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JNCI Journal of the National Cancer Institute 1999 91(15):1317-1321; doi:10.1093/jnci/91.15.1317
© 1999 by Oxford University Press
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Journal of the National Cancer Institute, Vol. 91, No. 15, 1317-1321, August 4, 1999
© 1999 Oxford University Press


REPORTS

Nuclear Retinoid Acid Receptor Beta in Bronchial Epithelium of Smokers Before and During Chemoprevention

Xiao-Chun Xu, Jin S. Lee, J. Jack Lee, Rodolfo C. Morice, Xiaoming Liu, Scott M. Lippman, Waun K. Hong, Reuben Lotan

Affiliations of authors: X.-C. Xu, X. Liu, S. M. Lippman (Department of Clinical Cancer Prevention), J. S. Lee, R. C. Morice, W. K. Hong, R. Lotan (Department of Thoracic/Head and Neck Medical Oncology), J. J. Lee (Department of Biomathematics), The University of Texas M. D. Anderson Cancer Center, Houston.

Correspondence to: Reuben Lotan, Ph.D., Department of Thoracic/Head and Neck Medical Oncology, The University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Blvd., Houston, TX 77030 (e-mail: rlotan{at}notes.mdacc.tmc.edu).

BACKGROUND: Retinoids can reverse neoplastic lesions and prevent second primary tumors in the aerodigestive tract. These effects are thought to be mediated by nuclear retinoic acid receptors (RARs) and retinoid X receptors (RXRs), each receptor group including three subtypes ({alpha}, ß, and {gamma}). Previously, we found that RARß expression was suppressed in lung cancer. In this study, we investigated whether expression of RARß is modulated by chemopreventive intervention. METHODS: Using in situ hybridization, we analyzed RARß messenger RNA (mRNA) expression in bronchial biopsy specimens from heavy smokers, at baseline and after 6 months of treatment with 13-cis-retinoic acid (13-cis-RA) or placebo. Since we had previously detected RARß expression in 90% of bronchial specimens from nonsmokers, we considered loss of RARß mRNA expression in at least one of six biopsy specimens at baseline in this study to be aberrant. RESULTS: RARß mRNA expression was aberrant in 30 (85.7%) of 35 subjects in the 13-cis-RA group and in 24 (72.7%) of 33 subjects in the placebo group. After 6 months of 13-cis-RA treatment, the number of subjects who were RARß positive in all six biopsy specimens increased from five of 35 to 13 of 35 (2.6-fold), so that the percentage of individuals with aberrant RARß expression decreased to 62.9% (22 of 35), which represents a statistically significant difference from baseline expression (two-sided P = .01). In the placebo group, no statistically significant difference in RARß expression was observed between baseline and 6 months. RARß expression was not related to current smoking status or reversal of squamous metaplasia. CONCLUSIONS: These results indicate that RARß is an independent marker of response to 13-cis-RA and may serve as an intermediate biomarker in chemoprevention trials of upper aerodigestive tract cancers.



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