© 1999 by Oxford University Press
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
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 (
,
ß, and
). 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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