</strong> patient survival. This might be depended on the reason<br />

that most of patients were in advanced stage.<br />

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