PMID- 19251084 OWN - NLM STAT- MEDLINE DCOM- 20090325 LR - 20220316 IS - 1879-355X (Electronic) IS - 0360-3016 (Linking) VI - 73 IP - 4 DP - 2009 Mar 15 TI - Major vault protein may affect nonhomologous end-joining repair and apoptosis through Ku70/80 and bax downregulation in cervical carcinoma tumors. PG - 976-9 LID - 10.1016/j.ijrobp.2008.11.013 [doi] AB - PURPOSE: We investigated the relationship between major vault protein (MVP) expression, the nonhomologous end-joining (NHEJ) repair gene Ku70/80, and related genes involved in the regulation of apoptosis and proliferation to shed light on the possible causes of genetic instability, tumor progression, and resistance to oncologic treatment in patients with clinical cervical cancer. METHODS AND MATERIALS: One hundred sixteen consecutive patients with localized cervix carcinoma were prospectively included in this study from July 1997 to Dec 2003. Patients were staged according to the tumor, node, metastasis (TNM) classification. Forty patients had Stage I disease, 45 had Stage II, and 31 had Stage III/IVA. Most patients had squamous tumors (98 cases) and Grades II (52 cases) and III (45 cases) carcinomas. Expression of MVP, Ku70/80, Insulin-Like Growth Factor-1 receptor (IGF-1R), BCL2-associated X protein (BAX), B-cell CLL/lymphoma 2 (BCL-2), p53, and Ki67 was studied by using immunohistochemistry in paraffin-embedded tumor tissue. RESULTS: Tumors overexpressing MVP (65 of 116 cases) showed low levels of Ku70/80 (p = 0.013) and BAX expression (p < 0.0001). Furthermore, low Ku70/80 expression was strongly related to suppressed BAX (p < 0.001) and, to a lesser extent, upregulated BCL-2 (p = 0.042), altered p53 (p = 0.038), and increased proliferation (p = 0.002). CONCLUSION: We hypothesize that an early regulatory mechanism favors homologous or NHEJ repair at first, mediated by vaults along with other factors yet to be elucidated. If vaults are overexpressed, NHEJ repair may be suppressed by means of several mechanisms, with resultant genomic instability. These mechanisms may be associated with the decision of damaged cells to survive and proliferate, favoring tumor progression and reducing tumor response to oncologic treatment through the development of resistant cell phenotypes. Additional clinical studies are necessary to test this hypothesis. FAU - Lloret, Marta AU - Lloret M AD - Radiation Oncology Department, Hospital Universitario Dr. Negrin, Las Palmas de Gran Canaria, Spain. mllosae@hotmail.com FAU - Lara, Pedro Carlos AU - Lara PC FAU - Bordon, Elisa AU - Bordon E FAU - Fontes, Fausto AU - Fontes F FAU - Rey, Agustin AU - Rey A FAU - Pinar, Beatriz AU - Pinar B FAU - Falcon, Orlando AU - Falcon O LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Int J Radiat Oncol Biol Phys JT - International journal of radiation oncology, biology, physics JID - 7603616 RN - 0 (Antigens, Nuclear) RN - 0 (DNA-Binding Proteins) RN - 0 (Neoplasm Proteins) RN - 0 (Tumor Suppressor Protein p53) RN - 0 (Vault Ribonucleoprotein Particles) RN - 0 (bcl-2-Associated X Protein) RN - 0 (major vault protein) RN - EC 2.7.10.1 (Receptor, IGF Type 1) RN - EC 3.6.4.12 (Xrcc6 protein, human) RN - EC 4.2.99.- (Ku Autoantigen) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Antigens, Nuclear/genetics/*metabolism MH - Apoptosis/*physiology MH - Cell Proliferation MH - Chromosomal Instability/genetics MH - DNA Damage/genetics MH - *DNA Repair MH - DNA-Binding Proteins/genetics/*metabolism MH - Down-Regulation MH - Female MH - Humans MH - Ku Autoantigen MH - Middle Aged MH - Neoplasm Proteins/genetics/*metabolism MH - Neoplasm Staging MH - Prospective Studies MH - Receptor, IGF Type 1/metabolism MH - Tumor Suppressor Protein p53/metabolism MH - *Uterine Cervical Neoplasms/genetics/metabolism/pathology/physiopathology MH - Vault Ribonucleoprotein Particles/*metabolism MH - bcl-2-Associated X Protein/metabolism EDAT- 2009/03/03 09:00 MHDA- 2009/03/26 09:00 CRDT- 2009/03/03 09:00 PHST- 2008/11/16 00:00 [received] PHST- 2008/11/16 00:00 [revised] PHST- 2008/11/18 00:00 [accepted] PHST- 2009/03/03 09:00 [entrez] PHST- 2009/03/03 09:00 [pubmed] PHST- 2009/03/26 09:00 [medline] AID - S0360-3016(08)03791-7 [pii] AID - 10.1016/j.ijrobp.2008.11.013 [doi] PST - ppublish SO - Int J Radiat Oncol Biol Phys. 2009 Mar 15;73(4):976-9. doi: 10.1016/j.ijrobp.2008.11.013.