PMID- 17054308 OWN - NLM STAT- MEDLINE DCOM- 20070117 LR - 20240104 IS - 0022-3417 (Print) IS - 0022-3417 (Linking) VI - 210 IP - 4 DP - 2006 Dec TI - Genomic integration of oncogenic HPV and gain of the human telomerase gene TERC at 3q26 are strongly associated events in the progression of uterine cervical dysplasia to invasive cancer. PG - 412-9 AB - Recently proposed events associated with the progression of cervical intraepithelial neoplasia (CIN) 2/3 to cervical carcinoma include integration of human papillomavirus (HPV) into the host genome, genomic instability, and an increase in chromosome 3q copy number. In particular, the gene coding for the RNA component of telomerase (TERC) at 3q26 has been implicated as a possible candidate gene. Since it is not known to date how these events are temporally related during cervical carcinogenesis, the aim of the present study was to assess the correlation between TERC gene copy number and the physical status of HPV during progression in cervical neoplasia. Solitary precursor lesions of the uterine cervix (CIN 2/3, n = 17), lesions associated with a micro-invasive carcinoma (CIN 3&mCA, n = 13), and advanced invasive carcinomas (invCA, n = 7) were analysed by fluorescence in situ hybridization (FISH) to determine the physical status of the virus and TERC gene copy number. The TERC gene was increasingly gained with progression of CIN 2/3 (3 of 17) through CIN 3&mCA (7 of 13) to invCA (5 of 7). In the lesions exhibiting gain of TERC, the virus was predominantly integrated. This was seen in eight of ten diploid lesions, indicating that these events can occur prior to aneuploidization and are strongly associated with the progression of CIN 3 to mCA and invCA (p < 0.001). With progression to carcinoma, a number of these lesions show polyploidization, resulting in aneuploidy and high TERC gene copy numbers. In conclusion, genomic integration of oncogenic HPV and gain of the human telomerase gene TERC appear to be important associated genetic events in the progression of uterine cervical dysplasia to invasive cancer. FAU - Hopman, A H N AU - Hopman AH AD - Department of Molecular Cell Biology, Research Institute Growth & Development (GROW), University of Maastricht, The Netherlands. Hopman@molcelb.unimaas.nl FAU - Theelen, W AU - Theelen W FAU - Hommelberg, P P H AU - Hommelberg PP FAU - Kamps, M A F AU - Kamps MA FAU - Herrington, C S AU - Herrington CS FAU - Morrison, L E AU - Morrison LE FAU - Speel, E-J M AU - Speel EJ FAU - Smedts, F AU - Smedts F FAU - Ramaekers, F C S AU - Ramaekers FC LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - J Pathol JT - The Journal of pathology JID - 0204634 RN - 0 (DNA, Neoplasm) RN - 0 (telomerase RNA) RN - 63231-63-0 (RNA) RN - EC 2.7.7.49 (Telomerase) SB - IM MH - Cell Transformation, Neoplastic/genetics/pathology MH - Centromere/genetics MH - Cervix Uteri/pathology MH - Chromosome Aberrations MH - Chromosomes, Human, Pair 3/genetics MH - Chromosomes, Human, Pair 7/genetics MH - DNA, Neoplasm/genetics MH - Female MH - Gene Amplification/genetics MH - Humans MH - In Situ Hybridization, Fluorescence/methods MH - Neoplasm Invasiveness MH - Papillomaviridae/*genetics MH - Ploidies MH - RNA/*genetics MH - Telomerase/*genetics MH - Uterine Cervical Neoplasms/*genetics/pathology MH - Uterine Cervical Dysplasia/*genetics/pathology EDAT- 2006/10/21 09:00 MHDA- 2007/01/18 09:00 CRDT- 2006/10/21 09:00 PHST- 2006/10/21 09:00 [pubmed] PHST- 2007/01/18 09:00 [medline] PHST- 2006/10/21 09:00 [entrez] AID - 10.1002/path.2070 [doi] PST - ppublish SO - J Pathol. 2006 Dec;210(4):412-9. doi: 10.1002/path.2070.