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From the Department of Surgery (MB, AD, ASR, TJY, EEZ) and Department of Pathology (MR), University of South Florida College of Medicine, and the Department of Interdisciplinary Oncology (SE, TJY), H. Lee Moffitt Cancer Center, Tampa, Florida; and The Institute for Genomic Research (IY), Rockville, Maryland.
Correspondence: Address correspondence and reprint requests to: Emmanuel E. Zervos, MD, Assistant Professor of Surgery, Moffitt Cancer Center, 12902 Magnolia Drive, MRC-30037, Tampa, Florida 33612; e-mail: ezervos{at}hsc.usf.edu
Background: There is a paucity of known molecular markers that distinguish pancreatic neuroendocrine tumors from other pancreatic tumor types. We hypothesized that novel markers for pancreatic neuroendocrine tumors could be identified with molecular fingerprinting of pooled RNA samples from core biopsies.
Methods: Total RNA was harvested from nine core biopsies of normal pancreas, pancreatitis, pancreatic adenocarcinoma, pancreatic adenocarcinoma metastases, and pancreatic neuroendocrine tumors. RNA from each group of samples was pooled and hybridized to an oligonucleotide-based microarray. Four genes (ANG2, NPDC1, ELOVL4, and CALCR) were selected for further investigation by reverse transcriptase polymerase chain reaction from the top 20 highest expressed genes, on the basis of potential as novel markers.
Results: Neuroendocrine tumors were most unique from normal pancreas. Pancreatitis, pancreatic adenocarcinoma, and metastases are more closely related to each other and to normal pancreas. ANG2 was overexpressed in 89% of neuroendocrine tumors, compared with 22% of normal pancreas, making it the best potential molecular marker or therapeutic target of the four genes selected for analysis.
Conclusion: We have identified a specific set of molecular markers for pancreatic neuroendocrine tumors distinct from pancreatitis and pancreatic adenocarcinoma. These novel markers may prove useful as molecular markers or therapeutic targets unique to pancreatic neuroendocrine tumors.
Key Words: Genetics Microarray Neuroendocrine Pancreas
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