(CANCER RESEARCH 52, 2174-2179. April 15. 1992) DNA Fingerprinting Survey of Various Human Tumors and Their Métastases1 Yasuhiro Matsumura and David Tarin2 Nuffield Department of Pathology (University of Oxford), John Radcliffe Hospital, Headington, Oxford OX3 9DU, United Kingdom ABSTRACT DNA fingerprinting with the minisatellite probes 33.6 and 33.15 was used to screen for genetic abnormalities in primary tumors of a variety of organs and, where appropriate, their métastases,obtained from 32 patients. The constitutional DNA of each host, obtained from blood leukocytes or normal tissue, was used to produce control, individualspecific fingerprints for comparison with those of their tumor. Fingerprints obtained with probe 33.6 showed differences between tumor and host fingerprints in 69% of patients and those produced with 33.15 in 55%. The most common change was loss or reduction in the intensity of one or more bands, but the appearance of new bands, not present in the fingerprint of the constitutional DNA, was also noted in several tumor DNA samples. The findings are interpreted as indicating loss or rearrangement of expressed sequences in the chromosomal regions adjacent to the hypervariable tandem repeat intron arrays which are detected by these probes. In three patients further differences were identified between primary tumors and their metastatic deposits. With this technique it is possible to perform simultaneous multilocus screening of the genome and the present results show that it has potential for identification of as yet unknown abnormalities in DNA constitution, which may be of pathogenetic significance. INTRODUCTION It is now widely believed that point mutations in coding sequences of DNA or translocations of portions of chromo somes can "activate," or disorder the function of certain genes concerned with control of cell proliferation and make them capable of dominantly conferring neoplastic properties on pre viously normal cells (1). This has been inferred from the results of gene transfer experiments (2) and from work on oncogenic viruses (3). Such genes have been termed oncogenes and many of them are known to code for specific cell growth factors or their cell surface receptors (1). Also, since the work of Harris et al. (4), Knudson (5), and many others (6-8), it is becoming recognized that gene deletion or inactivation may be implicated in the development and progression of human and animal tumors [for example the deletion located on chromosome 13 in retinoblastoma (7) and on chromosome 11 in Wilms' tumor (8)]. Because of the absence of any reliable method for scanning the genome for abnormalities which can be systemically cata logued and investigated, the unraveling of the genetic mecha nisms involved in tumor development and progression is cur rently difficult, laborious, and somewhat serendipitous. The usual approach depends upon an initial recognition that a chromosomal abnormality is regularly associated with a specific neoplastic condition and then gradually narrowing the search by restriction fragment length polymorphism analysis with chromosome-specific probes, chromosome walking, molecular cloning, and other such labor intensive procedures (9-11 ). What is required is a rapid screening method for detection of genomic rearrangements and deletions in common cancers so that ge netic disturbances suitable for further intensive study can be readily identified. This may be provided by the technique of genetic fingerprinting recently developed by Jeffreys et al. (12), which promises to be a very effective way to examine the structural organisation of the DNA in a given person or neo plastic lesion. It involves the use of cloned segments of DNA obtained from characteristic repetitive noncoding regions ad jacent to many genes, to conduct a broad general restriction fragment length polymorphism analysis of the whole genome. The probes we have used were obtained by Jeffreys et al. (12) from two distinct minisatellite regions detected by a repeat probe from a minisatellite within the human myoglobin gene. Each will recognize and anneal to a group of comparable sequences found in multiple hypervariable regions associated with many other autosomal loci, dispersed throughout the genome, but the pattern of loci recognized by each one is different. These hypervariable regions, also known as minisatellites, consist of short repetitive stretches of noncoding se quences in tandem array. Slight differences in base sequences between individual elements of the repeats are common (hence the term hypervariable), but a core sequence which is repre sentative of the region associated with a particular gene can be identified. The use of these minisatellite sequences, as labeled probes to study Southern blots of restriction endonucleasedigested total genomic DNA from a tissue or blood sample, enables one to conduct simultaneous multilocus analysis of the genetic constitution of the individual because, under low strin gency conditions, a given minisatellite probe will remain an nealed to many other fragments containing hypervariable re gions which are even partially complementary. The result of such probing is a stable pattern of bands (resembling a com mercial bar code), termed the DNA fingerprint, which is specific for a given individual. This can be compared with the fingerprint of the DNA from the tumor of the patient or its métastases,to look for changes at any of several loci. We have so far examined the constitutional and tumor DNA (including that from 22 métastases)from 32 patients, of whom 13 had breast cancer, 3 had thyroid cancer, 4 had colonie cancer, 2 had gastric cancer, 1 had a pancreatic cancer, 1 a renal cancer, 1 an adrenal cancer, 1 a lung cancer, 1 a Wilms' tumor, and 5 had a benign fibroadenoma of the breast. In this report we describe the fingerprint changes seen in many of these tumors and consider their implications as well as the further possibili ties provided by the method. MATERIALS AND METHODS Patients. Tumor samples and corresponding nonneoplastic tissue or blood were obtained from 32 patients with various tumors (Table 1) at surgery or at autopsy and were kept in liquid nitrogen until use. Lymph node métastasesand blood-borne métastaseswere also col lected if present. In patients 7, 8, 12, 13, 16, and 20, less than 30% of Received 11/22/91; accepted 1/31/92. each of the lymph nodes were occupied by a metastatie tumor, according The costs of publication of this article were defrayed in part by the payment to histopathological assessment. Patients 21, 25, and 26 had bloodof page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. borne métastasesin the liver, while patients 23 and 27 had blood-borne ' Supported by the Cancer Research Campaign of Great Britain and in part by métastasesin the lungs. the Anthony Placito Medical Fund. 2To whom requests for reprints should be addressed. DNA Preparation and Blotting. DNA was extracted from peripheral 2174 Downloaded from cancerres.aacrjournals.org on June 17, 2017. © 1992 American Association for Cancer Research. DNA FINGERPRINTING OF TUMORS AND METASTASES fingerprints could be caused by differences in the degree of DNA methylation, which can affect the efficiency of Hinfl digestion, but not Alul cleavage. In 10 of these patients the changes observed in the tumor DNA fingerprints with the 33.6/ Hinfl combination were very similar to those in corresponding samples studied with 33.6/Alul (Fig. 2C, Fig. 3). Of course the fingerprints produced after digestion by each of the two en zymes were different but the number of differences observed between tumor and normal DNA of a given subject were the same. Hence the differences observed were probably not arti facts caused by differential methylation of tumor versus consti DNA Probes and Hybridization. Minisatellite probes 33.6 and 33.15 (12) which were cloned in M13 mp8 and M13 mp9, respectively, were tutional DNA, nor were any further differences unmasked by generously provided by Dr. A. J. Jeffreys. Single-stranded phage con the digestion of samples with the methylation-insensitive en taining these inserts were radiolabeled with [32P]dCTP by primer exten zyme Alul. sion using an M13 sequencing kit (Boehringer Mannheim, United In patients 8, 12, 13, and 20 the fingerprints of the primary Kingdom), to a specific activity of approximately 1.06 ßC\/^%DNA. tumors were different from those of their normal counterparts, After prehybridization the labeled probes (approximately 0.85 /¿Ci) but the patterns from the métastaseswere similar to those of were hybridized with the nylon filters in 50% formamide, 5 x SSPE the normal tissues (Table 1; Fig. 1C). In these patients less [standard saline, phosphate, EDTA (0.075 M NaCl, 0.05 M NaH2PO4, than 30% of the lymph node used for DNA extraction was 0.005 M EDTA)], 0.5% sodium dodecyl sulfate, 0.1 mg/ml heparin, and 5% dextran sulfate solution at 42°Covernight (14). The filters occupied by tumor metastasis, according to histológica! assess ment, and we consider this to be the explanation for the were washed in four successive washes of 2 x standard saline citrate (0.15 M NaCl:0.015 M sodium citrate), 0.1% sodium dodecyl sulfate fingerprints of the normal and metastatic tissue being identical, for 15 min at 42°C.Filters were exposed to Kodak X-ray film for 20although the primary tumor displayed clear changes. In such 48 h with an intensifying screen. circumstances the signal from the metastatic tumor tissue would have been swamped by that from the normal portion of the lymph node. RESULTS Benign Breast Tumors. In 4 of the 5 fibroadenomas of the The DNA from primary and secondary tumor samples and breast we examined, there were changes in the fingerprints of the corresponding constitutional DNA from these patients were the tumor DNA digested by Hinfl relative to the matched analyzed by using genetic fingerprinting techniques with mini- constitutional DNAs (Table 1; Fig. 4). Comparable changes were also seen in DNA fingerprints after digestion with Alul. satellite probes 33.6 and 33.15, respectively. In the complex banding patterns obtained, clearly resolvable hypervariable frag ments ranging from 23 to 4 kilobases in size could be detected DISCUSSION by using either probe. The detailed results obtained by compar ison of the banding patterns of the tumor DNA and with the The findings in this study show that, with the technique of patterns of the corresponding constitutional DNA are summa DNA fingerprinting, it is possible to easily detect multiple rized in Table 1. genetic abnormalities in a substantial number of common hu man cancers. This confirms earlier reports (15-17) and extends Malignant Tumors and Métastases.The probe 33.6 detected a slightly greater number of changes in the primary tumors the observation to a wide selection of solid tissue malignancies. than probe 33.15 when a given DNA was digested with Hinfl. The sequences detected by the fingerprinting probes, being short Differences between primary tumor DNA and corresponding tandem repeat arrays situated within noncoding sequences ad constitutional DNA included a deletion or decrease in relative jacent to many genes, are not known to have any specific intensity of a band (total of 27 affected bands with 33.6 and 20 function. Therefore, the abnormalities seen in these fingerprints are not expected to themselves be causally involved in tumor with 33.15) and the appearance of new bands (total of 6 bands with 33.6 and 2 with 33.15). Thus the major changes observed initiation or progression, but to be possible signposts to adja cent regions, involved in the control of cell proliferation, differ in banding patterns were deletion or decrease in the intensity entiation, and of cellular arrangement in tissue-specific pat of a band in tumor DNA samples (Table 1; Fig. 1). Generally the DNA banding patterns of métastaseswere identical to the terns. As the DNA fingerprint of each person is different, the fingerprints of their corresponding primary tumors (Table 1; fingerprints of their tumors are correspondingly unique and it Fig. 1, A and B in Panels a and b) but in three cases (patients is therefore not possible, at this stage, to characterize any shared abnormalities or mechanisms which might occur in tumors of 5, 17, and 26) clear differences were observed (Fig. 2). Patient a given organ or histological type. To ascertain more about this 17 (Fig. 2B) shows loss of bands 7.0, 5.8, and 4.7 kilobases occurring only in the metastasis in a lymph node. Patient 26 and to determine whether any of the disturbances are causally (Fig. 2C) had a novel 15-kilobase///f«/l (17-kilobaseA4/wl) associated with mechanisms of neoplasia, it will be necessary fragment present only in the metastasis in a lymph node. Fig. to clone the corresponding unaffected fragments from the nor 2A shows a more complex pattern. Between 9.0 and 11.5 mal counterpart and to use them as probes in further studies to identify and compare contiguous sequences from genomic li kilobases there are 6 bands in the lane containing normal DNA but the 9.8- and 9.0-kilobase components of the 6 band group braries of the normal and neoplastic DNA, respectively. are absent in the primary tumor fingerprint, while the 11.5, 10, It should be noted of course, that some or even all of the disturbances observed could be the inconsequential results of and 9.6 bands are absent in the metastasis in a lymph node. The tumor DNA and constitutional DNA samples from 11 aberrant cell replication rather than events causing neoplastic patients were also digested separately with Alul and probed behavior. Thus, at present it is not possible to say whether the with 33.6 to determine whether the alterations observed in the genetic defects observed in tumors with this technique are due blood leukocytes and from solid tissue that had been ground to powder in liquid nitrogen (13). Equivalent amounts (10 ¿tg)of DNA from leukocytes or normal solid tissue, primary tumor tissue, and secondary tumor tissue were digested with the restriction enzymes Hinfl or Alu\ (Amersham International, pic, United Kingdom), according to the manufacturer's guidelines. The digested DNA samples of each case were electrophoresed on a 20-cm long 0.8% agarose gel for 24-48 h at 28 V at room temperature (14). After depurination of the gel with 0.25 N HC1, alkali blotting was done to transfer the DNA fragment onto Hybond N* nylon filters (Amersham International, pic), according to manufacturer's instructions. 2175 Downloaded from cancerres.aacrjournals.org on June 17, 2017. © 1992 American Association for Cancer Research. Table 1 DNA fingerprint analysis of various tumors All DNA samples described here were digested with Hinf\. The numbers represent the number of changes in tumor DNA fingerprint. ProbesPatient (p) or of tumor No.1234567891011121314151617181920212223242526272829303132Primary metastasis (m)PmPmPmmPmPmPmPmPPmPmPmPmPPPmPmPPmPmPm,m;PPmPPmPmPmPPPPPSite tissueBreastLNBreastLNBreastLNLN N332211231111122113 cancer)BreastLNBreastLNBreastLNBreastLNBreastBreastLiverBreastLNBreastLNBreastLNThyroidThyroidThyroidLNStomachLNS (breast 1242222331133 1112121NC0000(1(1(1(I0000000(10000000000033.15D2222112211111111333l]111 " NC, no change; D, deletion or reduction in intensity of a band; N, new band; LN, lymph node. * Wilms' tumor. 2176 Downloaded from cancerres.aacrjournals.org on June 17, 2017. © 1992 American Association for Cancer Research. DNA FINGERPRINTING OF TUMORS AND METASTASES to deletions causing inactivation of tumor suppressor genes, or to point mutations causing activation of oncogenes or to transT M T M locations. The data presented above, however, indicate that they are not due to methylation of certain residues causing tumorrelated alterations in gene expression and regulation (18). In this context it is pertinent to mention that technical factors can influence the number of abnormalities detected by this method. Multilocus fingerprinting of DNA with the minisatel 23 lite probes 33.6 and 33.15 cloned by Jeffreys et al. (12) depends on using low stringency conditions for washing the filters after hybridization so that the probes remain bound to many similar, .4but not necessarily identical, DNA fragments originating from dispersed parts of the intact genome. Adjustment of the strin 9.4 gency conditions is usually directed toward obtaining a good 6.6readable pattern of bands which can easily be compared with the corresponding normal DNA, which must be run in an adjacent track on the same filter for the analysis to produce 6.6 valid conclusions. Such adjustment does not alter the reliability 4.4 or significance of any differences observed, because all samples from the same patient have been subjected to the same condi tions and the comparisons are relative. Increase in the strin 4.4gency of washing decreases the number of bands observed and reducing it has the opposite effect. Increase in the number of bands can result in such crowding that it becomes difficult to resolve differences. Thus, it is possible that further abnormali ties than the ones we have observed are present in our tumor DNA samples. In addition, to improve resolution, the digested N T M DNA is electrophoresed until several of the lower molecular weight fragments have run off the end, to allow room for separation of the larger ones. Those remaining in the lower end of the gel are very crowded and, among these, there may be further differences between tumors and normal samples which cannot be distinguished. Even so, the method offers the possi 23 2323bility of relatively fast general screening for defects of potential interest, in neoplasms of various organs. The multilocus probes identify minisatellite sequences and many of the ones which have so far been cloned have been 9.49.4 mapped by in situ hybridization to the telomeric regions of 9.4various chromosomes (19). Hence, searching for changes in the fingerprint is a relatively coarse screening method for initial 6.66.6detection of abnormalities, which could include loss of whole chromosomes, or of quite large chromosomal fragments, or of 6.6minute focal portions of the genome. Identification of the 4.4 nature of the defect and of the specific genes involved then 4.4requires much further work, including cloning of the minisatel lite loci affected, as discussed above. The advantage of finger 4.4printing as an initial screening method is that it rapidly and relatively easily identifies genetic abnormalities on which the more labor-intensive procedures described can focus. We con sider that the fingerprinting data we have obtained indicate loss 33.15/Hinf 1 33.15/Hinf 1 33.15/Hinf 1 of relatively small chromosomal regions, since otherwise we Fig. 1. Autoradiograph of DNA fingerprints of normal tissues (A7),primary tumors (7"), and metastatic tumors (A/) from patient 1 (breast carcinoma), patient would have expected to see considerably greater number of 2 (breast carcinoma), and patient 20 (colonie carcinoma), obtained by using changes in each of the fingerprints; the technique is therefore minisatellite probes 33.6 (a) and, after stripping by immersing the membrane in useful because it is revealing a manageable number of clues to a solution of boiling 0.5% (w/v) sodium dodecyl sulfate and reprobing the same follow. filter with 33.15 (b). Samples were digested with Hinfl. Changes in the minisa tellite pattern of tumor tissue relative to the patient's constitutional DNA are Although we fingerprinted DNA from several métastasesthe marked by arrowheads. In a, A (patient 1) shows decreased intensity of two bands patterns obtained were usually not detectably different from and probable complete loss of another band in both primary and metastatic tumor categories. (The faint residual image is probably from normal cells and vessels in those of the corresponding primary tumors. This might signify the tumor.) B (patient 2) shows decreased intensity of two bands in the primary that the changes which result in metastatic behavior are not tumor. C (patient 20) shows decreased intensity of four bands in the primary numerous and/or are not easily detected with the probes and tumor, but a normal fingerprint pattern in the metastatic tumor, indicating that the metastatic cells occupied only a small proportion of the lymph node. In b. A enzymes used. However, the finding that the métastasesin three shows two deletions in the primary and in the metastasis. B also shows two of our patients did have easily identifiable differences from their deletions in both tumor categories. C shows decreased intensity of two bands and a complete deletion in the primary tumor but not in the metastasis. primaries, confirms observations reported by Bolz et al. (17), 2177 B C Downloaded from cancerres.aacrjournals.org on June 17, 2017. © 1992 American Association for Cancer Research. DNA FINGERPRINTING OF TUMORS AND METASTASES A N T B M N T N M T M N T M 23-1 Fig. 2. Auloradiograph of DNA finger prints of primary and metastatic tumors from patient 5 (A), patient 17 (B), and patient 26 (C), obtained by using minisatellite probe 33.6. DNA samples prepared from normal tissue (iV)primary tumor ( 7"),and metastatic tumour (M) were digested with Hinfl or Alu l. Each filter was hybridized to the probe 33.6. Changes in the fingerprint pattern are marked by arrowheads. (A) shows complicated differ ences between primary and metastatic tumor tissue; 9.8- and 9.0-kilobase bands were deleted in the primary tumor while 11.5-, 10-, and 9.6kilobase bands were deleted in the metastasis. In (B) there is reduced intensity of 7.0, 5.8, and 4.7 kilobases in the metastatic tumor alone. (C) shows the presence of a new 15kilobase band probed with 33.6///m/l combi nation and of a 17-kilobase band with 33.6/ Alu\ combination only in the metastasis. 23 - 23 - 9.4 6.6 - 9.4 - 9.4 _ 4.4 6.6 - 4.4 - Hinfl Hinf 1 Hinf 1 Alu 1 A T N Fig. 3. Comparison of tumor and consti tutional DNA fingerprints in patients 22 (A), 23 (B), and 25 (C) after Hinfl and Alu\ diges tion. DNA samples prepared from normal tis sue (A/), primary tumor (7"), and metastatic tumor (M) were digested with Hinfl and Alu l, respectively. Each filter was hybridized to the probe 33.6. In A, the DNA fingerprints ob tained after digestion with Hinfl show new bands of 11- and 8.6-kilobase bands in the tumor tissue and those obtained after (/«I digestion show new bands of 9.2 and 8.2 kilobases. In B, DNA Hinfl fingerprints show decreased intensity of 15-, 7.4-, and 6.7-kilobase bands both in primary and metastatic tumor tissue and DNA Alul fingerprints show 32, 13.5, and 7.4 kilobases in both of them. In C, DNA fingerprints after Hinfl digestion show a deletion of a single 4.4-kilobase band both in the primary and in the metastatic tu mor, and DNA fingerprints obtained after I/Hi digestion show a deletion of a single 4.0kilobase band in both of them. 23 I 23 - 9.4 6.6 i 9.4 _ -» 4.4 - 6.6 - 4.4 - ¿¿II Hinf 1 Hinf 1 Alu 1 studying a group of patients with ovarian cancer, and suggests that this might be a useful approach for trying to identify changes which result in tumor invasion and/or metastasis. We now know from the work of many laboratories (4-8) that disturbances in genes stimulating and controling cell prolifera tion are instrumental in the initiation and development of a few types of human cancer, predominantly ones occurring in child Alu 1 Hinf 1 Alu 1 hood, or ones with a Mendelian pattern of inherited predispo sition, known to cluster in families (20, 21). These advances have stimulated further research to investigate whether similar mechanisms are involved in the pathogenesis of common can cers, such as ones originating in the adult breast, lung, and colon, which have not previously been thought to involve an inherited predisposition. We need to know if different but 2178 Downloaded from cancerres.aacrjournals.org on June 17, 2017. © 1992 American Association for Cancer Research. DNA FINGERPRINTING B A N OF TUMORS AND METASTASES N T T N presumptive evidence that fibroadenomas are indeed true tu mors resulting from heritable genetic disturbances. From the known clinical behavior of these neoplasms the abnormalities seen in the corresponding fingerprints could be supposed to be involved just in control of growth and not the full malignant phenotype. T •¿ 23 - ACKNOWLEDGMENTS We wish to thank L. Summerville for help with preparation of the manuscript. 23 - 9.4 - 9.4- ---- »55 REFERENCES 6.6 ^ 4.4 6.6 - 4.4 - Hint 1 Hint 1 Alu 1 Fig. 4. DNA fingerprints in benign fibroadenomas from patient 28 (,4) and patient 32 (B) obtained by using probe 33.6///m/l for A and 33.6///m/l and 33.6/Alu\ for B. In A there are new bands of 6.2 and 5.7 kilobases in tumor. In B there is a deletion of a 7-kilobase/f/i'n/l fragment and also deletion of a 6.2and 5.X kilolwsi' . l/i/l fragments in the tumor. 1. Bishop. J. M. The molecular genetics of cancer. Science (Washington DC), 235: 305-311, 1987. 2. Land, H., Parada, L. F., and Weinberg, R. A. Cellular oncogenes and multistep carcinogenesis. Science (Washington DC), 222: 771-778, 1983. 3. Heubner, R. 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