PMID- 9287970 OWN - NLM STAT- MEDLINE DCOM- 19970930 LR - 20190707 IS - 0016-5085 (Print) IS - 0016-5085 (Linking) VI - 113 IP - 3 DP - 1997 Sep TI - Chromosomal alterations in ulcerative colitis-related neoplastic progression. PG - 791-801 AB - BACKGROUND & AIMS: It is unclear whether genomic derangement precedes the histological development of dysplasia in ulcerative colitis (UC)-related neoplastic progression. The primary aim of this study was to determine if chromosomal alterations occur early in the progression pathway of UC-related neoplasia. METHODS: Fluorescence in situ hybridization (FISH) was performed on nuclei dissociated from sites of cancer, dysplasia, and UC-involved nondysplastic epithelium in five UC-related cancer colectomy specimens using a panel of pericentromeric probes. Comparative genomic hybridization (CGH) was used to detect clonal chromosomal losses and gains in DNA extracted from these sites. RESULTS: FISH analysis revealed significant and often dramatic alterations in chromosome copy number compared with controls in all biopsy specimens of cancer, dysplasia, and nondysplastic UC-involved epithelium. Clonal chromosomal losses and gains were detected by CGH in all but one analyzed site of dysplasia and cancer and in two of the five nondysplastic sites. FISH and CGH frequently detected the relative loss of chromosome 18. CONCLUSIONS: Chromosomal alterations may occur early in UC-related neoplastic progression and seem to precede the histological development of dysplasia. Relative loss of 18q may be important in the progression of UC-related neoplasia. The detection of chromosomal alterations as an intermediate end point may prove useful in identifying patients at high risk for the development of colorectal cancer. FAU - Willenbucher, R F AU - Willenbucher RF AD - Cancer Center, University of California, San Francisco, USA. FAU - Zelman, S J AU - Zelman SJ FAU - Ferrell, L D AU - Ferrell LD FAU - Moore, D H 2nd AU - Moore DH 2nd FAU - Waldman, F M AU - Waldman FM LA - eng GR - CA44768/CA/NCI NIH HHS/United States GR - CA47537/CA/NCI NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Gastroenterology JT - Gastroenterology JID - 0374630 SB - IM CIN - Gastroenterology. 1998 Mar;114(3):624. PMID: 9496964 MH - Adult MH - Chromosome Aberrations/*genetics MH - Chromosome Deletion MH - Chromosome Disorders MH - Colitis, Ulcerative/*complications/pathology MH - Colon/pathology MH - Colorectal Neoplasms/*complications/*pathology MH - Disease Progression MH - Epithelium/pathology MH - Female MH - Gene Dosage MH - Humans MH - In Situ Hybridization, Fluorescence MH - Male MH - Middle Aged MH - Nucleic Acid Hybridization EDAT- 1997/09/01 00:00 MHDA- 2001/03/28 10:01 CRDT- 1997/09/01 00:00 PHST- 1997/09/01 00:00 [pubmed] PHST- 2001/03/28 10:01 [medline] PHST- 1997/09/01 00:00 [entrez] AID - S0016508597004162 [pii] AID - 10.1016/s0016-5085(97)70173-2 [doi] PST - ppublish SO - Gastroenterology. 1997 Sep;113(3):791-801. doi: 10.1016/s0016-5085(97)70173-2.