Abstract | BACKGROUND: A giant cell tumor of bone (GCT) is a histologically benign neoplasma that has an unpredictable pattern of biological aggressiveness. In the present study, we investigated whether there was a correlation between telomere length or the levels of telomerase activity and other clinical features of GCTs, for the possible use of these factors as parameters of aggressiveness or prognosis. METHODS: In 16 surgically resected GCTs specimens, telomere length was assessed by terminal restriction fragments by Southern blot analysis. Telomerase activity was measured by a semiquantitative polymerase chain reaction-based telomeric repeat amplification protocol assay. RESULTS: Telomere length reduction was observed in 69% of the GCT samples. The telomere lengths of tumors were significantly shorter than those of normal tissue (P = .008). The mean telomere length of grade 3 tumors was significantly shorter than those of grade 1 and 2 tumors (P = .038). Telomerase activity was detected in 81% of tumor samples. The level of telomerase activity in tumors with local recurrence was significantly higher than in tumors without local recurrence (P = .011). CONCLUSIONS: These results suggest that telomere length correlates with roentgenographic grade as a result of the frequency of cell division, and high telomerase activity indicates the aggressiveness of GCTs.
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Authors | Toshihiro Matsuo, Eiso Hiyama, Takashi Sugita, Shoji Shimose, Tadahiko Kubo, Yu Mochizuki, Nobuo Adachi, Kensaku Kojima, Patrick Sharman, Mitsuo Ochi |
Journal | Annals of surgical oncology
(Ann Surg Oncol)
Vol. 14
Issue 10
Pg. 2896-902
(Oct 2007)
ISSN: 1068-9265 [Print] United States |
PMID | 17653593
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- TERT protein, human
- Telomerase
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Topics |
- Adolescent
- Adult
- Blotting, Southern
- Bone Neoplasms
(genetics, pathology, surgery)
- Bone and Bones
(pathology, surgery)
- Extremities
(surgery)
- Female
- Femoral Neoplasms
(genetics, pathology, surgery)
- Giant Cell Tumor of Bone
(genetics, pathology, surgery)
- Humans
- Male
- Middle Aged
- Neoplasm Recurrence, Local
(genetics, pathology, surgery)
- Neoplasm Staging
- Polymerase Chain Reaction
- Polymorphism, Restriction Fragment Length
(genetics)
- Prognosis
- Telomerase
(genetics)
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