PMID- 25806711 OWN - NLM STAT- MEDLINE DCOM- 20150519 LR - 20181113 IS - 1537-453X (Electronic) IS - 0277-3732 (Print) IS - 0277-3732 (Linking) VI - 38 IP - 2 DP - 2015 Apr TI - MYC and human telomerase gene (TERC) copy number gain in early-stage non-small cell lung cancer. PG - 152-8 LID - 10.1097/COC.0000000000000012 [doi] AB - OBJECTIVES: We investigated the frequency of MYC and TERC increased gene copy number (GCN) in early-stage non-small cell lung cancer (NSCLC) and evaluated the correlation of these genomic imbalances with clinicopathologic parameters and outcome. MATERIALS AND METHODS: Tumor tissues were obtained from 113 resected NSCLCs. MYC and TERC GCNs were tested by fluorescence in situ hybridization (FISH) according to the University of Colorado Cancer Center (UCCC) criteria and based on the receiver operating characteristic (ROC) classification. RESULTS: When UCCC criteria were applied, 41 (36%) cases for MYC and 41 (36%) cases for TERC were considered FISH-positive. MYC and TERC concurrent FISH-positive was observed in 12 cases (11%): 2 (17%) cases with gene amplification and 10 (83%) with high polysomy. By using the ROC analysis, high MYC (mean >/= 2.83 copies/cell) and TERC (mean >/= 2.65 copies/cell) GCNs were observed in 60 (53.1%) cases and 58 (51.3%) cases, respectively. High TERC GCN was associated with squamous cell carcinoma (SCC) histology (P=0.001). In univariate analysis, increased MYC GCN was associated with shorter overall survival (P=0.032 [UCCC criteria] or P=0.02 [ROC classification]), whereas high TERC GCN showed no association. In multivariate analysis including stage and age, high MYC GCN remained significantly associated with worse overall survival using both the UCCC criteria (P=0.02) and the ROC classification (P=0.008). CONCLUSIONS: Our results confirm MYC as frequently amplified in early-stage NSCLC and increased MYC GCN as a strong predictor of worse survival. Increased TERC GCN does not have prognostic impact but has strong association with squamous histology. FAU - Flacco, Antonella AU - Flacco A AD - *Department of Medical Oncology, S. Maria della Misericordia Hospital Departments of daggerElectronic and Information Engineering double daggerThoracic Surgery section signInstitute of Pathological Anatomy and Histology, University of Perugia, Perugia, Italy parallelDepartment of Medicine/Medical Oncology, University of Colorado Cancer Center, Aurora, CO. FAU - Ludovini, Vienna AU - Ludovini V FAU - Bianconi, Fortunato AU - Bianconi F FAU - Ragusa, Mark AU - Ragusa M FAU - Bellezza, Guido AU - Bellezza G FAU - Tofanetti, Francesca R AU - Tofanetti FR FAU - Pistola, Lorenza AU - Pistola L FAU - Siggillino, Annamaria AU - Siggillino A FAU - Vannucci, Jacopo AU - Vannucci J FAU - Cagini, Lucio AU - Cagini L FAU - Sidoni, Angelo AU - Sidoni A FAU - Puma, Francesco AU - Puma F FAU - Varella-Garcia, Marileila AU - Varella-Garcia M FAU - Crino, Lucio AU - Crino L LA - eng GR - P30 CA046934/CA/NCI NIH HHS/United States GR - P50 CA058187/CA/NCI NIH HHS/United States GR - P50 CA58187/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - Am J Clin Oncol JT - American journal of clinical oncology JID - 8207754 RN - 0 (telomerase RNA) RN - 63231-63-0 (RNA) RN - EC 2.7.7.49 (Telomerase) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Area Under Curve MH - Carcinoma, Non-Small-Cell Lung/*genetics/mortality/pathology MH - Disease-Free Survival MH - Female MH - *Gene Dosage MH - Genes, myc/*genetics MH - Humans MH - In Situ Hybridization, Fluorescence MH - Kaplan-Meier Estimate MH - Lung Neoplasms/*genetics/mortality/pathology MH - Male MH - Middle Aged MH - Neoplasm Staging MH - Proportional Hazards Models MH - RNA/*genetics MH - ROC Curve MH - Retrospective Studies MH - Telomerase/*genetics PMC - PMC4607281 MID - NIHMS728705 EDAT- 2015/03/26 06:00 MHDA- 2015/05/20 06:00 PMCR- 2016/04/01 CRDT- 2015/03/26 06:00 PHST- 2015/03/26 06:00 [entrez] PHST- 2015/03/26 06:00 [pubmed] PHST- 2015/05/20 06:00 [medline] PHST- 2016/04/01 00:00 [pmc-release] AID - 00000421-201504000-00006 [pii] AID - 10.1097/COC.0000000000000012 [doi] PST - ppublish SO - Am J Clin Oncol. 2015 Apr;38(2):152-8. doi: 10.1097/COC.0000000000000012.