PMID- 12208897 OWN - NLM STAT- MEDLINE DCOM- 20020930 LR - 20211203 IS - 0027-8874 (Print) IS - 0027-8874 (Linking) VI - 94 IP - 17 DP - 2002 Sep 4 TI - Amplification/overexpression of a mitotic kinase gene in human bladder cancer. PG - 1320-9 AB - BACKGROUND: The mitotic kinase-encoding gene STK15/BTAK/ AuroraA is associated with aneuploidy and transformation when overexpressed in mammalian cells. STK15 overexpression activates an unknown oncogenic pathway that involves centrosome amplification and results in missegregation of chromosomes. Because clinical prognosis and tumor aneuploidy are tightly linked in human bladder cancer, we examined whether increased STK15 copy number and protein levels are linked to aneuploidy in bladder cancers. METHODS: STK15 protein was visualized by immunohistochemistry in 205 formalin-fixed, paraffin-embedded human bladder tumors. STK15 gene copy number was evaluated in 61 tumors by Southern blot hybridization and in 21 of these 61 tumors by fluorescence in situ hybridization (FISH). Copy numbers of chromosomes 3, 17, 20, and 21 were evaluated by FISH with chromosome-specific probes. STK15 expression levels were related to histologic grade, stage, and DNA ploidy of the tumors and to the patients' follow-up data. The chi-square test for association was used to analyze the relationship between STK15 expression and pathologic features. All statistical tests were two-sided. RESULTS: Tumors with low levels of STK15 amplification (3-4 copies) showed minimal deviation in their chromosome copy number and diploid or near-diploid total nuclear DNA content. Tumors with higher levels of STK15 amplification (>4 copies) had a major increase of chromosome copy number and of their total nuclear DNA content, i.e., exhibited pronounced aneuploidy. Elevated expression of STK15 was strongly associated with parameters of clinical aggressiveness including high histologic grade (P<.001), invasion (P<.001), increased rate of metastasis (P<.001), and decreased metastasis-free (P<.001) and overall (P<.001) survival of patients with bladder cancer. CONCLUSION: STK15 gene amplification and associated increased expression of the mitotic kinase it encodes are associated with aneuploidy and aggressive clinical behavior in human bladder cancer. FAU - Sen, Subrata AU - Sen S AD - Division of Pathology and Laboratory Medicine, The University of Texas M. D. Anderson Cancer Center, Houston 77030, USA. FAU - Zhou, Hongyi AU - Zhou H FAU - Zhang, Ruo-Dan AU - Zhang RD FAU - Yoon, Dong S AU - Yoon DS FAU - Vakar-Lopez, Funda AU - Vakar-Lopez F FAU - Ito, Shigemi AU - Ito S FAU - Jiang, Feng AU - Jiang F FAU - Johnston, Dennis AU - Johnston D FAU - Grossman, H Barton AU - Grossman HB FAU - Ruifrok, Arnout C AU - Ruifrok AC FAU - Katz, Ruth L AU - Katz RL FAU - Brinkley, William AU - Brinkley W FAU - Czerniak, Bogdan AU - Czerniak B LA - eng GR - R01CA41424/CA/NCI NIH HHS/United States GR - R01CA61979/CA/NCI NIH HHS/United States GR - R01CA66723/CA/NCI NIH HHS/United States GR - R01CA89716/CA/NCI NIH HHS/United States GR - U01CA85078/CA/NCI NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Natl Cancer Inst JT - Journal of the National Cancer Institute JID - 7503089 RN - EC 2.7.11.1 (AURKA protein, human) RN - EC 2.7.11.1 (Aurora Kinase A) RN - EC 2.7.11.1 (Aurora Kinases) RN - EC 2.7.11.1 (Protein Serine-Threonine Kinases) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Aneuploidy MH - Aurora Kinase A MH - Aurora Kinases MH - Blotting, Southern MH - Blotting, Western MH - Female MH - Gene Amplification MH - Gene Dosage MH - Gene Expression MH - Humans MH - Immunoenzyme Techniques MH - In Situ Hybridization, Fluorescence MH - Male MH - Middle Aged MH - Protein Serine-Threonine Kinases/*genetics/*metabolism MH - Retrospective Studies MH - Tumor Cells, Cultured MH - Urinary Bladder Neoplasms/*enzymology/*genetics/pathology EDAT- 2002/09/05 10:00 MHDA- 2002/10/02 04:00 CRDT- 2002/09/05 10:00 PHST- 2002/09/05 10:00 [pubmed] PHST- 2002/10/02 04:00 [medline] PHST- 2002/09/05 10:00 [entrez] AID - 10.1093/jnci/94.17.1320 [doi] PST - ppublish SO - J Natl Cancer Inst. 2002 Sep 4;94(17):1320-9. doi: 10.1093/jnci/94.17.1320.