Volume 50, Issue 2 pp. 213-217
Research Article

Expression of KIT and PDGFR is associated with a good prognosis in neuroblastoma

Akira Shimada MD

Akira Shimada MD

Department of Hematology/Oncology, Gunma Children's Medical Center, Gunma, Japan

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Junko Hirato MD

Junko Hirato MD

Department of Human Pathology, Gunma University Graduate School of Medicine, Gunma, Japan

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Minoru Kuroiwa MD

Minoru Kuroiwa MD

Department of Pediatric Surgery, Gunma Children's Medical Center, Gunma, Japan

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Akira Kikuchi MD

Akira Kikuchi MD

Department of Hematology/Oncology, Saitama Children's Medical Center, Saitama, Japan

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Ryoji Hanada MD

Ryoji Hanada MD

Department of Hematology/Oncology, Saitama Children's Medical Center, Saitama, Japan

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Kimiko Wakai CT

Kimiko Wakai CT

Department of Clinical laboratory, Gunma Children's Medical Center, Gunma, Japan

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Yasuhide Hayashi MD

Corresponding Author

Yasuhide Hayashi MD

Department of Hematology/Oncology, Gunma Children's Medical Center, Gunma, Japan

Gunma Children's Medical Center, 779, Shimohakoda, Hokkitsu, Shibukawa, Gunma 377-8577, Japan.===Search for more papers by this author
First published: 16 October 2007
Citations: 27

Abstract

Background

The clinical outcome of neuroblastoma (NB) depends on age, stage, and MYCN amplification. Receptor tyrosine kinases (RTKs) promote cell growth, migration, and metastasis in cancer cells, including NB. However, the correlation of the expression profile of RTKs with prognosis in NB remains controversial.

Procedure

Expression and mutation analysis of KIT, PDGFR, FLT3, RET, and TRKA mRNAs were performed in 24 NB cell lines and 40 tumor samples using RT-PCR followed by direct sequencing. Immunohistochemical analysis of KIT and PDGFR protein expression was also examined in 38 paraffin sections of NB tumor samples.

Results

The expression of KIT, PDGFRβ, and FLT3 mRNA was associated with NB in patients under 1 year (P < 0.02) and TRKA expression (P < 0.001). The loss of expression of these kinases was associated with MYCN amplification (P < 0.02) and advanced stages of disease in patients over 1 year of age (P < 0.005). PDGFRα mRNA expression was detected in all cell lines and tumor samples, and RET mRNA expression was not associated with any clinical parameters. Immunohistochemistry results showed the similar findings. We did not find any activating mutations in KIT, PDGFR, FLT3, or RET. Notably, the GNNK isoform of KIT was predominant in all cell lines and clinical samples.

Conclusion

Expression of KIT, PDGFRβ, and FLT3 was associated with a good prognosis in NB. The loss of expression of these RTKs might correlate to the disease progression of NB. Pediatr Blood Cancer 2008;50:213–217. © 2007 Wiley-Liss, Inc.

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