title: Detection of tumor-specific mRNA in cell-free bronchial lavage supernatant in patients with lung cancer.
abstract: Bronchoscopy is a standard procedure in the workup of patients with suspicious pulmonary lesions. We wondered whether it is possible to isolate malignancy-associated mRNA from cell-free lavage supernatant. Extracellular mRNA from cell-free lavage supernatant of 25 patients with lung cancer (23 with non-small cell lung cancer, 2 with small cell lung cancer) was isolated, reverse-transcribed, and amplified by reverse transcriptase polymerase chain reaction. The quantity and quality of the isolated RNA were checked after cDNA synthesis by amplification with beta-actin-specific primers. Afterwards, a panel of eight genes known to be expressed in lung tumors was used for the detection of tumor-associated mRNA expression in lavage supernatant and serum. mRNA coding for beta-actin could be isolated from lavage supernatant of all 25 patients. In addition, the expression of at least one tumor-associated gene was detectable in all patients. These results show that intact mRNA can be isolated from cell-free lavage supernatant and that its quantity and quality are sufficient for the detection of tumor-associated gene expression alterations. This may open new possibilities for the diagnosis of lung cancer.
authors.affiliation: Medizinische Klinik II, Onkologie u. Hämatologie, Charité-Universitätsmedizin Berlin, Berlin, Germany.
authors.forename: E
authors.initials: E
authors.lastname: Engel
authors.forename: B
authors.initials: B
authors.lastname: Schmidt
authors.forename: T
authors.initials: T
authors.lastname: Carstensen
authors.forename: S
authors.initials: S
authors.lastname: Weickmann
authors.forename: B
authors.initials: B
authors.lastname: Jandrig
authors.forename: C
authors.initials: C
authors.lastname: Witt
authors.forename: M
authors.initials: M
authors.lastname: Fleischhacker
mesh_terms: D000199:Actins / Q000235:genetics; D000368:Aged; D001992:Bronchoalveolar Lavage Fluid / Q000737:chemistry*; D002289:Carcinoma, Non-Small-Cell Lung / Q000175:diagnosis / Q000235:genetics; D018288:Carcinoma, Small Cell / Q000175:diagnosis / Q000235:genetics; D005260:Female; D015870:Gene Expression; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis / Q000235:genetics*; D008297:Male; D008875:Middle Aged; D012333:RNA, Messenger / Q000235:genetics / Q000302:isolation & purification / Q000378:metabolism*; D020133:Reverse Transcriptase Polymerase Chain Reaction
chemical_list: D000199:Actins; D012333:RNA, Messenger