Abstract

Intratumoral expression of genes encoding Cytochrome P450 enzymes (CYP) might play a critical role not only in cancer development but also in the metabolism of anticancer drugs. The purpose of this study was to compare the mRNA expression patterns of seven representative CYPs in paired tumor and normal tissue of child patients with rabdomyosarcoma (RMS). Using real time quantitative RT-PCR, the gene expression pattern of CYP1A1, CYP1A2, CYP1B1, CYP2E1, CYP2W1, CYP3A4, and CYP3A5 were analyzed in tumor and adjacent non-tumor tissues from 13 child RMS patients. Protein concentration of CYPs was determined using Western blot. The expression levels were tested for correlation with the clinical and pathological data of the patients. Our data showed that the expression levels of CYP1A1 and CYP1A2 were negligible. Elevated expression of CYP1B1 mRNA and protein was detected in most RMS tumors and adjacent normal tissues. Most cancerous samples exhibit higher levels of both CYP3A4 and CYP3A5 compared with normal tissue samples. Expression of CYP2E1 mRNA was found to be significantly higher in tumor tissue, however no relation was found with protein levels. CYP2W1 mRNA and/or protein are mainly expressed in tumors. In conclusion, we defined the CYP gene expression profile in tumor and paired normal tissue of child patients with RMS. The overexpression of CYP2W1, CYP3A4 and CYP3A5 in tumor tissues suggests that they may be involved in RMS chemoresistance; furthermore, they may be exploited for the localized activation of anticancer prodrugs.

Highlights

  • Rhabdomyosarcoma (RMS) is the most common soft tissue sarcoma in children

  • The expression pattern of Cytochrome P450 enzymes (CYP) genes affected by RMS tumorigenesis may play an important role in the progression of cancer and in the metabolism of anticancer drugs

  • The CYP mRNA levels detected in this study do not necessarily reflect active protein concentration, they can be used to predict the expression of genes into final proteins

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Summary

Introduction

Rhabdomyosarcoma (RMS) is the most common soft tissue sarcoma in children. This sarcoma has presumed skeletal muscle origins, due to its myogenic phenotype [1]. The most common site in which RMS occurs is in the head and neck structures (,40%), genito-urinary tract (,25%), and extremities (,20%) [2]. The etiology and pathogenesis of RMS are still poorly understood, the genetics and environmental factors appear to each play a role in the neoplastic transformation [3,4]. Embryonal RMS and alveolar RMS are the two major RMS subtypes that exhibit distinct morphology and genetic make-up. Chemotherapy is one of the three most common treatment modalities in RMS, but often, the resistance of cancer cells to drugs limits its efficacy [6,7]

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