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Alberto Risueño Pérez - Gredos - Universidad de Salamanca

Alberto Risueño Pérez - Gredos - Universidad de Salamanca

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630<br />

Leukemia<br />

Cytogenetic analysis<br />

The selection of patients was based on cytogenetic features in<br />

or<strong>de</strong>r inclu<strong>de</strong> a representative number of samples with the most<br />

relevant and recurrent genetic abnormalities. The systematic<br />

screening for genomic aberrations in our institution inclu<strong>de</strong>s<br />

interphase fluorescence in situ hybridization studies for the<br />

<strong>de</strong>tection of IGH rearrangements, RB1 and P53 <strong>de</strong>letions<br />

(Abbott Molecular/Vysis, Des Plaines, IL, USA) as previously<br />

<strong>de</strong>scribed, 21 and 1q gains (ON 1q21/SRD 1p36, Kreatech<br />

Diagnostics, Amsterdam). Furthermore, only patients with more<br />

than 80% of PCs exhibiting genetic abnormalities were<br />

consi<strong>de</strong>red for the analysis, with the exception of gains on 1q<br />

and P53 <strong>de</strong>letions, which were present in a median of 77%<br />

(range, 28–100%) and 72% (range, 46–88%) of the PCs,<br />

respectively. The distribution of cytogenetic abnormalities in<br />

the 60 MM patients is summarized in Table 1.<br />

RNA extraction<br />

Total RNA was extracted from normal and tumor plasma cells<br />

using miRNEasy Mini Kit (Qiagen, Valencia, CA, USA) following<br />

manufacturer’s protocol. The RNA integrity was assessed using<br />

Agilent 2100 Bioanalyzer (Agilent Tech, Palo Alto, CA, USA).<br />

miRNA profiling<br />

Complementary DNA was synthesized from total RNA using the<br />

so-called hairpin RT primer according to the TaqMan miRNA<br />

Reverse Transcription Kit (PE Applied Biosystems, Foster City,<br />

CA, USA). Reverse transcriptase reactions contained the<br />

following: 20 ng of RNA, 1.5 ml 10X RT buffer, 0.15 ml dNTP<br />

mix (100 mM total), 1 ml MultiScribe reverse transcriptase<br />

(50 U/ml), 0.19 ml AB RNase inhibitor (20 U/ml), 1 ml multiplex<br />

RT primers and 4.16 mlH 2O (final volume 10 ml). Reactions were<br />

incubated in an Applied Biosystems GeneAmp PCR System<br />

9700 for 30 min at 16 1C, 30 min at 42 1C, 5 min at 85 1C and<br />

then held at 4 1C. A total of eight in<strong>de</strong>pen<strong>de</strong>nt RT reactions must<br />

be run per sample. Diluted RT reaction product is mixed with<br />

TaqMan s Universal PCR Mastermix (no AmpErase UNG) and<br />

Table 1 Cytogenetic characteristics of the 60 patients with newly<br />

diagnosed MM<br />

Cytogenetic abnormalities and their combinations a<br />

microRNAs in myeloma<br />

NC Gutiérrez et al<br />

No. of cases<br />

t(4;14) 17<br />

With RB <strong>de</strong>letion 14<br />

With P53 <strong>de</strong>letion 5<br />

With 1q gains 11<br />

t(11;14) 11<br />

With RB <strong>de</strong>letion 1<br />

t(14;16) 4<br />

With RB <strong>de</strong>letion 2<br />

With 1q gains 2<br />

RB <strong>de</strong>letion as a unique abnormality 14<br />

With 1q gains 8<br />

RB <strong>de</strong>letion + P53 <strong>de</strong>letion 1<br />

Normal FISH 13<br />

Abbreviations: FISH, fluorescence in situ hybridization; MM, multiple<br />

myeloma.<br />

a<br />

Only patients with more than 80% of PC exhibiting genetic<br />

abnormalities were consi<strong>de</strong>red for the analysis.<br />

loa<strong>de</strong>d into the corresponding TaqMan low-<strong>de</strong>nsity arrays fill<br />

ports (Applied Biosystems, part number: 4384792). This panel<br />

contains 368 TaqMan miRNA assays enabling accurate<br />

quantification of 365 human miRNAs and three endogenous<br />

controls (RNU48, RNU48 and RNU6B) to aid in data normalization.<br />

Real-time PCR was carried out using an Applied<br />

Biosystems 7900 HT Fast Real-time PCR sequence <strong>de</strong>tection<br />

system. The reactions were incubated at 94.5 1C for 10 min,<br />

followed by 50 cycles of 97 1C for 30 s and 59.7 1C for 1 min.<br />

The threshold cycle (Ct) data was <strong>de</strong>termined using 0.3 as a<br />

threshold. The Ct is <strong>de</strong>fined as the fractional cycle number<br />

at which the fluorescence passes the fixed threshold. Full<br />

miRNA data are available at the Gene Expression Omnibus<br />

(www.ncbi.nlm.nih.gov/geo/, accession number GSE16558).<br />

miRNAs with Ct values higher than 35 were exclu<strong>de</strong>d from<br />

the analysis, leaving a set of 192 miRNAs. Normalization was<br />

carried out with the mean of RNU44 and RNU48, as they were<br />

uniformly expressed across the patient dataset. Relative quantification<br />

of miRNA expression was calculated with the 2 DCt<br />

and 2 DDCt methods, where DCt ¼ Ct (miRNA) Ct (control miRNA) and<br />

DDCt ¼ DCt (MM) DCt (average normal PC), <strong>de</strong>pending upon whether<br />

comparisons were ma<strong>de</strong> between MM samples and normal PC<br />

or between MM samples, respectively. 22 The data was presented<br />

as log10 of the relative quantity of each miRNA. 23<br />

We used hierarchical clustering (Cluster and TreeView software)<br />

based on the average-linkage method with the centered<br />

correlation metric for unsupervised analysis. 24 Differentially<br />

expressed miRNAs were i<strong>de</strong>ntified using Significant Analysis of<br />

Microarrays (SAM) algorithm, by using the two-class (unpaired)<br />

format, not consi<strong>de</strong>ring equal variances. 25 Significant genes were<br />

selected based on false discovery ratio and controlling the<br />

q-value for the gene list. To estimate whether a given group of<br />

MM patients were significantly associated with a set of miRNAs,<br />

a Global Test algorithm was used. 26 This method is based on a<br />

prediction mo<strong>de</strong>l for predicting a response variable from the<br />

expression measurements of a set of bioentities. The null<br />

hypothesis to be tested is that the expression profile of the<br />

miRNAs set selected is not associated with the samples. If the null<br />

hypothesis were true, then the expected influence parameter<br />

should be 0. The Global Test algorithm used in this study<br />

corresponds to its version in R, a package called globaltest.<br />

mRNA gene expression profiling<br />

RNA labeling and microarray hybridization have been previously<br />

reported. 27 Briefly, 100–300 ng of total RNA were amplified and<br />

labeled using the WT Sense Target labelling and control reagents<br />

kit (Affymetrix, Santa Clara, CA, USA), and then hybridized to<br />

Human Gene 1.0 ST Array (Affymetrix). Washing and scanning<br />

were carried out using GeneChip System of Affymetrix (Gene-<br />

Chip Hybridization Oven 640, GeneChip Fluidics Station 450<br />

and GeneChip Scanner 7G). Full microarray data compliant with<br />

the MIAME gui<strong>de</strong>lines (http://www.mged.org/) are available at the<br />

Gene Expression Omnibus (www.ncbi.nlm.nih.gov/geo/, accession<br />

number GSE16558). Expression value for each probe set was<br />

calculated using RMAExpress program that uses RMA (Robust<br />

Multi-Array Average) algorithm. 28 A differential expression<br />

analysis was carried out on the data using SAM algorithm to<br />

i<strong>de</strong>ntify genes with statistically significant changes in expression<br />

between different classes.<br />

miRNA target prediction and correlation with gene<br />

expression<br />

Target prediction was carried out using miRecords, an integrated<br />

resource for animal miRNA-target interactions. 29 The Predicted

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