title: Inverse relationship between trk expression and N-myc amplification in human neuroblastomas.
abstract: We examined the expression of the trk protooncogene in a series of 82 neuroblastomas to determine its relationship to N-myc amplification and expression, disease stage, patient age, and survival. We found that virtually all stage I, II, and IV-S patients had moderate to high levels of trk expression, whereas most advanced stage neuroblastomas had low or absent levels. All but one tumor with N-myc amplification had low or absent trk expression, and the one exception was regressing at the time it was resected. Conversely, all neuroblastomas identified by mass screening had moderate to high expression of trk, and all these patients are surviving. Thus, trk expression was associated with an absence of N-myc amplification, lower disease stage, lower patient age, and favorable outcome. Tumors with high trk expression may be more likely to differentiate, regress spontaneously, or respond well to therapy.
authors.affiliation: Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri 63110.
authors.forename: A
authors.initials: A
authors.lastname: Nakagawara
authors.forename: M
authors.initials: M
authors.lastname: Arima
authors.forename: C G
authors.initials: CG
authors.lastname: Azar
authors.forename: N J
authors.initials: NJ
authors.lastname: Scavarda
authors.forename: G M
authors.initials: GM
authors.lastname: Brodeur
mesh_terms: D005784:Gene Amplification / Q000235:genetics*; D015870:Gene Expression / Q000235:genetics*; D016259:Genes, myc / Q000235:genetics; D006801:Humans; D009367:Neoplasm Staging; D009447:Neuroblastoma / Q000235:genetics* / Q000401:mortality / Q000473:pathology; D011519:Proto-Oncogenes / Q000235:genetics*; D016019:Survival Analysis