Vasmatzis, George

Abstract Purpose: The objective of this study was to use gene expression profiling to identify novel biomarkers that are predictive of aggressive behavior in clear cell renal cell carcinoma (CCRCC). Experimental Design: Candidate genes were discovered using Human Genome U133 Plus 2 Arrays and validated on independent samples by quantitative reverse transcription-PCR (RT-PCR). Both the discovery and the validation cohorts included nonaggressive primary CCRCC, aggressive primary CCRCC, metastatic CCRCC, and nonneoplastic kidney adjacent to tumor. Results: Aggressive primary and metastatic CCRCC displayed no significant differences in gene expression. In contrast, we identified significant differences in gene expression between nonaggressive and aggressive CCRCC (including metastatic CCRCC). Thirty-four of the 35 transcripts that displayed the most significant differential expression by microarray analysis also displayed significant differential expression in independent validation studies using quantitative RT-PCR (P < 0.001 for 31 candidates and P < 0.005 for the remaining three candidates). Hierarchical clustering of the quantitative RT-PCR data using our candidate markers accurately grouped 88% (23 of 26) of aggressive and metastatic CCRCC samples, 100% (14 of 14) of nonaggressive CCRCC samples, and 100% (15 of 15) of nonneoplastic samples into separate clusters. Finally, we evaluated the ability of protein expression levels of one of our candidate markers (survivin) to predict survival among a cohort of 183 CCRCC patients treated surgically at Mayo Clinic from 1990 to 1992. In multivariate analysis, expression of survivin (BIRC5) was inversely associated with cancer-specific survival (P = 0.017). Conclusion: We used a combination of genomic profiling and validation by quantitative PCR to identify a panel of candidate biomarkers for determining CCRCC aggressiveness. Our data also indicate that the gene expression alterations that result in aggressive behavior and metastatic potential can be identified in the primary tumor.

This article describes the electrical characterization of live and heat-inactivated micro-organisms within microstructures. Electrophoretic movement of live and heat-inactivated Listeria innocua on interdigitated fingered electrodes confirmed the presence of negative charges on the live micro-organisms and demonstrated positive or neutral charges on the heat-inactivated micro-organisms. A micropore was fabricated in an oxide coated silicon diaphragm, which was placed between two chambers containing ionic buffer solutions. When the micro-organism electrophoretically traversed the pore, the background ionic current was blocked and a decrease in the current was observed. As an initial test case, negatively charged polystyrene beads, which were 2.38 μm in diameter, were electrophoretically driven across the pore. Then, Listeria innocua, suspended in tris-glycine buffer, were also moved through the pore and their electrophoretic mobility was determined. In addition, the values of mobility of the micro-organisms through the micropore were found to be about 3 orders of magnitude smaller than their mobility without the pore, which can be explained by the higher hydrostatic pressures experienced by the micro-organisms when traversing through the pore.