Cellular Cancer Markers Contemporary Biomedicine Cellular Cancer Markers Edited by Carleton T. Garrett and Stewart Sell, 1995 Serological Cancer Markers Edited by Stewart Sell, 1992 The Red Cell Membrane Edited by B. U. Raess and Godfrey Tunnicliff, 1990 Handbook of the Hemopoietic Microenvironment Edited by Mehdi Tavassoli, 1989 Leukolysins and Cancer Edited by Janet H. Ransom and John R. Ortaldo, 1988 Methods of Hybridoma Formation Edited by Arie H. Bartal and Yashar Hirshaut, 1987 Monoclonal Antibodies in Cancer Edited by Stewart Sell and Ralph A. Reisfeld, 1985 Calcium and Contractility: Smooth Muscle Edited by A. K. Grover and E. E. Daniel, 1984 Carcinogenesis and Mutagenesis Testing Edited by J. F. Douglas, 1984 The Human Teratomas: Experimental and Clinical Biology Edited by Ivan Damjanov, Barbara B. Knowles, and Davor Solter, 1983 Human Cancer Markers Edited by Stewart Sell and Britta Wahren, 1982 Cancer Markers: Diagnostic and Developmental Significance Edited by Stewart Sell, 1980 Cellular Cancer Markers Edited by Carleton T. Garrett, MD, PhD Department of Pathology, Medical College of Virginia, Richmond, VA and Stewart Sell, MD Department of Pathology and Laboratory Medicine, University of Texas Medical School, Houston, TX Springer Science+Business Media, LLC © 1995 Springer Science+Business Media New York Originally published by Humana Press Inc. in 1995 Softcover reprint ofthe hardcover Ist edition 1995 AII rights reserved. No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise without writ ten permission from the Publisher. AII authored papers, comments, opinions, conclusions, or recommendations are those ofthe author(s), and do not necessarily reflect the views of the publisher. This publication is printed on acid-free paper. ® ANSI Z39.48-1984 (American National Standards Institute) Permanence of Paper for Printed Library Materials. Photocopy Authorization Policy: Authorization to photocopy items for internal or personal use, or the internal or personal use of specific clients, is granted by Springer Science+Business Media., LLC. provided that the base fee of US $4.00 per copy, plus US, $00.20 per page, is paid directly to the Copyright Clearance Center at 222 Rosewood Drive, Danvers, MA 01923. For those organizations that have been granted a photocopy license from the CCC, a separate system of payment has been arranged and is acceptable to Springer Science+Business Media., LLC. The fee code for users of the Transactional Reporting Service is: [0-89603-210-8/94 $4.00 + $00.20]. 10 9 8 7 6 5 4 3 2 1 Library of Congress Cataloging in Publication Data CelIular cancer markers / edited by Carleton T. Garrett and Stewart SelI. p. cm. - (Contemporary biomedicine) Includes index. ISBN 978-1-61737-000-7 ISBN 978-1-4757-2381-6 (eBook) DOI 10.1007/978-14757-2381-6 1. Tumor markers. 2. Cancer celIs. 1. Garrett, Carleton T. II. SelI, Stewart, 1935- . III. Series. [DNLM: 1. Tumor Markers, Biological-genetics. 2. Neoplasms genetics. QZ 241 C393 1995] RC270.3.T84C45 1995 616.99'4042-<1c20 DNLMlDLC for Library of Congress 95-1286 CIP Preface The term "tumor markers" has traditionally referred to those soluble antigens, hormones, or enzymes that appear in body fluids as a result of an associated clinical cancer. These important compounds have been the subject of a continuing series on 'cancer markers pub lished by Humana Press, the most recent of which was Serological Cancer Markers (S. Sell, ed., Humana Press, 1992). The commercial interest in serum markers for cancer, particularly for the diagnosis and monitoring of tumor patients, has developed into a multimillion dollar business. However, limitations in sensitivity and specificity of the current class of soluble tumor markers restricts their clinical effectiveness, particularly for cancer screening and detection of mini mal residual disease. The exception to the rule is prostate-specific antigen, which is proving to be a valuable marker for the diagnosis of prostate cancer. The present volume, Cellular Cancer Markers, considers a new class of compounds. This class of tumor markers consists of cell associated proteins and nucleic acids, both of which characteristi cally are not released into serum or other body fluids in any appreciable quantity. Differentiation-specific cell-surface antigens are one example of cellular cancer markers that have been extensively used in the clas sification of lymphomas and leukemias. Other cell-associated pro teins have been helpful in the identification and classification of many solid tumors, including melanomas. Though cell-associated proteins have proved to be useful in clini cal cancer testing, the new and rapid growth in our understanding of the genetic changes associated with neoplastic transformation and progression has provided unique opportunities in the area of tumor diagnosis and prognosis. A clonal somatic mutation that occurs in the v vi Preface cells of a tumor can potentially provide the most specific marker for these cells, insofar as the change is theoretically present only in the DNA of the tumor cells and not in any of the DNA of a patient's normal cells. The development of the polymerase chain reaction (peR) greatly simplified the process of detecting these genetic changes and has pro vided a realistic possibility for translating these highly specific markers of neoplasia into sensitive and specific diagnostic clinical assays. Moreover, an additional benefit of these genetic markers is that they are directly responsible for tumor cell behavior and thus can poten tially provide a direct measure of tumor prognosis. The application of genetic cancer markers to diagnosis and prognosis of clinical neoplasia is still in its early stages. Neverthe less, important insights and applications are already beginning to be recognized-a major reason for presenting this volume at this time. The chapters within Cellular Cancer Markers examine some of the best-studied examples of these new genetic markers. The chapters include information on the role(s) of these markers in the mechanism of malignant transformation as well as their effect on clinical out come, so far as we currently understand the latter. Molecular technol ogy is, however, also improving currently existing markers, for example, through genetic engineering of monoclonal antibodies. Molecular approaches are also identifying new modes of therapy to assist in the war against cancer through the identification of drug resistant genes and the use of antisense oligonucleotides. Finally, as noted in the last chapter, the growth in the number of new tumor markers raises questions concerning their cost-effective application and represents a major challenge to the medical community. Cellular Cancer Markers represents an approach to resolving problems in cancer diagnosis and therapy that defy all current strate gies. It is hoped that the reader will gain some appreciation of what has been accomplished to date, as well as the many challenges that lie ahead in the application of these new tumor markers to clinical disease in the future. Carleton T. Garrett Stewart Sell Contents Preface ................................................................................................ v List of Contributors .......................................................................... ix Ch. 1. Clinical Application of Genetic, Oncogenic, and Differentiation Markers of Cancer, Stewart Sell and Carleton T. Garrett ........................... 1 CH. 2. ras Proto-Oncogene Activation in Human Malignancy, Geoffrey J. Clark and Channing J. Der .................... 17 CH. 3. C-myc as a Tumor Marker for Primary Human Cancers, Taro Shuin ................................................................... 53 CH. 4. p53 in Human Cancer, Jeffrey R. Marks, Andrew M. Davidoff, and J. Dirk Iglehart, ........................................... 77 CH. 5. Oncogenes and Tumor-Suppressor Genes in Gynecological Malignancies, Hironobu Sasano, Kiyoshi Ito, and Carleton T. Garrett .................................... 111 CH. 6. Genetic Alterations in Colon Cancer, Suhail Nasim and Carleton T. Garrett .................... 139 CH. 7. Genetic Changes in Breast Cancer, Daniel S. Liscia, Tiziana Venesio, Amelia Bernardi, Alberto P. M. Cappa, and Robert Callahan ......................................... 191 CH. 8. Genetic Alterations in Lung Cancer, Stephen J. Lemon, Anita L. Sabichi, and Michael J. Birrer ........................................ 209 CH. 9. Wilms Tumor-Susceptibility Loci, Hull .................................................................. Vicki 231 vii viii Contents CH.10. Non-Hodgkin's Lymphomas, H.-J. Schuurman, S. C. Henzen-Logmans, and Ph. M. Kluin ............................................... 257 CH. 11. Phenotypic Expression of Hodgkin's Disease: Biologic, Immunologic, and Functional Properties of Reed-Sternberg Cells, Su-Ming Hsu and Pei-Ling Hsu .............................. 289 CH. 12. Melanoma Markers, Paul B. Googe and Martin C. Mihm, Jr. ................ 335 CH. 13. Detection of Minimal Residual Disease (MRD) in Leukemia and Lymphoma, Jonathan M. Ben-Ezra ............................................. 351 CH. 14. P-Glycoproteins in Tumors, William T. Bellamy, Thomas M. Grogan, and Ronald S. Weinstein ................................... 375 CH. 15. Genetically Engineered Antitumor Monoclonal Antibodies, S. V. S. Kashmiri and Patricia Horan Hand ........... 393 CH. 16. Targeting Antisense Oligonucleotide Chemotherapy to the Type I Regulatory Subunit of cAMP Dependent Protein Kinase, Yoon Sang Cho-Chung ............................................. 433 CH. 17. Summary and Perspective: Assessing Test Effectiveness-The Identification of Good Tumor Markers, Carleton T. Garrett and Stewart Sell ....................... 455 Index ............................................................................................... 479 Contributors WILLIAM T. BELLAMY • Department of Pathology, College of Medicine and Arizona Cancer Center, University ofA rizona, Tucson, AZ JONATHAN M. BEN-EZRA • Department of Pathology, Virginia Commonwealth UniversitylMedical College of Virginia, Richmond, VA AMELIA BERNARDI • Anatomic Pathology Section, S. Giovan Hospital, Torino, Italy MICHAEL J. BIRRER· Biomarkers and Prevention Research Branch, Division of Cancer Prevention and Control, National Cancer Institute, Key West Research Center, Rockville, MD; and Uniformed Services University of the Health Sciences, Bethesda, MD ROBERT CALLAHAN • Laboratory of Tumor Immunology and Biology, National Cancer Institute, National Institutes of Health, Bethesda, MD ALBERTO P. M. CAPPA· Anatomic Pathology Section, S. Giovan Hospital, Torino, Italy Y OON SANG CHO-CHUNG • Cellular Biochemistry Section, Laboratory of Tumor Immunology and Biology, National Cancer Institute, National Institutes of Health, Bethesda, MD GEOFFREY J. CLARK • Department of Pharmacology, School of Medicine, Lineberger Comprehensive Cancer Center, and Curriculum in Genetics, University of North Carolina at Chapel Hill, NC ANDREW M. DAVIDOFF • Department of Surgery, Duke University Medical Center, Durham, NC CHANNING J. DER· Department of Pharmacology, School of Medicine, Lineberger Comprehensive Cancer Center, and Curriculum in Genetics, University of North Carolina at Chapel Hill, NC ix x Contributors CARLETON T. GARRETT· Department of Pathology, Medical College of Virginia, Richmond, VA PAUL B. GOOGE· Graduate School of Medical Education, University of Tennessee Medical Center at Knoxville, Knoxville, TN THOMAS M. GROGAN· Department of Pathology, College ofM edicine and Arizona Cancer Center, University of Arizona, Tucson,AZ PATRICIA HORAN HAND· Laboratory of Tumor Immunology and Biology, National Cancer Institute, National Institutes of Health, Bethesda, MD S. C. HENZEN-LoGMANS· Department of Pathology, Dr. Daniel den Hoed Kliniek, Rotterdam PEl-LING Hsu • Department of Pathology, University of Arkansas for Medical Sciences, Little Rock, AR Su-MING Hsu • Department of Pathology, University of Arkansas for Medical Sciences, Little Rock, AR VICKI HUFF • Department of Biochemisty and Molecular Biology, University of Texas, M. D. Anderson Cancer Center, Houston, TX J. DIRK IGLEHART • Department of Surgery, Duke University Medical Center, Durham, NC KIYOSHI ITo· Department of Pathology, George Washington University Medical Center, Washington, DC; and Department of Pathology, Tohoku University School of Medicine, Sendai, Japan S. V. S. KASHMIRI· Laboratory of Tumor Immunology and Biology, National Cancer Institute, National Institutes of Health, Bethesda, MD PH. M. KLUIN • Department of Pathology, University Medical Center, Leiden, The Netherlands STEPHEN J. LEMON· Biomarkers and Prevention Research Branch, Division of Cancer Prevention and Control, National Cancer Institute, Key West Research Center, Rockville, MD DANIEL S. LISCIA • Anatomic Pathology Section, S. Giovan Hospital, Torino, Italy; and Laboratory of Tumor Immunology and Biology, National Cancer Institute, National Institutes of Health, Bethesda, MD