Different amplification patterns of 3q26 and 5p15 regions in cervical intraepithelial neoplasia and cervical cancer

The aim of this study was to evaluate and correlate the amplification of chromosomal regions 3q26 and 5p15 in different cytological and histological subgroups of patients and to compare the sensitivity and specificity of amplification tests with cytology, colposcopy and HPV status. The work was cond...

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Veröffentlicht in:Annals of diagnostic pathology 2018-08, Vol.35, p.16-20
Hauptverfasser: Kudela, Erik, Visnovsky, Jozef, Balharek, Tomas, Farkasova, Anna, Zubor, Pavol, Plank, Lukas, Danko, Jan
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container_start_page 16
container_title Annals of diagnostic pathology
container_volume 35
creator Kudela, Erik
Visnovsky, Jozef
Balharek, Tomas
Farkasova, Anna
Zubor, Pavol
Plank, Lukas
Danko, Jan
description The aim of this study was to evaluate and correlate the amplification of chromosomal regions 3q26 and 5p15 in different cytological and histological subgroups of patients and to compare the sensitivity and specificity of amplification tests with cytology, colposcopy and HPV status. The work was conducted at the Department of Obstetrics and Gynaecology in cooperation with the Institute of Pathological Anatomy, JFM CU in Martin and UNM during years 2013–2016. Prospective longitudinal study included 131 patients. We focused on the FISH diagnosis of the amplification of regions encoding the components of telomerase enzyme (3q26, 5p15) in cytology specimens. We manually evaluated 100 atypical cells per slide and analysed the amplification patterns. Correlations between cytological, histological, HPV DNA results and amplification patterns of chromosomal regions 3q26 and 5p15 were analysed by chi-squared test and non-parametric Man - Whitney U test. The results showed that the amplification of chromosomal regions increases with the degree of dysplasia toward the invasive disease (p 
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The work was conducted at the Department of Obstetrics and Gynaecology in cooperation with the Institute of Pathological Anatomy, JFM CU in Martin and UNM during years 2013–2016. Prospective longitudinal study included 131 patients. We focused on the FISH diagnosis of the amplification of regions encoding the components of telomerase enzyme (3q26, 5p15) in cytology specimens. We manually evaluated 100 atypical cells per slide and analysed the amplification patterns. Correlations between cytological, histological, HPV DNA results and amplification patterns of chromosomal regions 3q26 and 5p15 were analysed by chi-squared test and non-parametric Man - Whitney U test. The results showed that the amplification of chromosomal regions increases with the degree of dysplasia toward the invasive disease (p &lt; 0.001). Whereas the increase in the amplification of 3q26 is noticeable already at CIN 2 + lesions (p &lt; 0.01), 5p15 amplification is shifted up toward CIN 3/CIS (p &lt; 0.001) and cervical cancer. Amplification of selected regions correlated with each other and also with hrHPV-positive status (p &lt; 0.01). The analysis of the amplification of 3q26 and 5p15 regions may serve in the future for the differential diagnosis of cervical lesions and to determine their malignant potential. High specificity of these tests can improve the excellent sensitivity of HPV DNA test. •We focused on amplification patterns of chromosomal regions 3q26 and 5p15 connected with the telomerase activity.•Telomerase activity could be a valuable marker for the diagnosis of cervical neoplasia.•The amplification of 3q26 and 5p15 regions may serve in the future for the differential diagnosis of cervical lesions.</description><identifier>ISSN: 1092-9134</identifier><identifier>EISSN: 1532-8198</identifier><identifier>DOI: 10.1016/j.anndiagpath.2018.02.003</identifier><identifier>PMID: 30072014</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Amplification ; Cervical intraepithelial neoplasia ; Cervical Intraepithelial Neoplasia - genetics ; Cervical Intraepithelial Neoplasia - pathology ; Chromosomes, Human, Pair 3 ; Chromosomes, Human, Pair 5 ; Diagnosis, Differential ; Female ; Fluorescent in situ hybridization ; Gene Amplification ; Humans ; Middle Aged ; Prospective Studies ; Sensitivity and Specificity ; Telomerase ; TERC ; TERT ; Uterine Cervical Neoplasms - genetics ; Uterine Cervical Neoplasms - pathology</subject><ispartof>Annals of diagnostic pathology, 2018-08, Vol.35, p.16-20</ispartof><rights>2018 Elsevier Inc.</rights><rights>Copyright © 2018 Elsevier Inc. 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Whereas the increase in the amplification of 3q26 is noticeable already at CIN 2 + lesions (p &lt; 0.01), 5p15 amplification is shifted up toward CIN 3/CIS (p &lt; 0.001) and cervical cancer. Amplification of selected regions correlated with each other and also with hrHPV-positive status (p &lt; 0.01). The analysis of the amplification of 3q26 and 5p15 regions may serve in the future for the differential diagnosis of cervical lesions and to determine their malignant potential. High specificity of these tests can improve the excellent sensitivity of HPV DNA test. •We focused on amplification patterns of chromosomal regions 3q26 and 5p15 connected with the telomerase activity.•Telomerase activity could be a valuable marker for the diagnosis of cervical neoplasia.•The amplification of 3q26 and 5p15 regions may serve in the future for the differential diagnosis of cervical lesions.</description><subject>Adult</subject><subject>Amplification</subject><subject>Cervical intraepithelial neoplasia</subject><subject>Cervical Intraepithelial Neoplasia - genetics</subject><subject>Cervical Intraepithelial Neoplasia - pathology</subject><subject>Chromosomes, Human, Pair 3</subject><subject>Chromosomes, Human, Pair 5</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Fluorescent in situ hybridization</subject><subject>Gene Amplification</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>Prospective Studies</subject><subject>Sensitivity and Specificity</subject><subject>Telomerase</subject><subject>TERC</subject><subject>TERT</subject><subject>Uterine Cervical Neoplasms - genetics</subject><subject>Uterine Cervical Neoplasms - pathology</subject><issn>1092-9134</issn><issn>1532-8198</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkMtuFDEQRS0EIg_4BWR2bLopP_q1REMgSJHYwNqqtsuJRz3uju2JxN_jMCFiycYuS-dWlQ9j7wW0AkT_cd9ijC7g7YblrpUgxhZkC6BesHPRKdmMYhpf1hom2UxC6TN2kfMeQAjdDa_ZmQIYakyfs_w5eE-JYuF42Jbgg8US1shr60IpZr56ru5lzzE63m2i44luK5B5iNxSeqiBpdYlIW2h3NES6jvSui2YA_6JPWMWY63fsFcel0xvn-5L9vPL1Y_ddXPz_eu33aebxmqtSuOtcqBn7QSgd35A7bpeu1nruju6cdJazHa20s9ylFhPrTX0Y4-S7Dj06pJ9OPXd0np_pFzMIWRLy4J1vWM2EkY1SN11UNHphNq05pzImy2FA6ZfRoB5dG725h_n5tG5AWmq85p99zTmOB_IPSf_Sq7A7gRQ_exDoGSyDVRNuJDIFuPW8B9jfgMpfZn1</recordid><startdate>201808</startdate><enddate>201808</enddate><creator>Kudela, Erik</creator><creator>Visnovsky, Jozef</creator><creator>Balharek, Tomas</creator><creator>Farkasova, Anna</creator><creator>Zubor, Pavol</creator><creator>Plank, Lukas</creator><creator>Danko, Jan</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201808</creationdate><title>Different amplification patterns of 3q26 and 5p15 regions in cervical intraepithelial neoplasia and cervical cancer</title><author>Kudela, Erik ; 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subjects Adult
Amplification
Cervical intraepithelial neoplasia
Cervical Intraepithelial Neoplasia - genetics
Cervical Intraepithelial Neoplasia - pathology
Chromosomes, Human, Pair 3
Chromosomes, Human, Pair 5
Diagnosis, Differential
Female
Fluorescent in situ hybridization
Gene Amplification
Humans
Middle Aged
Prospective Studies
Sensitivity and Specificity
Telomerase
TERC
TERT
Uterine Cervical Neoplasms - genetics
Uterine Cervical Neoplasms - pathology
title Different amplification patterns of 3q26 and 5p15 regions in cervical intraepithelial neoplasia and cervical cancer
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