Abstract
Background
Sporadic parathyroid adenomas (SPAs) are benign neoplasms responsible for most cases of primary hyperparathyroidism (pHPT). The molecular pathways responsible for the variations in clinical severity of pHPT are unknown. We studied gene expression profiles in patients with SPAs and pHPT to determine associations between these changes and clinical parameters.
Methods
We selected 10 patients with solitary SPAs and nonfamilial, non-MEN1 pHPT treated with surgery from 2001 to 2003. Pathologic and clinical data were reviewed. At operation, tissues from SPAs were frozen in liquid nitrogen; total RNA was obtained from sections, and the diagnosis was confirmed with hematoxylin and eosin staining. Control normal parathyroid RNA was age- and sex-matched. RNA was amplified, labeled, and hybridized to a microarray of 22,272 human oligonucleotides. Cluster analysis of gene expression, analysis of expression ratios, and comparison of clinical parameters were performed.
Results
All patients were cured; all specimens were consistent with SPAs. K means clustering divided the 10 patients into 2 distinct 5-patient gene expression groups by using uncentered correlation based on gene subgrouping. Of the clinical parameters, only the mean gland volume was significantly different between group 1 (390 ± 160 mm3) and group 2 (1080 ± 615 mm3; P = .032 by Mann-Whitney test). Seventy-five genes were significantly upregulated or downregulated (with a ratio of <.33 or >3) compared with controls. These genes included the v-fos viral oncogene homolog and six calcium ion-binding signaling proteins.
Conclusions
Differential expression of a few critical genes may contribute to differences in gland volume in SPAs. A better understanding of these pathways may help to define the pathophysiology of pHPT.
Similar content being viewed by others
References
S Miedlich K Krohn R Paschke (2003) ArticleTitleUpdate on genetic and clinical aspects of primary hyperparathyroidism Clin Endocrinol 59 539–54 Occurrence Handle10.1046/j.1365-2265.2003.t01-1-01755.x Occurrence Handle1:CAS:528:DC%2BD3sXpsF2ju7s%3D
PP Schachter S Ayesh T Schneider M Laster A Czerniak A Hochberg (2002) ArticleTitleExpression of kinase genes in primary hyperparathyroidism: adenoma versus hyperplastic parathyroid tissue Surgery 132 1094–9 Occurrence Handle10.1067/msy.2002.128614 Occurrence Handle12490860
A Stojadinovic A Hoos A Nissan et al. (2003) ArticleTitleParathyroid neoplasms: clinical, histopathological, and tissue microarray-based molecular analysis Hum Pathol 34 54–64 Occurrence Handle10.1053/hupa.2003.55 Occurrence Handle12605367
LM Staudt (2002) ArticleTitleGene expression profiling of lymphoid malignancies Annu Rev Med 53 303–18 Occurrence Handle10.1146/annurev.med.53.082901.103941 Occurrence Handle1:CAS:528:DC%2BD38Xitl2mtrY%3D Occurrence Handle11818476
MJ Vijver ParticleVan de YD He LJ van’t Veer et al. (2002) ArticleTitleA gene-expression signature as a predictor of survival in breast cancer N Engl J Med 347 1999–2009 Occurrence Handle10.1056/NEJMoa021967 Occurrence Handle12490681
A Schulze J Downward (2001) ArticleTitleNavigating gene expression using microarrays—a technology review Nat Cell Biol 3 E190–5 Occurrence Handle10.1038/35087138 Occurrence Handle1:CAS:528:DC%2BD3MXmtFens7k%3D Occurrence Handle11483980
G Sauter R Simon (2002) ArticleTitlePredictive molecular pathology N Engl J Med 347 1995–6 Occurrence Handle10.1056/NEJMp020155 Occurrence Handle12490679
R Simon MD Radmacher K Dobbin LM McShane (2003) ArticleTitlePitfalls in the use of DNA microarray data for diagnostic and prognostic classification J Natl Cancer Inst 95 14–8 Occurrence Handle1:CAS:528:DC%2BD3sXitlOntrY%3D Occurrence Handle12509396 Occurrence Handle10.1093/jnci/95.1.14
TR Golub DK Slonim P Tamayo et al. (1999) ArticleTitleMolecular classification of cancer: class discovery and class prediction by gene expression monitoring Science 286 531–7 Occurrence Handle10.1126/science.286.5439.531 Occurrence Handle1:CAS:528:DyaK1MXmvVOhu7g%3D Occurrence Handle10521349
LD Miller P Long L Wong S Mukherjee LM McShane ET Liu (2002) ArticleTitleOptimal gene expression analysis by microarrays Cancer Cell 2 353–61 Occurrence Handle10.1016/S1535-6108(02)00181-2 Occurrence Handle1:CAS:528:DC%2BD38Xptlalur4%3D Occurrence Handle12450790
S Raychaudhuri PD Sutphin JT Chang RB Altman (2001) ArticleTitleBasic microarray analysis: grouping and feature reduction Trends Biotechnol 19 189–93 Occurrence Handle10.1016/S0167-7799(01)01599-2 Occurrence Handle1:CAS:528:DC%2BD3MXisF2nurY%3D Occurrence Handle11301132
J Eberwine (1996) ArticleTitleAmplification of mRNA populations using aRNA generated from immobilized oligo(dT)-T7 primed cDNA Biotechniques 20 584–91 Occurrence Handle1:CAS:528:DyaK28XitFelsL0%3D Occurrence Handle8800675
AL Feldman NG Costouros E Wang et al. (2002) ArticleTitleAdvantages of mRNA amplification for microarray analysis Biotechniques 33 906–12 Occurrence Handle1:CAS:528:DC%2BD38XnvFGrtLk%3D Occurrence Handle12398200
E Wang LD Miller GA Ohnmacht ET Liu FM Marincola (2000) ArticleTitleHigh-fidelity mRNA amplification for gene profiling Nat Biotechnol 18 457–9 Occurrence Handle10.1038/74546 Occurrence Handle1:CAS:528:DC%2BD3cXis1GlsLo%3D Occurrence Handle10748532
AE Grigoriadis ZQ Wang MG Cecchini et al. (1994) ArticleTitleC-fos: a key regulator of osteoclast-macrophage lineage determination and bone remodeling Science 266 443–8 Occurrence Handle1:CAS:528:DyaK2cXmslyisr8%3D Occurrence Handle7939685
AE Grigoriadis ZQ Wang EF Wagner (1995) ArticleTitleFos and bone cell development: lessons from a nuclear oncogene Trends Genet 11 436–41 Occurrence Handle10.1016/S0168-9525(00)89142-8 Occurrence Handle1:CAS:528:DyaK2MXptVant7g%3D Occurrence Handle8578600
C Dony P Gruss (1987) ArticleTitleProto-oncogene c-fos expression in growth regions of fetal bone and mesodermal web tissue Nature 328 711–4 Occurrence Handle10.1038/328711a0 Occurrence Handle1:STN:280:DyaL2s3oslarsw%3D%3D Occurrence Handle3614378
SG Isler S Schenk I Bendik et al. (2001) ArticleTitleGenomic organization and chromosomal mapping of SPARC-like 1, a gene down regulated in cancers Int J Oncol 18 521–6 Occurrence Handle1:CAS:528:DC%2BD3MXhsFGltrg%3D Occurrence Handle11179481
CS Lin T Park ZP Chen J Leavitt (1993) ArticleTitleHuman plastin genes. Comparative gene structure, chromosome location, and differential expression in normal and neoplastic cells J Biol Chem 268 2781–92 Occurrence Handle1:CAS:528:DyaK3sXhs1ahtbk%3D Occurrence Handle8428952
JF Tait M Sakata BA McMullen et al. (1988) ArticleTitlePlacental anticoagulant proteins: isolation and comparative characterization of four members of the lipocortin family Biochemistry 27 6268–76 Occurrence Handle10.1021/bi00417a011 Occurrence Handle1:CAS:528:DyaL1cXls1Gqsro%3D Occurrence Handle2975506
M Streit L Riccardi P Velasco et al. (1999) ArticleTitleThrombospondin-2: a potent endogenous inhibitor of tumor growth and angiogenesis Proc Natl Acad Sci U S A 96 14888–93 Occurrence Handle10.1073/pnas.96.26.14888 Occurrence Handle1:CAS:528:DC%2BD3cXhtFanug%3D%3D Occurrence Handle10611308
K Komatsu K Murata M Kameyama et al. (2002) ArticleTitleExpression of S100A6 and S100A4 in matched samples of human colorectal mucosa, primary colorectal adenocarcinomas and liver metastases Oncology 63 192–200 Occurrence Handle10.1159/000063812 Occurrence Handle1:CAS:528:DC%2BD38XntFegtLk%3D Occurrence Handle12239456
HL Hsieh BW Schafer JA Cox CW Heizmann (2002) ArticleTitleS100A13 and S100A6 exhibit distinct translocation pathways in endothelial cells J Cell Sci 115 3149–58 Occurrence Handle1:CAS:528:DC%2BD38XmsFaku7g%3D Occurrence Handle12118070
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Rosen, J.E., Costouros, N.G., Lorang, D. et al. Gland Size Is Associated With Changes in Gene Expression Profiles in Sporadic Parathyroid Adenomas. Ann Surg Oncol 12, 412–416 (2005). https://doi.org/10.1245/ASO.2005.03.103
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1245/ASO.2005.03.103