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Research ArticleClinical Studies

Colon Neoplastic Cells Do Not Originate from Bone Marrow-derived Cells after Sex-mismatched Bone Marrow Transplantation

GEN SAKAI, TOMOHARU YAJIMA, HIROMASA TAKAISHI, TAKEHIKO MORI, HAJIME HIGUCHI, SHOKO NAKAMURA, SHINSUKE FUNAKOSHI, MASAYUKI ADACHI, MOTOKO IZUMIYA, HIDEKO AKAGI, YASUO HAMAMOTO, TAKANORI KANAI, MAKIO MUKAI, SHINICHIRO OKAMOTO and TOSHIFUMI HIBI
Anticancer Research September 2012, 32 (9) 4097-4103;
GEN SAKAI
1Division of Gastroenterology and Hepatology, Keio University School of Medicine, Tokyo, Japan
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TOMOHARU YAJIMA
1Division of Gastroenterology and Hepatology, Keio University School of Medicine, Tokyo, Japan
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  • For correspondence: yajimatm{at}sc.itc.keio.ac.jp
HIROMASA TAKAISHI
1Division of Gastroenterology and Hepatology, Keio University School of Medicine, Tokyo, Japan
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TAKEHIKO MORI
2Division of Hematology, Keio University School of Medicine, Tokyo, Japan
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HAJIME HIGUCHI
1Division of Gastroenterology and Hepatology, Keio University School of Medicine, Tokyo, Japan
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SHOKO NAKAMURA
1Division of Gastroenterology and Hepatology, Keio University School of Medicine, Tokyo, Japan
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SHINSUKE FUNAKOSHI
1Division of Gastroenterology and Hepatology, Keio University School of Medicine, Tokyo, Japan
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MASAYUKI ADACHI
1Division of Gastroenterology and Hepatology, Keio University School of Medicine, Tokyo, Japan
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MOTOKO IZUMIYA
1Division of Gastroenterology and Hepatology, Keio University School of Medicine, Tokyo, Japan
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HIDEKO AKAGI
1Division of Gastroenterology and Hepatology, Keio University School of Medicine, Tokyo, Japan
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YASUO HAMAMOTO
1Division of Gastroenterology and Hepatology, Keio University School of Medicine, Tokyo, Japan
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TAKANORI KANAI
1Division of Gastroenterology and Hepatology, Keio University School of Medicine, Tokyo, Japan
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MAKIO MUKAI
3Division of Diagnostic Pathology, Keio University School of Medicine, Tokyo, Japan
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SHINICHIRO OKAMOTO
2Division of Hematology, Keio University School of Medicine, Tokyo, Japan
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TOSHIFUMI HIBI
1Division of Gastroenterology and Hepatology, Keio University School of Medicine, Tokyo, Japan
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    Figure 1.

    Case 1 of colonic adenocarcinoma and adenoma. The patient had undergone endoscopic mucosal resection. Colonic endoscopy was performed 12 years after sex-mismatched bone marrow transplantation. A: Endoscopic image. A flat elevation of approximately 10 mm was found in the sigmoidal colon. B: Haematoxylin and eosin-stained sample from colonic tumour of this patient; histological examination of the samples revealed a well-differentiated tubular adenocarcinoma in an adenoma (int, INFα, m, ly0, v0, and surgical margin negative). Original magnification: ×100.

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    Figure 2.

    Case 2 of colonic adenocarcinoma and adenoma. The colonic endoscopy was performed 11 years after sex-mismatched bone marrow transplantation. A: Endoscopic image. An Isp polyp of approximately 10 mm was found in the oral-side ascending colon. B: Haematoxylin and eosin (HE)-stained sample from the colonic tumour, shown in Figure 2A; the patient had undergone endoscopic mucosal resection (EMR), and the histological examination revealed a well-differentiated tubular adenocarcinoma in adenoma (int, INFβ, med, pM, ly0, v0, surgical margin-negative). Original magnification: ×100. C: Endoscopic image. A polyp of approximately 3 mm was found in the anal-side ascending colon. D: HE-stained sample from the colonic tumour shown in Figure 2C; the patient underwent EMR, and the histological examination revealed only adenoma (surgical margin-negative). Original magnification: ×100.

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    Figure 3.

    FISH analysis of samples from case 1. FISH signals, DAPI, CD45 signal (red), and cytokeratin (green) signals are shown in cancerous (A) and non-cancerous (B) areas. Yellow arrowheads indicate Y-chromosome-positive cells. Only a small percentage of cancerous epithelial cells (1.2%) and non-cancerous epithelial cells (1.4%) have Y-chromosome signals derived from the donor. The interstitial cells in the cancerous (A) and non-cancerous (B) epithelial cell lesions were comprised of almost all donor-derived CD45+ cells (approximately 76%). Original magnification: main image, ×100; inset, ×200.

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    Figure 4.

    FISH analysis of samples from case 2. FISH signals, DAPI, CD45 signals, and cytokeratin signals in a cancerous area. Yellow arrowheads indicate Y-chromosome-positive cells. Only a small percentage of cancerous epithelial cells (1.2%) and non-cancerous epithelial cells (1.5%) have Y-chromosome signals derived from the donor. The interstitial cells in the cancerous lesion comprised of almost all donor-derived CD45+ cells (approximately 80%). Original magnification: main image, ×100; inset, ×200.

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September 2012
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Colon Neoplastic Cells Do Not Originate from Bone Marrow-derived Cells after Sex-mismatched Bone Marrow Transplantation
GEN SAKAI, TOMOHARU YAJIMA, HIROMASA TAKAISHI, TAKEHIKO MORI, HAJIME HIGUCHI, SHOKO NAKAMURA, SHINSUKE FUNAKOSHI, MASAYUKI ADACHI, MOTOKO IZUMIYA, HIDEKO AKAGI, YASUO HAMAMOTO, TAKANORI KANAI, MAKIO MUKAI, SHINICHIRO OKAMOTO, TOSHIFUMI HIBI
Anticancer Research Sep 2012, 32 (9) 4097-4103;

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Colon Neoplastic Cells Do Not Originate from Bone Marrow-derived Cells after Sex-mismatched Bone Marrow Transplantation
GEN SAKAI, TOMOHARU YAJIMA, HIROMASA TAKAISHI, TAKEHIKO MORI, HAJIME HIGUCHI, SHOKO NAKAMURA, SHINSUKE FUNAKOSHI, MASAYUKI ADACHI, MOTOKO IZUMIYA, HIDEKO AKAGI, YASUO HAMAMOTO, TAKANORI KANAI, MAKIO MUKAI, SHINICHIRO OKAMOTO, TOSHIFUMI HIBI
Anticancer Research Sep 2012, 32 (9) 4097-4103;
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