Laser microdissection and primary cell cultures improve pharmacogenetic analysis in pancreatic adenocarcinoma

A key focus of research on pancreatic ductal adenocarcinoma (PDAC) is identifying new techniques to tailor gemcitabine and 5-fluorouracil treatments. Availability of tumor tissue is critical for the accurate assessment of gene expression, and laser microdissection (LMD) and primary cell cultures may...

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Veröffentlicht in:Laboratory investigation 2008-07, Vol.88 (7), p.773-784
Hauptverfasser: Funel, Niccola, Giovannetti, Elisa, Del Chiaro, Marco, Mey, Valentina, Pollina, Luca E, Nannizzi, Sara, Boggi, Ugo, Ricciardi, Simona, Del Tacca, Mario, Bevilacqua, Generoso, Mosca, Franco, Danesi, Romano, Campani, Daniela
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container_issue 7
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container_title Laboratory investigation
container_volume 88
creator Funel, Niccola
Giovannetti, Elisa
Del Chiaro, Marco
Mey, Valentina
Pollina, Luca E
Nannizzi, Sara
Boggi, Ugo
Ricciardi, Simona
Del Tacca, Mario
Bevilacqua, Generoso
Mosca, Franco
Danesi, Romano
Campani, Daniela
description A key focus of research on pancreatic ductal adenocarcinoma (PDAC) is identifying new techniques to tailor gemcitabine and 5-fluorouracil treatments. Availability of tumor tissue is critical for the accurate assessment of gene expression, and laser microdissection (LMD) and primary cell cultures may be useful tools to separate tumor cells from the stromal reaction. The aim of this study was (1) to address the genetic profile relevant to drug activity and (2) to evaluate differences between microdissected and non-microdissected tumors, normal tissues, and primary cell cultures. Quantitative PCR of seven key genes was performed on mRNA from 113 microdissected and 28 non-microdissected tumors, a pool of normal tissues and four established primary cell lines. Protein expression was evaluated by western blot and immunocytochemistry and cytotoxicity by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide. LMD allowed the analysis of 110 samples and revealed significant differences in mRNA levels between microdissected tumors and normal tissues, as well as between non-microdissected and microdissected tumors from the same patients. In contrast, primary cell lines showed similar expression profiles with respect to their respective microdissected tumors. In particular, expression levels of human equilibrative nucleoside transporter-1 and thymydilate synthase were significantly related to gemcitabine and 5-fluorouracil cytotoxicity. We conclude that LMD is a reliable technique for mRNA extraction, and allows detection of significant differences in the expression of specific target genes when compared to non-microdissected specimens and normal tissues. Moreover, expression levels in microdissected tumors are similar to those observed in primary tumor cell cultures, both at mRNA and protein level, and are related to drug chemosensitivity. The use of these ex vivo techniques for molecular analysis of tumors therefore appears to be of some value in implementing the clinical management of PDAC.
doi_str_mv 10.1038/labinvest.2008.40
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subjects Adult
Aged
Aged, 80 and over
Antineoplastic Agents - pharmacology
Biological and medical sciences
Biomarkers, Tumor - metabolism
Biotechnology
Carcinoma, Pancreatic Ductal - metabolism
Carcinoma, Pancreatic Ductal - pathology
Cells, Cultured
Deoxycytidine - analogs & derivatives
Deoxycytidine - pharmacology
Female
Fluorouracil - pharmacology
Fundamental and applied biological sciences. Psychology
Gemcitabine
Humans
Investigative techniques, diagnostic techniques (general aspects)
Laboratory Medicine
Lasers
Male
Medical sciences
Medicine
Medicine & Public Health
Microdissection - methods
Middle Aged
Oligonucleotide Array Sequence Analysis
Pancreatic Neoplasms - metabolism
Pancreatic Neoplasms - pathology
Pathology
research-article
RNA, Messenger - biosynthesis
RNA, Messenger - isolation & purification
Tetrazolium Salts - pharmacology
Thiazoles - pharmacology
title Laser microdissection and primary cell cultures improve pharmacogenetic analysis in pancreatic adenocarcinoma
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