Vol 1 No 1 (2018): Current Issue
Research Article

Evidence for Predictive Markers of Platinum Effectiveness in Ovarian Carcinoma by Microarray-based Comparative Genomic Hybridization

Rohwer F
Department of Gynecology and Obstetrics, Oncology Laboratory, University Hospital of Schleswig-Holstein, Christian- Albrechts University Kiel, Germany
Hedemann N
Department of Gynecology and Obstetrics, Oncology Laboratory, University Hospital of Schleswig-Holstein, Christian- Albrechts University Kiel, Germany
Stope MB
Cancer Laboratory, Department of Urology, University Medicine Greifswald, Germany
Mustea A
Department of Gynecology and Obstetrics, University Medicine Greifswald, Germany
Hilpert F
Jerusalem Hospital, Breastcancer Center Hamburg, Germany
Bauerschlag DO
Department of Gynecology and Obstetrics, University Hospital of Schleswig-Holstein, Christian-Albrechts University Kiel, Campus Kiel, Germany
Maass N
Department of Gynecology and Obstetrics, University Hospital of Schleswig-Holstein, Christian-Albrechts University Kiel, Campus Kiel, Germany
Arnold N
Department of Gynecology and Obstetrics, Oncology Laboratory, University Hospital of Schleswig-Holstein, Christian- Albrechts University Kiel, Germany
Weimer J
Department of Gynecology and Obstetrics, Oncology Laboratory, University Hospital of Schleswig-Holstein, Christian- Albrechts University Kiel, Germany
Published May 4, 2018
Keywords
  • Ovarian carcinoma,
  • Platinum effectiveness,
  • aCGH,
  • Spectral karyotyping,
  • Predictive markers,
  • 19q13
  • ...More
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Abstract

Purpose: Seventy percent of all ovarian cancer (OvCa) diseases are diagnosed at an advanced stage due to poor screening methods. In general, the therapy consists of cyto-reductive surgery followed by first line platinum based chemo therapy, which frequently leads to a long-term response. A resistance against platinum therapy was detected in some cases by refractory recurrence within six months after the last donation. Identifying a marker predicting platinum effectiveness could be of great benefit for affected patients.
Patients and methods: In this study we propose cyto-genetic procedures identifying markers of platinum resistance. Fresh tumor material was obtained from nine OvCa patients. After the last platinum-based chemotherapy, five patients had refractory recurrence within six month. DNA was isolated from tumor tissues for array-based comparative genomic hybridization (aCGH) analysis. Ten cultured metaphases per case were analyzed by spectral karyotyping (SKY) to detect repeated chromosome rearrangements. The obtained genomic data were correlated to the patients’ clinical follow-up data.
Results: Eight chromosome aberrations correlated with recurrence later than six months were detected in tumors by SKY. Further seven chromosome aberrations correlated with a refractory recurrence. Non refractory tumors more frequently showed losses in 19q13.31-q13.42 by aCGH. Tumors with refractory recurrence more frequently showed gains in 17q21.32-17q24.3 and losses in 14q11.2, 9p22-p21.1, and 1p22.3-p22.1. OvCa showed separating cyto-genetic changes differentiated in platinum-refractory and non-refractory cases.
Conclusion: Our results suggest that aCGH is the most suitable strategy for this, due to a significantly higher resolution. The loss in 19q13 correlated with better prognosis in OvCa