High-resolution 400K oligonucleotide array comparative genomic
hybridization analysis of neurofibromatosis type 1-associated
cutaneous neurofibromas
Akiko Asai
a,b,1
, Sivasundaram Karnan
a,1
, Akinobu Ota
a,
⁎
,1
, Miyuki Takahashi
a,c
, Lhagvasuren Damdindorj
a
,
Yuko Konishi
a
, Ekhtear Hossain
a
, Hiroyuki Konishi
a
, Ayako Nagata
d
, Kazuhisa Yokoo
b
, Yoshitaka Hosokawa
a
a
Department of Biochemistry, Aichi Medical University School of Medicine, Nagakute, Aichi, Japan
b
Department of Plastic & Reconstructive Surgery, Aichi Medical University School of Medicine, Nagakute, Aichi, Japan
c
Department of Internal Medicine Division of Hematology, Aichi Medical University School of Medicine, Nagakute, Aichi, Japan
d
Department of Plastic & Reconstructive Surgery, Daiyukai Daiichi Hospital, Ichinomiya, Aichi, Japan
abstract article info
Article history:
Received 5 September 2014
Received in revised form 18 December 2014
Accepted 28 December 2014
Available online 3 January 2015
Keywords:
Oligo-array CGH
Neurofibromatosis type 1
Cutaneous neurofibroma
Tumor-related gene
Gene expression
Neurofibromatosis type 1 (NF1) is a genetic disorder where affected individuals develop benign or malignant
nervous system tumors. To date, NF1 is caused by mutations in the NF1 tumor suppressor gene located at chro-
mosome band 17q11.2. In this study, we aimed to characterize novel recurrent regional chromosomal imbalances
and tumor-related candidate genes in NF1-associated cutaneous neurofibromas. Nine cutaneous neurofibromas
from NF1 patients were screened for recurrent chromosomal imbalances using high-resolution 400K oligonucle-
otide array comparative genomic hybridization (aCGH). All the cases exhibited at least one sub-microscopic ab-
normality. Regions of recurrent chromosomal imbalances in a least one third of cases were loss of 1q13.2 (33%,
FAM19A3), 1q21.1 (44%, RABGAP1L), 2q37.1 (56%, INPP5D), 3p25.1 (67%, CHCHD4), 4p15.32 (56%, FGFBP1),
5q11.2 (56%, ARL15), 6q22.31 (56%, NKAIN2), 6q22.33 (67%, ARHGAP18), 6q25.1 (67%, UST), 7q13 (56%,
ADCY1), 12q13.13 (44%, KRT71), 19q13.32 (56%, GRLF1), and 20p11.21 (56%, NLP) and gain of 2p23.3 (76%,
C2orf53), 8q22.3 (44%, ODF1) and 8q24.3 (67%, ARC). Several chromosomal imbalances, including loss of
7q11.23, 13q14.1, 14q32.13, 17p12, and 17q11.2 were detected at a lower frequency. We also confirmed that
these chromosomal imbalances were not detected in the patient-matched lymphocyte DNAs. Amongst the 6
tumor-related candidate genes (RABGAP1L, ADCY1, SLIT2, GRLF1, UST, and ARC) identified in the regions of recur-
rent chromosomal imbalances, the gene expression changes of UST (down-regulation) and ARC (up-regulation)
were found to be significantly associated with copy number alterations. The novel recurrent chromosomal
imbalances and the altered expression levels of the tumor-related candidate genes may be associated with the
development of NF1-associated benign cutaneous neurofibromas.
© 2014 Elsevier B.V. All rights reserved.
1. Introduction
Neurofibromatosis type 1 (NF1), also called von Recklinghausen dis-
ease, is an autosomal dominant genetic disorder which occurs in ap-
proximately 1 in 2500–3000 live births throughout the world (Ferner
et al., 2007; Gottfried et al., 2006; Huson et al., 1989; Jouhilahti et al.,
2011a; Miller et al., 2006). NF1 patients have defects in neural crest-
derived tissues, leading to a wide spectrum of clinical presentations, in-
cluding developmental, pigment and neoplastic aberrations (Le and
Parada, 2007). The main clinical features of NF1 include café-au-lait
spots (6 or more café-au-lait macules measuring at least 5 mm and
15 mm in diameter in prepubertal and postpubertal individuals respec-
tively), freckling in the axillary or inguinal region, cognitive impairment,
and neurofibromas (two or more types or plexiform neurofibroma)
(National Institutes of Health Consensus Development Conference
Statement Neurofibromatosis, 1988; Riccardi, 1991).
NF1-associated cutaneous neurofibromas are complex tumors com-
posed of multiple cell types with the genotype NF1
+/-
including
Schwann cells, fibroblasts, epithelial cells, and mast cells (Jouhilahti
et al., 2011a). Neurofibroma is thought to be initiated by “second-hit”
somatic mutation or loss of the inherited wild-type NF1 allele in
Gene 558 (2015) 220–226
Abbreviations: NF1, neurofibromatosis type 1; RT-PCR, reverse transcription polymer-
asechain reaction;BAC,bacterialartificial chromosome; CGH, comparative genomic hybrid-
ization; pNFs, plexiform neurofibromas; MPNST, malignant peripheral nerve sheath
tumors; aCGH, array CGH; SNP, single-nucleotide polymorphism; LOH, loss of heterozygos-
ity;CNN-LOH, copynumber neutral-LOH; CNAs, copynumberaberrations; CNVs,copynum-
ber variations; UST, uronyl-2-sulfotransferase; AMPARs, AMPA-type glutamate receptors;
MRI, magnetic resonance imaging.
⁎ Corresponding author at: Department of Biochemistry, Aichi Medical University
School of Medicine 1-1 Yazako Karimata, Building #2, Room 362, Nagakute, Aichi 480-
1195, Japan.
E-mail address: aota@aichi-med-u.ac.jp (A. Ota).
1
Akiko Asai, Sivasundaram Karnan, and Akinobu Ota contributed equally to this work.
http://dx.doi.org/10.1016/j.gene.2014.12.064
0378-1119/© 2014 Elsevier B.V. All rights reserved.
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