PMID- 9264349 OWN - NLM STAT- MEDLINE DCOM- 19970903 LR - 20181130 IS - 0008-543X (Print) IS - 0008-543X (Linking) VI - 80 IP - 4 DP - 1997 Aug 15 TI - Oncogene expression in gastroenteropancreatic neuroendocrine tumors: implications for pathogenesis. PG - 668-75 AB - BACKGROUND: Neuroendocrine tumors of the gastroenteropancreatic system include pancreatic islet cell and carcinoid tumors. These tumors comprise a functionally and biologically heterogeneous group of neoplasms that rarely show reliable histopathologic signs of malignancy. No etiologic factors are proven to be associated with them, and their exact ontogeny and carcinogenesis remain unknown. METHODS: Monoclonal antibodies were employed, along with microwave antigen retrieval and the avidin-biotin immunohistochemical method, to investigate the expression of c-myc, bcl-2, c-erb B-2, c-erb B-3, c-jun, and proliferating cell nuclear antigen (PCNA) in a retrospective series of 116 primary gastroenteropancreatic neuroendocrine tumors (GPNTs). The authors attempted to correlate this expression with the clinicopathologic outcome of the disease. RESULTS: Immunoreactivities for c-myc, bcl-2, c-erb B-2, c-erb B-3, and c-jun were detected in 100%, 45%, 24%, 7%, and 24% of pancreatic neuroendocrine tumors (PNTs), respectively. In carcinoid tumors, immunoreactivities were detected for c-myc (63%), bcl-2 (28%), c-erb B-2 (31%), c-erb B-3 (6%), and c-jun (23%). There were significantly higher incidences of c-myc, bcl-2, and c-erb B-2 immunoreactivities in carcinoid tumors of the rectum than in those of the appendix, and significantly higher incidences of bcl-2 and c-jun immunoreactivities in carcinoid tumors of the bronchus than in those of the appendix. Incidence of PCNA immunoreactivity was significantly higher in malignant than in benign PNTs and also significantly higher in carcinoid tumors of the jejunum and ileum than in those of the appendix. CONCLUSIONS: The oncogenes c-myc, bcl-2, c-erb B-2, and c-jun are frequently expressed in human GPNTs. The expression of these oncogenes may represent pathogenic events in the generation, malignant transformation, and progression of GPNTs. The immunohistochemical evaluation of cell kinetics in GPNTs by PCNA might be a useful adjunct to conventional diagnostic procedures. FAU - Wang, D G AU - Wang DG AD - Division of Metabolism and Endocrinology, School of Clinical Medicine, The Queen's University of Belfast, United Kingdom. FAU - Johnston, C F AU - Johnston CF FAU - Buchanan, K D AU - Buchanan KD LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Cancer JT - Cancer JID - 0374236 RN - 0 (Proliferating Cell Nuclear Antigen) RN - 0 (Proto-Oncogene Proteins) RN - 0 (Proto-Oncogene Proteins c-bcl-2) RN - 0 (Proto-Oncogene Proteins c-jun) RN - 0 (Proto-Oncogene Proteins c-myc) RN - EC 2.7.10.1 (ErbB Receptors) RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - EC 2.7.10.1 (Receptor, ErbB-3) SB - IM MH - ErbB Receptors/analysis MH - Gastrointestinal Neoplasms/*genetics/metabolism/pathology MH - Humans MH - Immunohistochemistry MH - Neuroendocrine Tumors/*genetics/metabolism/pathology MH - Pancreatic Neoplasms/*genetics MH - Proliferating Cell Nuclear Antigen/analysis MH - Proto-Oncogene Proteins/*analysis MH - Proto-Oncogene Proteins c-bcl-2/analysis MH - Proto-Oncogene Proteins c-jun/analysis MH - Proto-Oncogene Proteins c-myc/analysis MH - Receptor, ErbB-2/analysis MH - Receptor, ErbB-3 MH - Retrospective Studies EDAT- 1997/08/15 00:00 MHDA- 2000/06/20 09:00 CRDT- 1997/08/15 00:00 PHST- 1997/08/15 00:00 [pubmed] PHST- 2000/06/20 09:00 [medline] PHST- 1997/08/15 00:00 [entrez] AID - 10.1002/(SICI)1097-0142(19970815)80:4<668::AID-CNCR4>3.0.CO;2-J [pii] PST - ppublish SO - Cancer. 1997 Aug 15;80(4):668-75.