JC Virus Infection in Colorectal Neoplasia That Develops after Liver Transplantation

Purpose: Liver transplant recepients (LTRs) have an increased risk of colorectal neoplasia. The mechanism responsible for this is unknown. JCV encodes for TAg and has been implicated in colorectal carcinogenesis. We hypothesized that the use of immunosuppression in LTRs facilitates activation of JCV...

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Veröffentlicht in:Clinical cancer research 2008-10, Vol.14 (20), p.6717-6721
Hauptverfasser: SELGRAD, Michael, KOORNSTRA, Jan Jacob, GOEL, Ajay, WILLIAMS, Sharenda L, MEYER, Richard L, HAAGSMA, Elizabeth B, RICCIARDIELLO, Luigi, BOLAND, C. Richard, FINI, Lucia, BLOM, Marloes, RONG HUANG, DEVOL, Edward B, BOERSMA-VAN EK, Wytske, DIJKSTRA, Gerard, VERDONK, Robert C, DE JONG, Steven
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container_end_page 6721
container_issue 20
container_start_page 6717
container_title Clinical cancer research
container_volume 14
creator SELGRAD, Michael
KOORNSTRA, Jan Jacob
GOEL, Ajay
WILLIAMS, Sharenda L
MEYER, Richard L
HAAGSMA, Elizabeth B
RICCIARDIELLO, Luigi
BOLAND, C. Richard
FINI, Lucia
BLOM, Marloes
RONG HUANG
DEVOL, Edward B
BOERSMA-VAN EK, Wytske
DIJKSTRA, Gerard
VERDONK, Robert C
DE JONG, Steven
description Purpose: Liver transplant recepients (LTRs) have an increased risk of colorectal neoplasia. The mechanism responsible for this is unknown. JCV encodes for TAg and has been implicated in colorectal carcinogenesis. We hypothesized that the use of immunosuppression in LTRs facilitates activation of JCV and is responsible for the increased risk of neoplasia. Experimental Design: JCV TAg DNA and protein expression were determined in normal colonic epithelium ( n = 15) and adenomatous polyps ( n = 26) from LTRs and compared with tissue samples from control patients (normal colon, n = 21; adenomas, n = 40). Apoptosis and proliferation were determined by M30 and Ki-67 immunoreactivity, respectively. Results: JCV TAg DNA was found in 10 of 15 (67%) of normal colonic mucosa from LTRs compared with 5 of 21 (24%) of control normal mucosa ( P = 0.025). JCV TAg DNA was detected in 16 of 26 (62%) of the adenomas from LTRs and in 20 of 40 (50%) of control adenomas. JCV TAg protein was expressed in 13 of 26 (50%) adenomas from LTRs versus 2 of 40 (5%) of adenomas from controls ( P < 0.001). In adenomas from LTRs, the mean proliferative activity was higher compared with controls (60.3 ± 3.2% versus 42.7 ± 2.8%, P < 0.001), whereas mean apoptotic indices were lower in LTRs (0.29 ± 0.08% versus 0.39 ± 0.06%, P = 0.05). Conclusions: The presence of JCV in the colorectal mucosa and adenomas from LTRs, in concert with the use of immunosuppressive agents, suggests that JCV may undergo reactivation, and the subsequent TAg protein expression might explain the increased risk of colorectal neoplasia in LTRs.
doi_str_mv 10.1158/1078-0432.CCR-08-0961
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Richard ; FINI, Lucia ; BLOM, Marloes ; RONG HUANG ; DEVOL, Edward B ; BOERSMA-VAN EK, Wytske ; DIJKSTRA, Gerard ; VERDONK, Robert C ; DE JONG, Steven</creator><creatorcontrib>SELGRAD, Michael ; KOORNSTRA, Jan Jacob ; GOEL, Ajay ; WILLIAMS, Sharenda L ; MEYER, Richard L ; HAAGSMA, Elizabeth B ; RICCIARDIELLO, Luigi ; BOLAND, C. Richard ; FINI, Lucia ; BLOM, Marloes ; RONG HUANG ; DEVOL, Edward B ; BOERSMA-VAN EK, Wytske ; DIJKSTRA, Gerard ; VERDONK, Robert C ; DE JONG, Steven</creatorcontrib><description>Purpose: Liver transplant recepients (LTRs) have an increased risk of colorectal neoplasia. The mechanism responsible for this is unknown. JCV encodes for TAg and has been implicated in colorectal carcinogenesis. We hypothesized that the use of immunosuppression in LTRs facilitates activation of JCV and is responsible for the increased risk of neoplasia. Experimental Design: JCV TAg DNA and protein expression were determined in normal colonic epithelium ( n = 15) and adenomatous polyps ( n = 26) from LTRs and compared with tissue samples from control patients (normal colon, n = 21; adenomas, n = 40). Apoptosis and proliferation were determined by M30 and Ki-67 immunoreactivity, respectively. Results: JCV TAg DNA was found in 10 of 15 (67%) of normal colonic mucosa from LTRs compared with 5 of 21 (24%) of control normal mucosa ( P = 0.025). JCV TAg DNA was detected in 16 of 26 (62%) of the adenomas from LTRs and in 20 of 40 (50%) of control adenomas. JCV TAg protein was expressed in 13 of 26 (50%) adenomas from LTRs versus 2 of 40 (5%) of adenomas from controls ( P &lt; 0.001). In adenomas from LTRs, the mean proliferative activity was higher compared with controls (60.3 ± 3.2% versus 42.7 ± 2.8%, P &lt; 0.001), whereas mean apoptotic indices were lower in LTRs (0.29 ± 0.08% versus 0.39 ± 0.06%, P = 0.05). Conclusions: The presence of JCV in the colorectal mucosa and adenomas from LTRs, in concert with the use of immunosuppressive agents, suggests that JCV may undergo reactivation, and the subsequent TAg protein expression might explain the increased risk of colorectal neoplasia in LTRs.</description><identifier>ISSN: 1078-0432</identifier><identifier>EISSN: 1557-3265</identifier><identifier>DOI: 10.1158/1078-0432.CCR-08-0961</identifier><identifier>PMID: 18927316</identifier><identifier>CODEN: CCREF4</identifier><language>eng</language><publisher>Philadelphia, PA: American Association for Cancer Research</publisher><subject>Adenocarcinoma - therapy ; Adenocarcinoma - virology ; Adenoma - therapy ; Adenoma - virology ; Adenomatous Polyps - therapy ; Adenomatous Polyps - virology ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Antigens, Viral, Tumor - analysis ; Antineoplastic agents ; Biological and medical sciences ; Case-Control Studies ; colorectal neoplasia ; Colorectal Neoplasms - virology ; DNA, Viral - analysis ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Immunosuppression ; Infectious diseases ; JC virus ; JC Virus - isolation &amp; purification ; JC Virus - physiology ; Liver Transplantation ; Male ; Medical sciences ; Middle Aged ; Pharmacology. Drug treatments ; Polymerase Chain Reaction ; Polyomavirus Infections - virology ; Prognosis ; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus ; T antigen ; Tumor Virus Infections - virology ; Tumors ; Viral diseases ; Virus Activation ; Young Adult</subject><ispartof>Clinical cancer research, 2008-10, Vol.14 (20), p.6717-6721</ispartof><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c473t-32bed93d751a5fe37eab41b54d3650f7896daed56375270cd587d947c4fb25a63</citedby><cites>FETCH-LOGICAL-c473t-32bed93d751a5fe37eab41b54d3650f7896daed56375270cd587d947c4fb25a63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,3343,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=20842116$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18927316$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>SELGRAD, Michael</creatorcontrib><creatorcontrib>KOORNSTRA, Jan Jacob</creatorcontrib><creatorcontrib>GOEL, Ajay</creatorcontrib><creatorcontrib>WILLIAMS, Sharenda L</creatorcontrib><creatorcontrib>MEYER, Richard L</creatorcontrib><creatorcontrib>HAAGSMA, Elizabeth B</creatorcontrib><creatorcontrib>RICCIARDIELLO, Luigi</creatorcontrib><creatorcontrib>BOLAND, C. Richard</creatorcontrib><creatorcontrib>FINI, Lucia</creatorcontrib><creatorcontrib>BLOM, Marloes</creatorcontrib><creatorcontrib>RONG HUANG</creatorcontrib><creatorcontrib>DEVOL, Edward B</creatorcontrib><creatorcontrib>BOERSMA-VAN EK, Wytske</creatorcontrib><creatorcontrib>DIJKSTRA, Gerard</creatorcontrib><creatorcontrib>VERDONK, Robert C</creatorcontrib><creatorcontrib>DE JONG, Steven</creatorcontrib><title>JC Virus Infection in Colorectal Neoplasia That Develops after Liver Transplantation</title><title>Clinical cancer research</title><addtitle>Clin Cancer Res</addtitle><description>Purpose: Liver transplant recepients (LTRs) have an increased risk of colorectal neoplasia. The mechanism responsible for this is unknown. JCV encodes for TAg and has been implicated in colorectal carcinogenesis. We hypothesized that the use of immunosuppression in LTRs facilitates activation of JCV and is responsible for the increased risk of neoplasia. Experimental Design: JCV TAg DNA and protein expression were determined in normal colonic epithelium ( n = 15) and adenomatous polyps ( n = 26) from LTRs and compared with tissue samples from control patients (normal colon, n = 21; adenomas, n = 40). Apoptosis and proliferation were determined by M30 and Ki-67 immunoreactivity, respectively. Results: JCV TAg DNA was found in 10 of 15 (67%) of normal colonic mucosa from LTRs compared with 5 of 21 (24%) of control normal mucosa ( P = 0.025). JCV TAg DNA was detected in 16 of 26 (62%) of the adenomas from LTRs and in 20 of 40 (50%) of control adenomas. JCV TAg protein was expressed in 13 of 26 (50%) adenomas from LTRs versus 2 of 40 (5%) of adenomas from controls ( P &lt; 0.001). In adenomas from LTRs, the mean proliferative activity was higher compared with controls (60.3 ± 3.2% versus 42.7 ± 2.8%, P &lt; 0.001), whereas mean apoptotic indices were lower in LTRs (0.29 ± 0.08% versus 0.39 ± 0.06%, P = 0.05). Conclusions: The presence of JCV in the colorectal mucosa and adenomas from LTRs, in concert with the use of immunosuppressive agents, suggests that JCV may undergo reactivation, and the subsequent TAg protein expression might explain the increased risk of colorectal neoplasia in LTRs.</description><subject>Adenocarcinoma - therapy</subject><subject>Adenocarcinoma - virology</subject><subject>Adenoma - therapy</subject><subject>Adenoma - virology</subject><subject>Adenomatous Polyps - therapy</subject><subject>Adenomatous Polyps - virology</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Antigens, Viral, Tumor - analysis</subject><subject>Antineoplastic agents</subject><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>colorectal neoplasia</subject><subject>Colorectal Neoplasms - virology</subject><subject>DNA, Viral - analysis</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Immunosuppression</subject><subject>Infectious diseases</subject><subject>JC virus</subject><subject>JC Virus - isolation &amp; purification</subject><subject>JC Virus - physiology</subject><subject>Liver Transplantation</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pharmacology. Drug treatments</subject><subject>Polymerase Chain Reaction</subject><subject>Polyomavirus Infections - virology</subject><subject>Prognosis</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</subject><subject>T antigen</subject><subject>Tumor Virus Infections - virology</subject><subject>Tumors</subject><subject>Viral diseases</subject><subject>Virus Activation</subject><subject>Young Adult</subject><issn>1078-0432</issn><issn>1557-3265</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkM1O3DAUhS3UigHaRwB500UXATv-SzZIKC1_GoGEpt1aN87NxFVIRnYYxNvXwwyUbuxj-bvH1kfIMWennKvijDNTZEyK_LSqHjKWcqn5HjngSplM5Fp9SvmNmZHDGP8wxiVncp_MeFHmRnB9QBa3Ff3tw1OkN0OLbvLjQP1Aq7EfQzpCT-9wXPUQPdBFBxP9gWvsx1Wk0E4Y6Nyv07oIMMREDRNsGr6Qzy30Eb_u9iPy6_LnorrO5vdXN9XFPHPSiCn9ssamFI1RHFSLwiDUktdKNkIr1pqi1A1go7QwKjfMNaowTSmNk22dK9DiiJxve1dP9SM2DocpQG9XwT9CeLEjePv_zeA7uxzXNi-kVmWRCtS2wIUxxoDt-yxndqPZbhTajUKbNFuWctKc5k4-Pvxvauc1Ad92AEQHfZv8OB_fuZwVMuev3Pct1_ll9-wDWpdIDAEjQnCd5TLBVhtuxF8MtZW8</recordid><startdate>20081015</startdate><enddate>20081015</enddate><creator>SELGRAD, Michael</creator><creator>KOORNSTRA, Jan Jacob</creator><creator>GOEL, Ajay</creator><creator>WILLIAMS, Sharenda L</creator><creator>MEYER, Richard L</creator><creator>HAAGSMA, Elizabeth B</creator><creator>RICCIARDIELLO, Luigi</creator><creator>BOLAND, C. Richard</creator><creator>FINI, Lucia</creator><creator>BLOM, Marloes</creator><creator>RONG HUANG</creator><creator>DEVOL, Edward B</creator><creator>BOERSMA-VAN EK, Wytske</creator><creator>DIJKSTRA, Gerard</creator><creator>VERDONK, Robert C</creator><creator>DE JONG, Steven</creator><general>American Association for Cancer Research</general><scope>IQODW</scope><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>5PM</scope></search><sort><creationdate>20081015</creationdate><title>JC Virus Infection in Colorectal Neoplasia That Develops after Liver Transplantation</title><author>SELGRAD, Michael ; KOORNSTRA, Jan Jacob ; GOEL, Ajay ; WILLIAMS, Sharenda L ; MEYER, Richard L ; HAAGSMA, Elizabeth B ; RICCIARDIELLO, Luigi ; BOLAND, C. Richard ; FINI, Lucia ; BLOM, Marloes ; RONG HUANG ; DEVOL, Edward B ; BOERSMA-VAN EK, Wytske ; DIJKSTRA, Gerard ; VERDONK, Robert C ; DE JONG, Steven</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c473t-32bed93d751a5fe37eab41b54d3650f7896daed56375270cd587d947c4fb25a63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adenocarcinoma - therapy</topic><topic>Adenocarcinoma - virology</topic><topic>Adenoma - therapy</topic><topic>Adenoma - virology</topic><topic>Adenomatous Polyps - therapy</topic><topic>Adenomatous Polyps - virology</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Antigens, Viral, Tumor - analysis</topic><topic>Antineoplastic agents</topic><topic>Biological and medical sciences</topic><topic>Case-Control Studies</topic><topic>colorectal neoplasia</topic><topic>Colorectal Neoplasms - virology</topic><topic>DNA, Viral - analysis</topic><topic>Female</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Immunosuppression</topic><topic>Infectious diseases</topic><topic>JC virus</topic><topic>JC Virus - isolation &amp; purification</topic><topic>JC Virus - physiology</topic><topic>Liver Transplantation</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pharmacology. Drug treatments</topic><topic>Polymerase Chain Reaction</topic><topic>Polyomavirus Infections - virology</topic><topic>Prognosis</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>T antigen</topic><topic>Tumor Virus Infections - virology</topic><topic>Tumors</topic><topic>Viral diseases</topic><topic>Virus Activation</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SELGRAD, Michael</creatorcontrib><creatorcontrib>KOORNSTRA, Jan Jacob</creatorcontrib><creatorcontrib>GOEL, Ajay</creatorcontrib><creatorcontrib>WILLIAMS, Sharenda L</creatorcontrib><creatorcontrib>MEYER, Richard L</creatorcontrib><creatorcontrib>HAAGSMA, Elizabeth B</creatorcontrib><creatorcontrib>RICCIARDIELLO, Luigi</creatorcontrib><creatorcontrib>BOLAND, C. Richard</creatorcontrib><creatorcontrib>FINI, Lucia</creatorcontrib><creatorcontrib>BLOM, Marloes</creatorcontrib><creatorcontrib>RONG HUANG</creatorcontrib><creatorcontrib>DEVOL, Edward B</creatorcontrib><creatorcontrib>BOERSMA-VAN EK, Wytske</creatorcontrib><creatorcontrib>DIJKSTRA, Gerard</creatorcontrib><creatorcontrib>VERDONK, Robert C</creatorcontrib><creatorcontrib>DE JONG, Steven</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Clinical cancer research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SELGRAD, Michael</au><au>KOORNSTRA, Jan Jacob</au><au>GOEL, Ajay</au><au>WILLIAMS, Sharenda L</au><au>MEYER, Richard L</au><au>HAAGSMA, Elizabeth B</au><au>RICCIARDIELLO, Luigi</au><au>BOLAND, C. Richard</au><au>FINI, Lucia</au><au>BLOM, Marloes</au><au>RONG HUANG</au><au>DEVOL, Edward B</au><au>BOERSMA-VAN EK, Wytske</au><au>DIJKSTRA, Gerard</au><au>VERDONK, Robert C</au><au>DE JONG, Steven</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>JC Virus Infection in Colorectal Neoplasia That Develops after Liver Transplantation</atitle><jtitle>Clinical cancer research</jtitle><addtitle>Clin Cancer Res</addtitle><date>2008-10-15</date><risdate>2008</risdate><volume>14</volume><issue>20</issue><spage>6717</spage><epage>6721</epage><pages>6717-6721</pages><issn>1078-0432</issn><eissn>1557-3265</eissn><coden>CCREF4</coden><abstract>Purpose: Liver transplant recepients (LTRs) have an increased risk of colorectal neoplasia. The mechanism responsible for this is unknown. JCV encodes for TAg and has been implicated in colorectal carcinogenesis. We hypothesized that the use of immunosuppression in LTRs facilitates activation of JCV and is responsible for the increased risk of neoplasia. Experimental Design: JCV TAg DNA and protein expression were determined in normal colonic epithelium ( n = 15) and adenomatous polyps ( n = 26) from LTRs and compared with tissue samples from control patients (normal colon, n = 21; adenomas, n = 40). Apoptosis and proliferation were determined by M30 and Ki-67 immunoreactivity, respectively. Results: JCV TAg DNA was found in 10 of 15 (67%) of normal colonic mucosa from LTRs compared with 5 of 21 (24%) of control normal mucosa ( P = 0.025). JCV TAg DNA was detected in 16 of 26 (62%) of the adenomas from LTRs and in 20 of 40 (50%) of control adenomas. JCV TAg protein was expressed in 13 of 26 (50%) adenomas from LTRs versus 2 of 40 (5%) of adenomas from controls ( P &lt; 0.001). In adenomas from LTRs, the mean proliferative activity was higher compared with controls (60.3 ± 3.2% versus 42.7 ± 2.8%, P &lt; 0.001), whereas mean apoptotic indices were lower in LTRs (0.29 ± 0.08% versus 0.39 ± 0.06%, P = 0.05). Conclusions: The presence of JCV in the colorectal mucosa and adenomas from LTRs, in concert with the use of immunosuppressive agents, suggests that JCV may undergo reactivation, and the subsequent TAg protein expression might explain the increased risk of colorectal neoplasia in LTRs.</abstract><cop>Philadelphia, PA</cop><pub>American Association for Cancer Research</pub><pmid>18927316</pmid><doi>10.1158/1078-0432.CCR-08-0961</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; American Association for Cancer Research; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Adenocarcinoma - therapy
Adenocarcinoma - virology
Adenoma - therapy
Adenoma - virology
Adenomatous Polyps - therapy
Adenomatous Polyps - virology
Adolescent
Adult
Aged
Aged, 80 and over
Antigens, Viral, Tumor - analysis
Antineoplastic agents
Biological and medical sciences
Case-Control Studies
colorectal neoplasia
Colorectal Neoplasms - virology
DNA, Viral - analysis
Female
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Immunosuppression
Infectious diseases
JC virus
JC Virus - isolation & purification
JC Virus - physiology
Liver Transplantation
Male
Medical sciences
Middle Aged
Pharmacology. Drug treatments
Polymerase Chain Reaction
Polyomavirus Infections - virology
Prognosis
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
T antigen
Tumor Virus Infections - virology
Tumors
Viral diseases
Virus Activation
Young Adult
title JC Virus Infection in Colorectal Neoplasia That Develops after Liver Transplantation
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