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UICC World Cancer Congress 2006

Bridging the Gap: Transforming Knowledge into Action

July 8-12, 2006, Washington, DC, USA



Sunday, 9 July 2006 - 3:45 PM
51-2

Genetic profile of patients with esophageal cancer in a high-incidence region of Northeast India and its association with tobacco consumption

Sujala Kapur, MD1, Indranil Chatterjee1, Sunita Saxena1, Afshaan Noor1, MN Barooah2, J. Mahanta2, RK Phukan2, Bedanshu Saikia3, Joydeep Purkayastha3, and AC Kataki3. (1) Institute of Pathology, Institute of Pathology, ICMR, Safdarjung Hospital, New Delhi, India, (2) Regional Medical Research Center, Dibrugarh, Assam, India, (3) Dr. B Barooah Cancer Institute, Guwahati, Assam, India

Objective: A high incidence of esophageal cancer and its familial aggregation has been reported from Assam region of Northeast India. A study on gene-environment interaction, frequency of allele alterations and gene expression pattern were analyzed in patients with esophageal cancer in this region in relation with family history and tobacco consumption.

Methods: Polymerase chain reaction was done in 60 samples using genomic DNA and six microsatellite markers. Loss of heterozygosity and microsatellite instability was done by single stranded conformation polymorphism (SSCP). Equal quantities of RNA obtained from 20 tumor and matched normal tissue biopsies were reverse transcribed, labeled with Cy3- and Cy5-dUTP and hybridized with human 10K cDNA chip. Differentially expressed genes were expressed as up regulated (ratio > 2.0) and down regulated (ratio < 0.5).

Results: A history of tobacco consumption and a family history of cancer were present in 85% and 26% patients respectively. The frequency of allelic alterations using different microsatellite markers was 63% (D17S1303), 53% (D11S1984 and D3S1766), 44% (D9S910), 30% (D13S796) and 18% (D13S894). Gene expression and hierarchical clustering across patients showed consistent molecular profile with 2 up regulated and 14 down regulated genes. Preliminary results indicate frequent chromosomal aberrations in esophageal cancer patients of Northeast India. cDNA microarray may be a useful tool to identify differentially expressed genes in these patients. In India, this is the first reported genetic profiling study that may serve as basis for development of markers for genetic susceptibility and screening for early detection of esophageal cancer in this high-incidence region.


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