PMID- 27821228 OWN - NLM STAT- MEDLINE DCOM- 20170703 LR - 20181202 IS - 0529-5807 (Print) IS - 0529-5807 (Linking) VI - 45 IP - 11 DP - 2016 Nov 8 TI - [Abnormality of TOP2A expression and its gene copy number variations in neuroblastic tumors]. PG - 748-754 LID - 10.3760/cma.j.issn.0529-5807.2016.11.002 [doi] AB - Objective: To detect TOP2A protein expression and gene copy number alterations, and to analyze related clinical and pathological implications in pediatric neuroblastic tumors (NT). Methods: Immunohistochemistry was used to detect TOP2A protein expression. Fluorescence in situ hybridization (FISH) was used to detect numerical aberrations of TOP2A. Results: TOP2A protein was expressed in 59.1%(52/88) of cases, which was associated with differentiation (P=0.006), Ki-67 index (P<0.01) and MKI (P=0.001). Twenty-eight cases (35.0%, 28/88) showed TOP2A gene amplification, which was correlated with the age (P<0.01), clinical stage (P=0.028), high risk group (P=0.001), Ki-67 index (P=0.040) and differentiation (P=0.014). Survival analysis showed that TOP2A expression was related to survival rate. Multivariate analyses showed that TOP2A expression was an independent predictor for poor prognosis (P=0.010). Conclusions: More than half of the cases show TOP2A expression, which is more likely associated with NB, high Ki-67 index and high MKI. Cases with TOP2A expression have shorter survivals and poorer prognosis. TOP2A amplification is seen in 35% and likely occurs in patients older than 18 months and at advanced INSS stages (Ⅲ and Ⅳ). As a target of the anthracycline-based adjuvant drugs, TOP2A test can be used to select patient with NT for the therapy. FAU - Chen, J M AU - Chen JM AD - Department of Pathology, Capital Medical University, Beijing 100069, China. FAU - Zhou, C J AU - Zhou CJ FAU - Ma, X L AU - Ma XL FAU - Guan, D D AU - Guan DD FAU - Yang, L Y AU - Yang LY FAU - Yue, P AU - Yue P FAU - Gong, L P AU - Gong LP LA - chi PT - Journal Article PL - China TA - Zhonghua Bing Li Xue Za Zhi JT - Zhonghua bing li xue za zhi = Chinese journal of pathology JID - 0005331 RN - 0 (Antigens, Neoplasm) RN - 0 (DNA-Binding Proteins) RN - 0 (Poly-ADP-Ribose Binding Proteins) RN - EC 5.99.1.3 (DNA Topoisomerases, Type II) RN - EC 5.99.1.3 (TOP2A protein, human) SB - IM MH - Age Factors MH - Antigens, Neoplasm/*genetics/metabolism MH - Breast Neoplasms MH - DNA Copy Number Variations MH - DNA Topoisomerases, Type II/*genetics/metabolism MH - DNA-Binding Proteins/*genetics/metabolism MH - Female MH - *Gene Amplification MH - *Gene Dosage MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Infant MH - Neoplasms/*genetics/metabolism/pathology MH - Neuroblastoma/*genetics/metabolism/mortality/pathology MH - Poly-ADP-Ribose Binding Proteins MH - Survival Analysis EDAT- 2016/11/09 06:00 MHDA- 2017/07/04 06:00 CRDT- 2016/11/09 06:00 PHST- 2016/11/09 06:00 [entrez] PHST- 2016/11/09 06:00 [pubmed] PHST- 2017/07/04 06:00 [medline] AID - 10.3760/cma.j.issn.0529-5807.2016.11.002 [doi] PST - ppublish SO - Zhonghua Bing Li Xue Za Zhi. 2016 Nov 8;45(11):748-754. doi: 10.3760/cma.j.issn.0529-5807.2016.11.002.