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Regulation of MYCNexpression in human neuroblastoma cells
© Jacobs et al; licensee BioMed Central Ltd. 2009
Received: 08 January 2009
Accepted: 18 July 2009
Published: 18 July 2009
Amplification of the MYCN gene in neuroblastoma (NB) is associated with a poor prognosis. However, MYCN-amplification does not automatically result in higher expression of MYCN in children with NB. We hypothesized that the discrepancy between MYCN gene expression and prognosis in these children might be explained by the expression of either MYCN-opposite strand (MYCNOS) or the shortened MYCN-isoform (ΔMYCN) that was recently identified in fetal tissues. Both MYCNOS and ΔMYCN are potential inhibitors of MYCN either at the mRNA or at the protein level.
Expression of MYCN, MYCNOS and ΔMYCN was measured in human NB tissues of different stages. Transcript levels were quantified using a real-time reverse transcriptase polymerase chain reaction assay (QPCR). In addition, relative expression of these three transcripts was compared to the number of MYCN copies, which was determined by genomic real-time PCR (gQPCR).
Both ΔMYCN and MYCNOS are expressed in all NBs examined. In NBs with MYCN-amplification, these transcripts are significantly higher expressed. The ratio of MYCN:ΔMYCN expression was identical in all tested NBs. This indicates that ΔMYCN and MYCN are co-regulated, which suggests that ΔMYCN is not a regulator of MYCN in NB. However, the ratio of MYCNOS:MYCN expression is directly correlated with NB disease stage (p = 0.007). In the more advanced NB stages and NBs with MYCN-amplification, relatively more MYCNOS is present as compared to MYCN. Expression of the antisense gene MYCNOS might be relevant to the progression of NB, potentially by directly inhibiting MYCN transcription by transcriptional interference at the DNA level.
The MYCNOS:MYCN-ratio in NBs is significantly correlated with both MYCN-amplification and NB-stage. Our data indicate that in NB, MYCN expression levels might be influenced by MYCNOS but not by ΔMYCN.
Neuroblastoma cells (NBs) that carry an amplified MYCN gene are extremely malignant. However, MYCN-amplification does not automatically result in higher expression of MYCN in children with NB [1–3]. Thus, it has been suggested that the aggressive phenotype of MYCN amplified NBs may be explained by higher expression levels of other genes co-amplified with MYCN, since the amplified unit of DNA can be up to 1 Mb. To date, three genes have been identified that are frequently co-amplified with MYCN in NBs: DDX1 in 50% of the cases, NAG in 20% of the tumours, and MYCNOS in all cases [4, 5]. All three genes demonstrate increased transcript expression when co-amplified in NB cell lines, indicating that they may contribute to tumour phenotype. However, survival analyses in a large study using 75 MYCN-amplified tumours indicate that neither amplified DDX1 nor NAG have an additional adverse effect on the prognosis of the patients .
Natural antisense transcripts are abundant in eukaryotic genomes [7–9]. In human, more than 1600 natural antisense transcript are predicted to be present . They can influence gene expression on the DNA level by transcriptional interference, on the transcript level by RNA interference and RNA editing, or direct splicing by RNA masking [11, 12]. MYCNOS is the antisense transcript of MYCN  and shows overlap with the first exon of MYCN. This antisense transcript could be involved in modulating the expression of MYCN by any of the mechanisms mentioned above. Antisense transcripts are considered to be relevant to the development and progression of tumours [14–16], but until now, only antisense HIF-1α RNA has been shown to be a marker for prognosis in human breast cancer .
Recently, we reported a fetal MYCN splice variant (ΔMYCN) lacking exon 2 . The ΔMYCN transcript is expressed in several fetal tissues and contains the acidic region, nuclear localization signal, the basic helix-loop-helix and leucine-zipper domains but lacks the transactivation domain. It has been suggested that the ΔMYCN protein may serve as an obligate dimerization partner for MYCN to convey transcriptional activation or repression.
In this report we analysed whether expression of ΔMYCN and MYCNOS influence MYCN expression levels in NBs of different disease stages.
Sixteen fresh-frozen NBs were obtained from at the Department of Pathology at the Radboud University Nijmegen Medical Centre. All NBs were derived from pediatric patients (0 to 6-years-old) diagnosed at the Department of Pediatric Hemato-Oncology. Sections of the frozen samples were stained with hematoxylin-eosin and reviewed by the pathologist to verify tumour histology and to evaluate the percentage of tumour cells. Samples were only considered for study if the contents of tumour cells was ≥ 75%. Six out of 16 NBs had MYCN-amplification as shown by southern blot and/or fluorescent in situ hybridization (FISH). All samples were anonymized prior to this study, and the research program was approved by the local ethics committee (Commissie Mensgebonden Onderzoek Regio Arnhem-Nijmegen).
DNA isolation, RNA isolation and cDNA synthesis
Tumour samples were aliquoted in two parts to isolate both DNA and RNA. Total DNA was isolated with the QIAamp isolation-kit (Qiagen, Hilden, Germany) according to the manufacturer's protocol. All samples were RNAse treated. Total RNA was isolated with TriZol reagent (Invitrogen, Carlsbad, CA, USA) and treated with Deoxyribonuclease I (Dnase I; Invitrogen). DNase-treated RNA was reverse-transcribed using oligo(dT) primers with the SuperScript First-Strand Synthesis System (Invitrogen).
Primer-sequences of primers used in this report.
Gene of interest
MYCN (exon 1)
MYCN (exon 2)
MYCN (exon 3)
QPCR and gQPCR
QPCR and gQPCR was performed by SYBR Green-based quantification (Bio-Rad, Veenendaal, The Netherlands). PCRs were performed on an iCycler (MyiQ single color Real-Time detection System, Bio-Rad, Veenendaal, The Netherlands). Sequences of the primers used to quantify cDNA transcript levels and genomic DNA are shown in table 1 and the position of the primers is depicted in figure 1. PCR products were between 80- and 100-bp. Validation of the primer pairs and (g)QPCR experiments were performed as described previously [20, 21]. Differences in expression of a gene of interest or in genomic DNA copy number between two samples were calculated by the comparative Ct or 2ΔΔCt method [22, 23]. Hoebeeck et al. described and validated a similar assay for the determination of MYCN copy numbers in tumor samples .
Antibody coupling and immunoprecipitation
NB-samples were homogenized in RIPA-buffer (50 mM Tris-HCl pH 7.4, 0.2% sodium dodecyl sulfate (SDS), 0.2% sodium deoxycholate, 1% triton X-100, 1 mM EDTA) supplemented with 1 mM DTT, 1 mM PMSF, aprotinin 2 μg/ml and leupeptin 2 μg/ml. Total protein concentration was determined according to the Bradford method (Bio-Rad Laboratories, Hercules, CA, USA).
For immunoprecipitation, 5 μg C-19 mAb (Santa Cruz Biotechnology, Heidelberg, Germany) was coupled to Prot A sepharose CL-4B beads (Pharmacia Biotechnologies, Uppsala, Sweden) for 1 hour at 4°C to). NB-lysates were precleared O/N with 50 μl packed Prot A sepharose CL-4B beads. To the precleared lysates, 20 μl C-19-coupled beads was added and incubated for 24 h at 4°C. Subsequently, the beads were washed with PBS and resuspended in SDS sample buffer and stored at -80°C until SDS-polyacrylamide gel electrophoresis (PAGE).
SDS-PAGE and Western blotting
Samples (30 μg homogenized NB-sample or 20 μl precipitation beads) were separated a 10% polyacrylamide gels and transferred to nitrocellulose (Hi-bond, Amersham Biosciences, Little Chalfont, UK). Ponceau S staining was used to confirm that equal amounts of protein were loaded in each lane (additional file 1). The nitrocellulose blot was blocked with 1% BSA in 20 mM Tris-HCl pH 7.4 and 0.1% Tween (Tris-buffered saline/Tween 20; TBS-T) for 1 h. The blot was washed for 5 min with TBS-T followed by incubation with the C-19 anti-MYCN antibody 1:200 diluted in TBS-T for 1 h at RT. After washing 3× with TBS-T, the blot was incubated with HRP-conjugated swine-anti-rabbit antibody (1:5000 diluted in TBS-T) for 1 h at RT. Subsequently, the blot was washed and incubated for 1 min with ECL substrate (Amersham Biosciences, Little Chalfont, UK) and exposed to film (Kodak, Rochester, NY, USA).
Overexpression of MYCNOS in the NB cell line IMR-32
Primers for the amplification of MYCNOS were developed by using the primer3 program (Table 1). MYCNOS was amplified from DNA isolated from a healthy control using the GC RICH PCR System (Roche, Woerden, The Netherlands). Subsequently, MYCNOS was cloned into the Gateway donor vector pDONR-201 (Invitrogen). Using the Gateway cloning system, MYCNOS was subsequently subcloned into the pcDNA3 expression vector and integrity of the construct was validated by sequence analysis. IMR-32 NB cells at 50% confluence in a 25 cm2 flask were co-transfected with 8 μg pcDNA3-MYCNOS and C1-GFP using 120 μl lipofectamine (Invitrogen) in 3 ml Opti-MEM-I for 20 min at RT.
Statistically significant differences in expression of MYCN-transcripts between NBs with or without MYCN-amplification were calculated with Students' T-test. Correlation of MYCN-transcipt expression with disease stage was calculated using the Spearman rank correlation and correlation of MYCN-transcripts with the MYCN-amplification numbers was calculated with the Pearson correlation test. All statistical tests were two-sided, significance was determined as p < 0.05.
Treatment and follow-up
NB IV S
Adnex and liver metastasis
05/'01 surgery + chemo
Supraclavicular and BM metastases
02/'03 surgery + chemo
07/'03 chemo, SCR + RT
Pos. lymphnodes with unknown primary tumor
01/'03 surgery + chemo
NB IV S
Spine and bone/liver metastases
01/'01 surgery + chemo
02/'04 surgery + chemo
07/'01 surgery + chemo
01/'02 chemo + sugery
Adnex with bone/BM metastases
12/'03 chemo, SCR + RT
10/'04 relapse treatment
04/'02 surgery + chemo
12/'02 Surgery spinal relapse
09/'98 MIBG, chemo + surgery
04/'99 chemo and SCR
Adnex and bone metastases
07/'98 surgery, chemo + SCR
01/'00 surgery, chemo + SCR
11/'03 surgery, chemo + RT
Adnex and spine metastasis
03/'98 MIBG, chemo + surgery
Adnex and multiple distal metastases
06/'99 chemo + RT
Adnex and multiple distal metastases
01/'97 chemo + surgery
ΔMYCN expression in the neuroblastoma cell line IMR-32
Quantitative analyses of MYCN, ΔMYCN and MYCNOS expression levels in neuroblastomas
Correlation of NB stage with MYCN:ΔMYCN-ratio showed that the MYCN:ΔMYCN-ratio remains constant and does not change with either MYCN-amplification (Figure 3C; two-tailed p-value = 0.09, calculated with the Students' T-test) or NB stage (Figure 3F; two-tailed p-value = 0.12, calculated with the Spearman rank correlation). However, there is a significant correlation between the MYCN:MYCNOS-ratio and both MYCN-amplification (Figure 3C; two-tailed p-value = 0.025) and NB-stage (Figure 3E; two-tailed p-value = 0.007). The MYCNOS:ΔMYCN-ratio did not significantly change with either MYCN-amplification or NB-stage (two-tailed p-values = 0.58 and 0.24, respectively; data not shown). These data show that in more advanced NB tumours, mRNA expression of MYCNOS increases relative to MYCN.
ΔMYCN and MYCNOS expression relative to level of MYCN-amplification
To more exactly determine MYCN copy number in the tumours that were studied, we performed a genomic quantitative PCR (gQPCR) using genomic primers recognizing five different locations within the MYCN-gene (Figure 1A; Table 1). Amplification of these DNA fragments was calculated relative to three reference genes elsewhere on the genome, CFTR, TBX22, and SLC16A2. Among these three reference genes, there were no copy number differences noted in any of the NB samples. All 10 samples with a normal MYCN-copy number based on Southern blotting and/or FISH, carried two to four MYCN copies as determined by gQPCR. The presence of a MYCN duplication in NB cells that lack an overt amplification of MYCN is more often found, although the implications for the progression of the NB are still unclear [5, 27]. All 6 samples with multiple copies of MYCN, as determined by Southern blotting and/or FISH, had in between 20 and 139 MYCN gene amplifications (Table 2), which is within the normal range of gene copy numbers observed in NBs with MYCN-amplification .
We observed that MYCN mRNA-expression does not linearly correlate with MYCN-amplification, consistent with earlier reports . In addition, also ΔMYCN and MYCNOS do not correlate linearly with the number of MYCN gene copies (Figure 3B). As shown in figure 3D, the relative mRNA expression ratio of MYCN:MYCNOS decreases with an increasing number of MYCN gene copies although this is not significant (non-interrupted line, slope = -0.4; two-tailed p-value = 0.18, calculated with the Pearson correlation test). The MYCN:ΔMYCN ratio does not change with higher MYCN copy numbers (Figure 3D; dotted line, slope = -0.1; two-tailed p-value = 0.88).
Overexpression of MYCNOSin the NB cell line IMR-32
In this report, we have analysed the expression levels of MYCN, ΔMYCN and MYCNOS in NBs. We find that these three mRNA transcripts are expressed in NBs of all stages, but more highly in NBs with MYCN-amplification. The MYCN:MYCNOS expression level ratio is significantly decreased in high grade NBs, whereas the MYCN:ΔMYCN remains constant in NBs of all stages, which indicates that MYCN and ΔMYCN are co-regulated. These results suggest that MYCNOS might be involved in the regulation of MYCN expression levels as has been shown for numerous other antisense transcripts regulating expression of their sense counterparts [11, 12]. However, it is important to note that the number of NB samples we investigated is relatively small. Future studies in larger cohorts of patients are needed to further establish a role for MYCNOS in the regulation of MYCN expression in patients with low-, intermediate- and high-risk NB.
Natural antisense RNA can inhibit gene expression at the DNA level by transcriptional interference or at the mRNA level by RNA-interference or RNA-editing, or regulate splicing by RNA-masking [11, 12]. In RNA-masking, MYCN-MYCNOS duplex formation modulates RNA processing by preserving a MYCN population that retains intron 1, hence resulting in decreased ΔMYCN expression. Krystal et al.  showed that RNA-masking can occur, but they found that only approximately 5% of MYCN RNA interacts with MYCNOS RNA. Our results show that it is unlikely that MYCNOS expression has an effect on splicing, since 50-fold overexpression of MYCNOS in IMR-32 cells did not change the MYCN/ΔMYCN expression ratio at the mRNA level. Therefore, inhibition of (Δ)MYCN expression seems to be the most likely role for MYCNOS. There are three mechanisms by which this may be accomplished: transcriptional interference, RNA interference and RNA-editing. Since our results show that overexpression of MYCNOS pre-mRNA in NB cell line IMR-32 does not suppress MYCN expression, RNA-interference and RNA-editing do not seem to be the primary inhibitory mechanisms, leaving the possibility that regulation occurs at the DNA level by steric hindrance of the voluminous RNA-polymerase complexes on opposite DNA strands.
It is not clear how increased expression of MYCNOS contributes to the development of NB. Although the increase of MYCNOS expression levels is higher than that of MYCN in NB with amplification, this difference does not appear to influence the prognosis of patients. In patients with NB but without MYCN-amplification, it would be interesting to investigate whether the MYCN:MYCNOS ratio is a good prognostic marker. Differences in MYCNOS expression levels might explain some of the controversies about MYCN expression and prognosis of these patients [1–3].
Besides MYCN and MYCNOS, ΔMYCN, which was previously identified as a fetal transcript , is also expressed in NBs. No other MYCN isoforms were detected. This suggests that the alternative splice variant that previously has been described by Stanton et al.  and consists of an alternatively spliced exon 1, has little relevance in the progression of NBs. In one tumour, the ΔMYCN transcript could not be identified, but this is probably because ΔMYCN is low expressed in general and in this tumour MYCN was not amplified. The ΔMYCN protein contains a nuclear localization signal, a basic helix-loop-helix, and a leucine-zipper domain, which may serve to dimerize with MYCN or bind to its DNA binding site. ΔMYCN lacks the transactivation domain including the highly conserved Myc 1 and 2 boxes, from which it was speculated that it competes with MYCN and therefore inhibits the active MYCN protein . However, in all neuroblastoma samples analyzed, the ratio between MYCN and ΔMYCN expression remains constant and does not correlate with MYCN-amplification or disease stage, indicating that ΔMYCN induced inhibition of MYCN at the protein level is not of relevance in NB.
In conclusion, our results suggest that the expression of the antisense gene MYCNOS might be relevant to the progression of NB, potentially by directly inhibiting MYCN transcription by transcriptional interference at the DNA level. Analysis of MYCN:MYCNOS expression ratios in patients with NB without MYCN-amplification and clinical follow-up are necessary to establish the relevance of MYCNOS expression to the prognosis of these patients.
The authors would like to thank Dorien Lugtenberg and Jolein Gloerich for technical assistance with the quantitative PCR and the mass spectrometry, respectively. Arjan P.M. de Brouwer was supported by a grant from the Maag-Darm-Lever stichting (grant nr MWO 05-71).
- Bordow SB, Norris MD, Haber PS, Marshall GM, Haber M: Prognostic significance of MYCN oncogene expression in childhood neuroblastoma. J Clin Oncol. 1998, 16: 3286-3294.PubMedGoogle Scholar
- Matthay KK: MYCN expression in neuroblastoma: A mixed message?. J Clin Oncol. 2000, 18: 3591-3594.PubMedGoogle Scholar
- Tang XX, Zhao H, Kung B, Kim DY, Hicks SL, Cohn SL, Cheung NK, Seeger RC, Evans AE, Ikegaki N: The MYCN enigma: significance of MYCN expression in neuroblastoma. Cancer Res. 2006, 66: 2826-2833. 10.1158/0008-5472.CAN-05-0854.View ArticlePubMedGoogle Scholar
- Scott D, Elsden J, Pearson A, Lunec J: Genes co-amplified with MYCN in neuroblastoma: silent passengers or co-determinants of phenotype?. Cancer Lett. 2003, 197: 81-86. 10.1016/S0304-3835(03)00086-7.View ArticlePubMedGoogle Scholar
- Schwab M: MYCN in neuronal tumours. Cancer Lett. 2004, 204: 179-187. 10.1016/S0304-3835(03)00454-3.View ArticlePubMedGoogle Scholar
- De Preter K, Speleman F, Combaret V, Lunec J, Laureys G, Eussen BH, Francotte N, Board J, Pearson AD, De Paepe A, Van Roy N, Vandesompele J: Quantification of MYCN, DDX1, and NAG gene copy number in neuroblastoma using a real-time quantitative PCR assay. Mod Pathol. 2002, 15: 159-166. 10.1038/modpathol.3880508.View ArticlePubMedGoogle Scholar
- Lehner B, Williams G, Campbell RD, Sanderson CM: Antisense transcripts in the human genome. Trends Genet. 2002, 18: 63-65. 10.1016/S0168-9525(02)02598-2.View ArticlePubMedGoogle Scholar
- Shendure J, Church GM: Computational discovery of sense-antisense transcription in the human and mouse genomes. Genome Biol. 2002, 3: RESEARCH0044-10.1186/gb-2002-3-9-research0044.View ArticlePubMedPubMed CentralGoogle Scholar
- Misra S, Crosby MA, Mungall CJ, Matthews BB, Campbell KS, Hradecky P, Huang Y, Kaminker JS, Millburn GH, Prochnik SE, Smith CD, Tupy JL, Whitfied EJ, Bayraktaroglu L, Berman BP, Bettencourt BR, Celniker SE, de Grey AD, Drysdale RA, Harris NL, Richter J, Russo S, Schroeder AJ, Shu SQ, Stapleton M, Yamada C, Ashburner M, Gelbart WM, Rubin GM, Lewis SE: Annotation of the Drosophila melanogaster euchromatic genome: a systematic review. Genome Biol. 2002, 3: RESEARCH0083-10.1186/gb-2002-3-12-research0083.View ArticlePubMedPubMed CentralGoogle Scholar
- Yelin R, Dahary D, Sorek R, Levanon EY, Goldstein O, Shoshan A, Diber A, Biton S, Tamir Y, Khosravi R, Nemzer S, Pinner E, Walach S, Bernstein J, Savitsky K, Rotman G: Widespread occurrence of antisense transcription in the human genome. Nat Biotechnol. 2003, 21: 379-386. 10.1038/nbt808.View ArticlePubMedGoogle Scholar
- Lavorgna G, Dahary D, Lehner B, Sorek R, Sanderson CM, Casari G: In search of antisense. Trends Biochem Sci. 2004, 29: 88-94. 10.1016/j.tibs.2003.12.002.View ArticlePubMedGoogle Scholar
- Makalowska I, Lin CF, Makalowski W: Overlapping genes in vertebrate genomes. Comput Biol Chem. 2005, 29: 1-12. 10.1016/j.compbiolchem.2004.12.006.View ArticlePubMedGoogle Scholar
- Armstrong BC, Krystal GW: Isolation and characterization of complementary DNA for N-cym, a gene encoded by the DNA strand opposite to N-myc. Cell Growth Differ. 1992, 3: 385-390.PubMedGoogle Scholar
- Thrash-Bingham CA, Tartof KD: aHIF : a natural antisense transcript overexpressed in human renal cancer and during hypoxia. J Natl Cancer Inst. 1999, 91: 143-151. 10.1093/jnci/91.2.143.View ArticlePubMedGoogle Scholar
- Baguma-Nibasheka M, Li AW, Osman MS, Geldenhuys L, Casson AG, Too CK, Murphy PR: Coexpression and regulation of the FGF-2 and FGF antisense genes in leukemic cells. Leuk Res. 2005, 29: 423-433. 10.1016/j.leukres.2004.09.006.View ArticlePubMedGoogle Scholar
- Rossignol F, Vache C, Clottes E: Natural antisense transcripts of hypoxia-inducible factor 1alpha are detected in different normal and tumour human tissues. Gene. 2002, 299: 135-140. 10.1016/S0378-1119(02)01049-1.View ArticlePubMedGoogle Scholar
- Cayre A, Rossignol F, Clottes E, Penault-Llorca F: aHIF but not HIF-1alpha transcript is a poor prognostic marker in human breast cancer. Breast Cancer Res. 2003, 5: R223-230. 10.1186/bcr652.View ArticlePubMedPubMed CentralGoogle Scholar
- van Bokhoven H, Celli J, van Reeuwijk J, Rinne T, Glaudemans B, van Beusekom E, Rieu P, Newbury-Ecob RA, Chiang C, Brunner HG: MYCN haploinsufficiency is associated with reduced brain size and intestinal atresias in Feingold syndrome. Nat Genet. 2005, 37: 465-467. 10.1038/ng1546.View ArticlePubMedGoogle Scholar
- Rozen S, Skaletsky H: Primer3 on the WWW for general users and for biologist programmers. Methods Mol Biol. 2000, 132: 365-386.PubMedGoogle Scholar
- Marcelis CL, Hol FA, Graham GE, Rieu PN, Kellermayer R, Meijer RP, Lugtenberg D, Scheffer H, van Bokhoven H, Brunner HG, de Brouwer APM: Genotype-phenotype correlations in MYCN-related Feingold syndrome. Hum Mutat. 2008, 29: 1125-1132. 10.1002/humu.20750.View ArticlePubMedGoogle Scholar
- de Brouwer AP, van Bokhoven H, Kremer H: Comparison of 12 reference genes for normalization of gene expression levels in Epstein-Barr virus-transformed lymphoblastoid cell lines and fibroblasts. Mol Diagn Ther. 2006, 10: 197-204.View ArticlePubMedGoogle Scholar
- Livak KJ, Schmittgen TD: Analysis of relative gene expression data using real-time quantitative PCR and the 2(-Delta Delta C(T)) Method. Methods. 2001, 25: 402-408. 10.1006/meth.2001.1262.View ArticlePubMedGoogle Scholar
- Pfaffl MW: A new mathematical model for relative quantification in real-time RT-PCR. Nucleic Acids Res. 2001, 29: e45-10.1093/nar/29.9.e45.View ArticlePubMedPubMed CentralGoogle Scholar
- Hoebeeck J, Speleman F, Vandesompele J: Real-time quantitative PCR as an alternative to Southern blot or fluorescence in situ hybridization for detection of gene copy number changes. Methods Molecular Biol. 2007, 353: 205-226.Google Scholar
- Shimada H, Umehara S, Monobe Y, Hachitanda Y, Nakagawa A, Goto S, Gerbing RB, Stram DO, Lukens JN, Matthay KK: International neuroblastoma pathology classification for prognostic evaluation of patients with peripheral neuroblastic tumors: a report from the Children's Cancer Group. Cancer. 2001, 92: 2451-2461. 10.1002/1097-0142(20011101)92:9<2451::AID-CNCR1595>3.0.CO;2-S.View ArticlePubMedGoogle Scholar
- Tanaka S, Tajiri T, Noguchi S, Shono K, Ihara K, Hara T, Suita S: Clinical significance of a highly sensitive analysis for gene dosage and the expression level of MYCN in neuroblastoma. J Pediatr Surg. 2004, 39: 63-68. 10.1016/j.jpedsurg.2003.09.015.View ArticlePubMedGoogle Scholar
- Corvi R, Savelyeva L, Schwab M: Duplication of N-MYC at its resident site 2p24 may be a mechanism of activation alternative to amplification in human neuroblastoma cells. Cancer Res. 1995, 55: 3471-3474.PubMedGoogle Scholar
- Schwab M, Ellison J, Busch M, Rosenau W, Varmus HE, Bishop JM: Enhanced expression of the human gene N-myc consequent to amplification of DNA may contribute to malignant progression of neuroblastoma. Proc Natl Acad Sci USA. 1984, 81: 4940-4944. 10.1073/pnas.81.15.4940.View ArticlePubMedPubMed CentralGoogle Scholar
- Krystal GW, Armstrong BC, Battey JF: N-myc mRNA forms an RNA-RNA duplex with endogenous antisense transcripts. Mol Cell Biol. 1990, 10 (8): 4180-4191.View ArticlePubMedPubMed CentralGoogle Scholar
- Stanton LW, Bishop JM: Alternative processing of RNA transcribed from NMYC. Mol Cell Biol. 1987, 7: 4266-4272.View ArticlePubMedPubMed CentralGoogle Scholar
- Nickerson HJ, Matthay KK, Seeger RC, Brodeur GM, Shimada H, Perez C, Atkinson JB, Selch M, Gerbing RB, Stram DO, Lukens J: Favorable biology and outcome of stage IV-S neuroblastoma with supportive care or minimal therapy: a Children's Cancer Group study. J Clin Oncol. 2000, 18: 477-486.PubMedGoogle Scholar
- The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2407/9/239/prepub
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