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Originally published online as doi:10.2353/ajpath.2009.080721 on February 13, 2009

Published online before print February 13, 2009
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(American Journal of Pathology. 2009;174:762-770.)
© 2009 American Society for Investigative Pathology
DOI: 10.2353/ajpath.2009.080721

Identification of Potential Therapeutic Targets in Malignant Mesothelioma Using Cell-Cycle Gene Expression Analysis

Solange Romagnoli*, Ester Fasoli*, Valentina Vaira*, Monica Falleni*, Caterina Pellegrini*, Anna Catania{dagger}, Massimo Roncalli{ddagger}, Antonio Marchetti§, Luigi Santambrogio, Guido Coggi* and Silvano Bosari*

From the Department of Medicine, Surgery, and Dentistry,* Division of Pathology, the University of Milan Medical School, AOS Paolo and Fondazione Ospedale Maggiore Policlinico, Mangiagalli and Regina Elena, Milan; the Center for Preclinical Investigation,{dagger} Fondazione Ospedale Maggiore Policlinico Mangiagalli e Regina Elena, Milan; the Department of Pathology,{ddagger} University of Milan, Istituto di Ricovero e Cura a Carattere Scientifico, Istituto Clinico Humanitas, Milan; and the Clinical Research Center,§ Center of Excellence on Aging, University Foundation, Chieti; the Department of Surgery, Thoracic Unit, the University of Milan Medical School, Fondazione Ospedale Maggiore Policlinico, Mangiagalli and Regina Elena, Milan, Italy

Cell-cycle defects are responsible for cancer onset and growth. We studied the expression profile of 60 genes involved in cell cycle in a series of malignant mesotheliomas (MMs), normal pleural tissues, and MM cell cultures using a quantitative polymerase chain reaction-based, low-density array. Nine genes were significantly deregulated in MMs compared with normal controls. Seven genes were overexpressed in MMs, including the following: CDKN2C, cdc6, cyclin H, cyclin B1, CDC2, FoxM1, and Chk1, whereas Ube1L and cyclin D2 were underexpressed. Chk1 is a principal mediator of cell-cycle checkpoints in response to genotoxic stress. We confirmed the overexpression of Chk1 in an independent set of 87 MMs by immunohistochemistry using tissue microarrays. To determine whether Chk1 down-regulation would affect cell-cycle control and cell survival, we transfected either control or Chk1 siRNA into two mesothelioma cell lines and a nontumorigenic (Met5a) cell line. Results showed that Chk1 knockdown increased the apoptotic fraction of MM cells and induced an S phase block in Met5a cells. Furthermore, Chk1 silencing sensitized p53-null MM cells to both an S phase block and apoptosis in the presence of doxorubicin. Our results indicate that cell-cycle gene expression analysis by quantitative polymerase chain reaction can identify potential targets for novel therapies. Chk1 knockdown could provide a novel therapeutic approach to arrest cell-cycle progression in MM cells, thus increasing the rate of cell death.







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