PMID- 18829482 OWN - NLM STAT- MEDLINE DCOM- 20081126 LR - 20220129 IS - 1078-0432 (Print) IS - 1078-0432 (Linking) VI - 14 IP - 19 DP - 2008 Oct 1 TI - Deletions of CDKN2C in multiple myeloma: biological and clinical implications. PG - 6033-41 LID - 10.1158/1078-0432.CCR-08-0347 [doi] AB - PURPOSE: Deletions of chromosome 1 have been described in 7% to 40% of cases of myeloma with inconsistent clinical consequences. CDKN2C at 1p32.3 has been identified in myeloma cell lines as the potential target of the deletion. We tested the clinical impact of 1p deletion and used high-resolution techniques to define the role of CDKN2C in primary patient material. EXPERIMENTAL DESIGN: We analyzed 515 cases of monoclonal gammopathy of undetermined significance (MGUS), smoldering multiple myeloma (SMM), and newly diagnosed multiple myeloma using fluorescence in situ hybridization (FISH) for deletions of CDKN2C. In 78 myeloma cases, we carried out Affymetrix single nucleotide polymorphism mapping and U133 Plus 2.0 expression arrays. In addition, we did mutation, methylation, and Western blotting analysis. RESULTS: By FISH we identified deletion of 1p32.3 (CDKN2C) in 3 of 66 MGUS (4.5%), 4 of 39 SMM (10.3%), and 55 of 369 multiple myeloma cases (15%). We examined the impact of copy number change at CDKN2C on overall survival (OS), and found that the cases with either hemizygous or homozygous deletion of CDKN2C had a worse OS compared with cases that were intact at this region (22 months versus 38 months; P = 0.003). Using gene mapping we identified three homozygous deletions at 1p32.3, containing CDKN2C, all of which lacked expression of CDKN2C. Cases with homozygous deletions of CDKN2C were the most proliferative myelomas, defined by an expression-based proliferation index, consistent with its biological function as a cyclin-dependent kinase inhibitor. CONCLUSIONS: Our results suggest that deletions of CDKN2C are important in the progression and clinical outcome of myeloma. FAU - Leone, Paola E AU - Leone PE AD - Section of Haemato-Oncology, The Institute of Cancer Research, 15 Cotswold Road, London, United Kingdom. FAU - Walker, Brian A AU - Walker BA FAU - Jenner, Matthew W AU - Jenner MW FAU - Chiecchio, Laura AU - Chiecchio L FAU - Dagrada, Gianpaolo AU - Dagrada G FAU - Protheroe, Rebecca K M AU - Protheroe RK FAU - Johnson, David C AU - Johnson DC FAU - Dickens, Nicholas J AU - Dickens NJ FAU - Brito, Jose Luis AU - Brito JL FAU - Else, Monica AU - Else M FAU - Gonzalez, David AU - Gonzalez D FAU - Ross, Fiona M AU - Ross FM FAU - Chen-Kiang, Selina AU - Chen-Kiang S FAU - Davies, Faith E AU - Davies FE FAU - Morgan, Gareth J AU - Morgan GJ LA - eng GR - A6308/CRUK_/Cancer Research UK/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Clin Cancer Res JT - Clinical cancer research : an official journal of the American Association for Cancer Research JID - 9502500 RN - 0 (CDKN2C protein, human) RN - 0 (Cyclin-Dependent Kinase Inhibitor p18) SB - IM MH - Aged MH - Cell Line, Tumor MH - Chromosome Mapping/methods MH - Cyclin-Dependent Kinase Inhibitor p18/*genetics MH - Disease Progression MH - *Gene Deletion MH - Heterozygote MH - Homozygote MH - Humans MH - In Situ Hybridization, Fluorescence MH - Middle Aged MH - Models, Genetic MH - Multiple Myeloma/diagnosis/*genetics MH - Time Factors MH - Treatment Outcome PMC - PMC2581792 MID - UKMS2612 OID - NLM: UKMS2612 EDAT- 2008/10/03 09:00 MHDA- 2008/12/17 09:00 PMCR- 2009/04/01 CRDT- 2008/10/03 09:00 PHST- 2008/10/03 09:00 [pubmed] PHST- 2008/12/17 09:00 [medline] PHST- 2008/10/03 09:00 [entrez] PHST- 2009/04/01 00:00 [pmc-release] AID - 14/19/6033 [pii] AID - 10.1158/1078-0432.CCR-08-0347 [doi] PST - ppublish SO - Clin Cancer Res. 2008 Oct 1;14(19):6033-41. doi: 10.1158/1078-0432.CCR-08-0347.