PMID- 17989344 OWN - NLM STAT- MEDLINE DCOM- 20080207 LR - 20211020 IS - 1535-4970 (Electronic) IS - 1073-449X (Print) IS - 1073-449X (Linking) VI - 177 IP - 3 DP - 2008 Feb 1 TI - Chromosomal aneusomy in bronchial high-grade lesions is associated with invasive lung cancer. PG - 342-7 AB - RATIONALE: The development of lung cancer (LC) is accompanied by field changes in the airway mucosa that may have prognostic importance. OBJECTIVES: To compare patients with prevalent LC to control subjects regarding their histologic dysplasia scores and chromosomal aneusomy as measured by fluorescence in situ hybridization (FISH). METHODS: The most advanced bronchial histology lesion was assessed from each of 44 LC cases and 90 cancer-free control subjects using a four-color FISH probe set encompassing the chromosome 6 centromere, 5p15.2, 7p12 (epidermal growth factor receptor), and 8q24 v-myc myelocytomatosis viral oncogene homolog (MYC) sequences. Histology grades were coded as dysplasia (moderate or severe) or carcinoma in situ (CIS). MEASUREMENTS AND MAIN RESULTS: CIS was the highest histologic grade for 32 subjects, and dysplasia was the highest grade for 102 subjects (54 moderate, 48 severe). Chromosomal aneusomy was seen in 64% of the LC cases, but in only 31% of the control subjects (odds ratio [OR], 4.68; 95% confidence interval [CI]. 1.97-11.04). Among those with any level of dysplasia, the OR for positive FISH and LC was 2.28 (95% CI, 0.75-6.86). Among those with CIS, the OR for positive FISH and LC was 5.84 (95% CI, 1.31-26.01). CONCLUSIONS: Chromosomal aneusomy is associated with LC. Prospective examination of aneusomy as a precursor lesion that predicts LC is needed. FAU - Jonsson, Steinn AU - Jonsson S AD - Department of Medicine/Medical Oncology, University of Colorado Health Sciences Center, Campus Box 6511, Mail Box 8117, Aurora, CO 80045, USA. FAU - Varella-Garcia, Marileila AU - Varella-Garcia M FAU - Miller, York E AU - Miller YE FAU - Wolf, Holly J AU - Wolf HJ FAU - Byers, Tim AU - Byers T FAU - Braudrick, Sarah AU - Braudrick S FAU - Kiatsimkul, Porntip AU - Kiatsimkul P FAU - Lewis, Marina AU - Lewis M FAU - Kennedy, Timothy C AU - Kennedy TC FAU - Keith, Robert L AU - Keith RL FAU - Bjornsson, Johannes AU - Bjornsson J FAU - McWilliams, Annette AU - McWilliams A FAU - Lam, Stephen AU - Lam S FAU - Hirsch, Fred R AU - Hirsch FR FAU - Franklin, Wilbur A AU - Franklin WA LA - eng GR - P01-CA58187/CA/NCI NIH HHS/United States GR - P30-CA46934/CA/NCI NIH HHS/United States GR - U01-CA85070/CA/NCI NIH HHS/United States PT - Journal Article PT - Multicenter Study PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20071107 PL - United States TA - Am J Respir Crit Care Med JT - American journal of respiratory and critical care medicine JID - 9421642 RN - 0 (Biomarkers) SB - IM MH - Adult MH - Aged MH - Biomarkers MH - Bronchi/cytology/*pathology MH - Bronchoscopy MH - Carcinoma in Situ/*genetics/pathology MH - Case-Control Studies MH - *Chromosome Aberrations MH - Disease Progression MH - Epithelial Cells/*pathology MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Lung Neoplasms/*genetics/*pathology/physiopathology MH - Male MH - Middle Aged MH - Neoplasm Invasiveness MH - Smoking PMC - PMC2218849 EDAT- 2007/11/09 09:00 MHDA- 2008/02/08 09:00 PMCR- 2009/02/01 CRDT- 2007/11/09 09:00 PHST- 2007/11/09 09:00 [pubmed] PHST- 2008/02/08 09:00 [medline] PHST- 2007/11/09 09:00 [entrez] PHST- 2009/02/01 00:00 [pmc-release] AID - 200708-1142OC [pii] AID - ajrccm1773342 [pii] AID - 10.1164/rccm.200708-1142OC [doi] PST - ppublish SO - Am J Respir Crit Care Med. 2008 Feb 1;177(3):342-7. doi: 10.1164/rccm.200708-1142OC. Epub 2007 Nov 7.