Background The finding of hemizygous or homozygous deletionsat band 14 on chromosome 13 in a variety of neoplasms suggeststhe presence of a tumor-suppressor locus telomeric to the RB1gene.
Methods We studied samples from 216 patients with various typesof sporadic tumors or idiopathic pancytopenia, peripheral-bloodsamples from 109 patients with familial cancer or multiple cancers,and control blood samples from 475 healthy people or patientswith diseases other than cancer. We performed functional studiesof cell lines lacking ARLTS1 expression with the use of boththe full-length ARLTS1 gene and a truncated variant.
Results We found a gene at 13q14, ARLTS1, a member of the ADP-ribosylationfactor family, with properties of a tumor-suppressor gene. Weanalyzed 800 DNA samples from tumors and blood cells from patientswith sporadic or familial cancer and controls and found thatthe frequency of a nonsense polymorphism, G446A (Trp149Stop),was similar in controls and patients with sporadic tumors butwas significantly more common among patients with familial cancerthan among those in the other two groups (P=0.02; odds ratio,5.7; 95 percent confidence interval, 1.3 to 24.8). ARLTS1 wasdown-regulated by promoter methylation in 25 percent of theprimary tumors we analyzed. Transfection of wild-type ARLTS1into A549 lung-cancer cells suppressed tumor formation in immunodeficientmice and induced apoptosis, whereas transfection of truncatedARLTS1 had a limited effect on apoptosis and tumor suppression.Microarray analysis revealed that the wild-type and Trp149Stop-transfectedclones had different expression profiles.
Conclusions A genetic variant of ARLTS1 predisposes patientsto familial cancer.
Source Information
From Thomas Jefferson University, Philadelphia (G.A.C., F.T., M.S., C.D.D., S.Y., D.C., S.R., H.A., H.M., T.S., R.B., C.-G.L., F.B., M.N., C.M.C.); Fox Chase Cancer Center, Philadelphia (A.K.G., B.M.); University of Ferrara, Ferrara, Italy (M.F., G. Bernardi, M.N.); the National Cancer Institute, Aviano, Italy (G. Baldassarre); Aarhus University, Aarhus, Denmark (L.L.H., J.O.); Fundeni Hospital, Bucharest, Romania (V.H.); University La Sapienza, Rome (F.R.M.); the Pasteur Institute, Paris (G.D.); the University of California San Diego, La Jolla (L.R., T.K.); the University of Catanzaro, Catanzaro, Italy (A.F.); Kyushu University, Beppu, Japan (M.M.); Istituto di Ricovero e Cura a Carattere Scientifico, Rome (G.R.); and the DanaFarber Cancer Institute, Boston (D.N.).
Address reprint requests to Dr. Croce at Ohio State University Comprehensive Cancer Center, 385K Wiseman Hall, 400 W. 12th Ave., Columbus, OH 43210, or at carlo.croce{at}osumc.edu.
Familial Cancer and ARLTS1
De Brakeleer S., Teugels E., De Grève J., Frank B., Klaes R., Burwinkel B., Calin G. A., Croce C. M., Neuberg D.
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N Engl J Med 2005;
353:313-314, Jul 21, 2005.
Correspondence
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