title: Amplification of the telomerase RNA component gene as a new genetic marker for disease progression and prognosis in esophageal squamous cell carcinoma.
abstract: 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.
authors: Department of Pathology, Clinical School of Medical College of Nanjing University, Nanjing, China; Department of Digestive Diseases, Clinical School of Medical College of Nanjing University, Nanjing, China.
authors: J-D
authors: JD
authors: Wang
authors: J
authors: J
authors: Ma
authors: F-Y
authors: FY
authors: Wang
authors: L-B
authors: LB
authors: Peng
authors: X
authors: X
authors: Wang
authors: S-S
authors: SS
authors: Shi
authors: H-H
authors: HH
authors: Ma
authors: Z-F
authors: ZF
authors: Lu
authors: G-M
authors: GM
authors: Lu
authors: X-J
authors: XJ
authors: Zhou
mesh_terms: D014408:Biomarkers, Tumor / Q000235:genetics* / Q000378:metabolism; D036022:Capsid Proteins / Q000378:metabolism; D002278:Carcinoma in Situ / Q000235:genetics*; D002294:Carcinoma, Squamous Cell / Q000235:genetics* / Q000473:pathology / Q000821:virology; D016022:Case-Control Studies; D019941:Cyclin-Dependent Kinase Inhibitor p16 / Q000378:metabolism; D018450:Disease Progression; D004938:Esophageal Neoplasms / Q000235:genetics* / Q000473:pathology / Q000821:virology; D000077277:Esophageal Squamous Cell Carcinoma; D005260:Female; D005784:Gene Amplification / Q000235:genetics*; D005819:Genetic Markers; D052161:Human papillomavirus 18 / Q000378:metabolism; D006801:Humans; D017404:In Situ Hybridization, Fluorescence; D008207:Lymphatic Metastasis / Q000235:genetics*; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D009856:Oncogene Proteins, Viral / Q000378:metabolism; D030361:Papillomavirus Infections / Q000378:metabolism; D011379:Prognosis; D012313:RNA / Q000235:genetics*; D012189:Retrospective Studies; D019098:Telomerase / Q000235:genetics*
chemical_list: D014408:Biomarkers, Tumor; D036022:Capsid Proteins; D019941:Cyclin-Dependent Kinase Inhibitor p16; D005819:Genetic Markers; D009856:Oncogene Proteins, Viral; C422952:telomerase RNA; D012313:RNA; C063317:L1 protein, Human papillomavirus type 16; D019098:Telomerase; C480565:L1 protein, Human papillomavirus type 18
keywords: ESCC; FISH; TERC; amplification