Amplification of the telomerase RNA component gene as a new genetic marker for disease progression and prognosis in esophageal squamous cell carcinoma

• Published in: Diseases of the esophagus Vol. 26; no. 7; pp. 737 - 745
• Main Authors: Wang, J.-D., Ma, J., Wang, F.-Y., Peng, L.-B., Wang, X., Shi, S.-S., Ma, H.-H., Lu, Z.-F., Lu, G.-M., Zhou, X.-J.
• Format: Journal Article
• Language: English
• Published: United States Blackwell Publishing Ltd 01.09.2013
• Subjects: amplification; Biomarkers, Tumor - genetics; Biomarkers, Tumor - metabolism; Capsid Proteins - metabolism; Carcinoma in Situ - genetics; Carcinoma, Squamous Cell - genetics; Carcinoma, Squamous Cell - pathology; Carcinoma, Squamous Cell - virology; Case-Control Studies; Cyclin-Dependent Kinase Inhibitor p16 - metabolism; Disease Progression; ESCC; Esophageal Neoplasms - genetics; Esophageal Neoplasms - pathology; Esophageal Neoplasms - virology; Esophageal Squamous Cell Carcinoma; Female; FISH; Gene Amplification - genetics; Genetic Markers; Human papillomavirus 18 - metabolism; Humans; In Situ Hybridization, Fluorescence; Lymphatic Metastasis - genetics; Male; Middle Aged; Neoplasm Staging; Oncogene Proteins, Viral - metabolism; Papillomavirus Infections - metabolism; Prognosis; Retrospective Studies; RNA - genetics; Telomerase - genetics; TERC; FISH; amplification; TERC; ESCC
• ISSN: 1120-8694; 1442-2050
• DOI: 10.1111/dote.12021

Summary Amplification of the human telomerase RNA component (TERC) gene was found in esophageal squamous cell carcinoma (ESCC). However, its roles in the progression and prognosis of ESCC have not been well understood. The amplification of TERC in normal mucosa, low‐grade and high‐grade intraepithelial neoplasia, and invasive ESCC samples were evaluated using a fluorescence in situ hybridization assay. The amplification of TERC invariably occurred in high‐grade intraepithelial neoplasia and invasive ESCC, partially occurred in low‐grade intraepithelial neoplasia specimens, and seldom occurred in normal mucosa. The average signal ratio of TERC to chromosome 3 centromere‐specific probe (TERC/CSP3) was 1.00 ± 0.01 (average ± standard deviation) in normal mucosas, 1.01 ± 0.08 in low‐grade intraepithelial neoplasias, 1.39 ± 0.26 in high‐grade intraepithelial neoplasias, and 1.56 ± 0.41 in invasive ESCC. High TERC/CSP3 ratio was positively associated with lymph node metastasis (P = 0.005) and advanced tumor stage (P = 0.045). Patients with high amplification of TERC had poor survival (P = 0.01). The amplification of TERC could be used as a new genomic marker for disease progression and prognosis of ESCC. The amplified TERC gene may be a potential therapeutic target for ESCC.