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[CANCER RESEARCH 57. 4615-4623. October 15. 1997]
Genomic Imprinting and Igf2 Influence Liver Tumorigenesis and
Loss ofHeterozygosity in SV40 T Antigen Transgenic Mice1
Ramsi Haddad and William A. Held2
Department of Molecular and Cellular Biology. Rum-eli Park
Cancer Institute. Buffalo. New York. 14263
ABSTRACT
Maternal-specific loss of heterozygosity (LOH) and allelic
imbalances[i.e., partial I.oil (pLOH)] observed in SV40 T/t
antigen-induced liver
tumors suggests that an imprinted gene on chromosome 7 is
involved inliver tumorigenesis. Maternal-specific I.OH/pLOH may
reflect the loss of
a maternally expressed tumor suppressor gene or the acquisition
of paternally active alÃ-elesof a growth promoter. In addition, two
oppositelyimprinted genes on distal chromosome 7, Igf2 and
///'>. are re-expressed
in most liver tumors from an SV40 T/t antigen transgenic line
(M11T-G).IK.I'- ¡sa paternally expressed growth promoter, and HI 9
isa maternally
expressed gene that can suppress growth in some tumor cell
lines. Westudied the role of Igf2 during liver tumorigenesis by
creating Igf2 ( +/—)
M11T-G mice. These mice are essentially null for Igf2 expression
becauseimprinting normally precludes maternal IK!- expression.
M11T-G, Igf2(+/—) males exhibit a 15-fold reduction in the
frequency of large tumors.Igf2 (+/-) tumors do not express maternal
Igf2, indicating rigid im
printing control in the liver. LOH/pLOH analysis was performed
on thetumors and indicates that acquisition of paternally active
IK!- alÃ-elesis amajor selective event for M11T-G liver
tumorigenesis. This also implies
the existence of an imprinted, maternally expressed tumor
suppressorgene on chromosome 7 that is unlikely to be IIIV.
INTRODUCTION
Cancer represents the accumulation of genetic and
epigeneticchanges that lead to aberrant and uncontrolled cell
growth. Thepromoter-directed expression of oncogenes, such as the
SV40 TAg ' in
transgenic mice, has permitted the construction of mouse
transgeniclines that reproducibly develop tumors in the liver with
definedkinetics (1,2). Using the mouse MUP promoter to direct the
expression of a MUP-TAg hybrid gene, transgene expression commences
in
the liver at 3 weeks of age and remains active for the life of
the animal(1).
The liver histopathology of MUP-TAg mice follows a defined
pattern divisible into three stages. TAg expression becomes
activatedat puberty and leads to dysplasia and apoptosis of the
original hepa-
tocyte population (2). At the same time, multiple foci of small
cellsappear throughout the liver parenchyma (2). The original
hepatocytescontinue to undergo apoptosis as the hyperplastic foci
of small cellsgrow to confluence, completely replacing normal cells
within theliver. The last step involves the appearance of multiple
neoplasticnodules that subsequently encapsulate, vascularize, and
become tumors (2).
Tumorigenesis in MUP-TAg transgenic mice, as well as other
Received 4/24/97; accepted 8/13/97.The costs of publication of
this article were defrayed in part by the payment of page
charges. This article must therefore be hereby marked
advertisement in accordance with18 U.S.C. Section 1734 solely to
indicate this fact.
1This research was supported by National Institute of General
Medical Sciences Grant
GM51881-02 (to W. A. H.) and by National Cancer Institute Core
Grant 5P30CA16056(to Roswell Park Cancer Institute).
2 To whom requests for reprints should be addressed, at
Department of Cell and Molecular
Biology. Roswell Park Cancer Institute. Elm and Carlton Streets.
Buffalo. NY 14263. Phone:(716)845-3301; Fax: (716)845-8169; E-mail:
[email protected].
' The abbreviations used are: TAg. large T antigen: MUP. major
urinary protein: LOI.
loss of imprinting: LOH. loss of heterozygosity; pLOH. partial
LOH; pLOHM. pLOHmaternal-specific; pLOHP. pLOH paternal-specific;
BWS. Beckwith-Wicdemann syn
drome: RIP. rat insulin promoter; MIT. Massachusetts Institute
of Technology: SSLP.simple sequence-length polymorphism.
oncogene-bearing transgenic mice, typically have a latent
period
between expression of the transgene and noticeable neoplastic
growth,suggesting that additional genetic events are required for
tumor progression (reviewed in Ref. 3). Many types of genetic
changes havebeen characterized in SV40 TAg-induced tumors,
including large
DNA deletions, amplifications, and rearrangements (4).A subset
of genetic alterations that occur in both human and mouse
tumors are perturbations in genomic imprinting or LOI control
(3, 5,6). Genomic imprinting is an epigenetic mark that allows
parentalgenomes to be distinguished in the offspring. Imprinting
can result inmonoallelic gene expression that can be developmental
and tissuespecific (7).
Two lines of evidence indicate the importance of imprinting
inMUP-TAg liver tumors:
(a) The distal imprinted region of mouse chromosome 7
exhibitsmaternal-specific LOH and allelic imbalances (i.e., pLOH)
in theseliver tumors (8). Maternal-specific LOH/pLOH could indicate
the loss
of a maternally expressed tumor suppressor gene. Alternatively,
maternal-specific LOH/pLOH could be accompanied by paternal
dis-
omies and be driven by selection for an increase in the copy
numberof a paternally expressed growth promoter. In fact, both
genetic eventscould be occurring simultaneously.
(b) Igf2 and Hi 9, two imprinted genes on chromosome 7
notnormally expressed in adult liver, are re-expressed in most
MUP-TAg
liver tumors (8, 9). Similar observations implicating a role for
imprinting in liver tumorigenesis are also observed in transgenic
miceexpressing SV40 TAg under control of the liver-specific
C-reactive
protein (10).Igf2 and H19 are oppositely imprinted genes that
are closely linked
on distal mouse chromosome 7 (11). Both genes are primarily
activeduring fetal development, and expression in most tissues is
undetect-
able after 2 weeks of age (11). Igf2 is a fetal growth factor
expressedfrom the paternal alÃ-elein most mouse tissues (12). H19
is a maternally expressed gene with no conserved open reading frame
(13),which exhibits tumor suppressor activity in tissue culture
(14). Ectopie expression of HI 9 in G401 cells causes the cells to
lose tumor-
igenicity. as determined by a reduction in colony formation in
softagar and the loss of growth of tumors in nude mice (14).
Thus, the maternal-specific LOH/pLOH observed on distal
chromosome 7 in tumors from the MUP-TAg transgenic line Ml IT-G
(8)
could be driven by the acquisition of paternal chromosomes with
anactive Igf2 alÃ-eleand/or the loss of maternal chromosomes with
anactive HÃŒ9alÃ-ele.It remains possible that an unidentified
maternallyexpressed tumor suppressor gene or a paternally expressed
growth-
promoting gene reside on distal chromosome 7./g/2 is a fetal
growth factor that stimulates growth through the
IGF1 receptor (15). The IGF2 receptor, which also serves as
thelysosomal mannose-6-phosphate receptor, appears to negatively
reg
ulate growth by targeting Igf2 to digestive lysosomes (16).
¡GF2hasbeen implicated in tumorigenesis in human cancers
associated withBWS (5). A maternal loss or paternal disomy of human
chromosomeIlpl5.5, which is syntenic with distal mouse chromosome
7, isfrequently associated with BWS (17). BWS patients often
re-expressIGF2 biallelically in Wilms' tumors, indicating LOI
control (6, 18,
19). Hepatoblastomas also re-express IGF2, although LOI
control
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EFFECTS OF Igf2 DELETION ON LIVER TUMORIOENESIS
occurs infrequently (5, 20-22). Other tumor types such as
testicular 5'-GGGTGAGCCATTCTCCTGGG-3'. Two reverse primers were
included:
germ cell tumors (23) and malignant breast tumors frequently
re-
express ÃŒGF2transcripts biallelically (24).Igf2 is also
implicated in tumors derived from transgenic mice
expressing SV40 TAg under control of the RIP (RIP-TAg
mice),which develop insulomas that re-express Igf2 (25). Mating
RIP-TAgmice with Igf2 null mutants resulted in RIP-TAg, Igf2
(—/-) tumors
that were much smaller than tumors from RIP-TAg. Igf2
(+/+)animals (25). Further analysis demonstrated that RIP-TAg,
Igf2(+/—) tumors all re-activate the maternal Igf2 alÃ-eleand are
not
significantly different in size than RIP-TAg, Igf2 (+/+) tumors
(26).
To investigate the requirement for Igf2 during liver
tumorigenesisin MUP-TAg mice, we crossed MI1T-G female mice with
Igf2(-/+) heterozygous males (27). Inheritance of a null paternal
alÃ-ele
results in mice effectively null for Igf2 because imprinting
normallyprecludes maternal Igf2 expression in the liver. Liver
tumors fromIgf2 (+/—)heterozygous null. TAg-positive animals were
dissected,
measured, and analyzed for Igf2 and HI9 expression.
LOH/pLOHanalysis was also performed using SSLP defined by MIT
primer pairs(28).
Our results indicate that M11T-G, Igf2 (+/-) mice exhibit
adramatic reduction in the frequency of tumors relative to Ml
1T-G,
¡gf2( +/+ ) litter mates and that Igf2 LOI does not occur in
most livertumors. In addition, genetic analysis of distal
chromosome 7 suggeststhat acquisition of paternally active Igf2
alÃ-elesis a major selectivepressure for LOH/pLOH. We also present
evidence that is consistentwith a maternally expressed tumor
suppressor gene on chromosome 7and that HI9 is unlikely to be this
tumor suppressor.
MATERIALS AND METHODS
The Ml IT-G transgenic line expressing SV40 TAg under control of
the
MUP promoter has been described (8). Dissections were performed
on animalswhen liver hyperplasia was evident. Tumors were dissected
by excising tissuefrom the surrounding liver and subsequently
removing the capsule. In this way,tumor tissue was not contaminated
by potentially normal tissue that makes upthe capsule. The tissue
was then flash frozen in dry ice and stored at -70°C
until needed.Total RNA and total DNA for Northern analysis and
PCR LOH/pLOH
analysis was prepared from tumor tissue according to the
manufacturer's
protocol for TRIzol Reagent (Life Technologies. Inc.). Probes
for Northern andSouthern Blots were synthesized according to the
manufacturer's protocol
using either Prime-It II (Stratagene) or Random Primed DNA
Labeling Kit(Boehringer Mannheim). |a-'2P]dATP or dCTP was used to
label products
(DuPont NEN). The Igf2 probe used was a 0.7-kb £coRIcDNA
fragment fromplasmid pMT5 (9). The HÌ9probe used was a 0.35-kb
Pst\ cDNA fragmentfrom plasmid pH19 (8). Cck probe was a 0.8-kb
Pnill-Pst\ cDNA fragment
from plasmid pCCK.bS (29).Northern blots were performed as
described (8). Quantitative Southern
analysis was performed using total DNA prepared as described
(8). Blots werequantified on a Molecular Dynamics Storm
Phosphorlmager.
LOH/pLOH analysis by PCR was performed in 96-well microtiter
plates(Falcon) using a PTC-100 Thermocycler (M. J. Research, Inc.).
Reactions
were assembled by adding approximately KM)ng DNA (in 1 fil) to
each welland then adding the following solutions: 5.3 /xl water,
1.0 pA(50% sucrose, 1%cresol red). 1 /nl PCR buffer (Boehringer
Mannheim). 0.2 /j.1 10 mM de-
oxynucleotide triphosphate (Pharmacia Biotech. Inc.), 0.24 p,l
each of forwardand reverse primers (6 mM), 0.05 n\ [10% (w/v) BSA|.
and 0.1 /¿ITaqpolymerase (0.5 unit; Boehringer Mannheim).
Reactions were then coveredwith mineral oil (Sigma Chemical Co.).
Cycling started with 3 min at 94°Cfollowed by 32 cycles of 1 min
at 94°C,2 min at 55°C,and 3 min at 72°C.After cycling, the plate
was raised to 94°Cfor 1 min, 55°Cfor 2 min, and afinal extension
at 72°Cfor 10 min. Samples were separated on 8 or 10% TBE
acrylamide gels.The set of primers used to detect LOH/pLOH at
the Igf2lneo locus con
sisted of a forward primer in the first intron of ¡gf2 with the
sequence
one hybridized to Igf2 exon 2: and the other hybridized to neo.
The reverseIgf2 primer was S'-GTCAACAAGCTCCCCTCCGC-S', and the
reverse neoprimer was 5'-CCCCGACTGCATCTGCGTGT-3'. The Igf2 product
was 200
bp, and the neo product was 290 bp in length.The Mann-Whitney U
test was used to determine if the frequency distribu
tion of tumors for each of the four size classes differed
significantly betweenthe M11T-G, Igf2 (+/-) and M11T-G, Igf2 (+/+)
animals in Table 2. The
test was performed for every tumor size class listed in Table 2.
Each test wasperformed by sorting animals in ascending order with
respect to the number oftumors of the particular size class in
question. The test statistic was thencalculated by determining the
number of instances that an M11T-G, Igf2(+/-) animal precedes an
animal of genotype MI1T-G, Igf2 (+/+). The
resultant value of U was then compared to a table of critical
values as described(30).
The statistical significance of the data in Table 4 was
performed in thestandard manner using the x2 test of goodness of
fit (30). The statisticalsignificance of data in Table 6 was
determined by the ^2 test of independence,
which is used for frequency distributions of categorical
groupings (i.e., noLOH, pLOHM. LOHM, or pLOHP; Ref. 30). Expected
frequencies werecalculated from the marginal totals.
RESULTS
Ml IT-G females (8) were mated with Igf2 (-/+) males (27) to
study the influence of ¡gf2on MUP-TAg tumorigenesis. The
cross
and the relevant genotype and phenotype of the progeny is
shown(Table 1A). One-half of the F, generation are expected to be
Ml IT-Gpositive and develop liver tumors. Also, one-half the F,
generation areexpected to be Igf2 (+/—), and the remaining
one-half to be Igf2
(+/+). The cross will, therefore, be expected to yield 25% Ml
IT-G,Igf2 (+/+) and 25% Ml IT-G. Igf2 (+/-) progeny. Inheritance of
anull paternal alÃ-eleof Igf2 results in mice effectively null for
¡gj'2
because imprinting normally precludes maternal Igf2 expression
inthe liver (27). As expected, all Igf2 (+/—) mice were
approximately
60% the size of their Õgf2(+/+) litter mates (data not shown:
Ref.27).
Table IB is a summary of phenotypes in the 43 MI1T-G Fl
animals tested. Male and female animals were analyzed separately
dueto known sex-specific differences in tumorigenesis in both human
and
other mouse models of liver tumorigenesis (31, 32). An
approximatelyequal number of M11T-G, Igf2 (+/+) and M11T-G, Igf2
(+/-)
animals were studied (Table IB). The average age at dissection
wassimilar for both Igf2 genotypes for males and females,
respectively.
Table I Genetic cross and summary of F¡animals analy-fil
A. Genetic cross and expected progeny genotype and phenotype
Genetic crossMI1T-G. Igf2 (+/+) female
Expected progeny:F¡genotype
X Igf 2 (+/-) male
F, Igf 2 phenotype F} tumor phenotype
M11T-G.M11T-G.,
Igf2(+/+), Igf2(+/-)Normal
TumorsNull TumorsNormal No tumorsNull NotumorsB.
Summary of Ml IT-G Fl animalsanalyzedIgf
2 genotype
Males Females
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EFFECTS OF IgßDELETION ON LIVER TUMORIGENESIS
Female animals were dissected at a higher average age because
therate of Ml 1T-G tumorigenesis is slower in females.
Igf2 Is Not Required for TAg-induced Liver Hyperplasia. As
mentioned previously, TAg expression causes liver hyperplasia,
andtumors subsequently appear on the hyperplastic liver background
(2).We wanted to determine whether Igf2 has an effect on the
TAg-
induced liver hyperplasia by measuring the livenbody weight
ratio ofanimals. The livenbody weight ratio of an animal represents
thesummation of liver hyperplasia and tumor development. The
averagelivenbody weight ratio of a nontransgenic animal is 0.05.
The averagelivenbody weight ratio of Ml 1T-G animals is 0.35 to
0.41 and is not
significantly affected by sex or /#/2 genotype (Table IB).Fig. 1
shows the change in livenbody weight over time in Ml IT-G
mice. Nontransgenic, control animals have a constant
livenbodyweight ratio of 0.05. Curved lines on the graph reveal the
progressivehyperplasia and subsequent tumorigenesis exhibited by
M11T-Gmice. The change in livenbody weight in male Ml IT-G, Igf2
(+/+)mice mimics the time course seen in male M l IT-G, Igf2 (+/-)
mice.
In a like manner, the change in livenbody weight in Ml IT-G
females
follows a similar curve, irrespective of their Ig/2 genotype. As
discussed below, tumor development is greatly reduced in Ml IT-G,
Igf2(+/-) animals. We, therefore, conclude that Igf2 is not
required forthe TAg-induced liver hyperplasia in Ml IT-G mice.
M11T-G, Igf2 (+/—) Animals Have a Reduced Frequency ofLarge
Tumors. Dissections revealed that Ml IT-G. Igf2 (+/—)
tu-morigenic livers were visibly different from their M11T-G,
¡gf2(+/+) counterparts (Fig. 2). An M11T-G, Igf2 (+/+) male
liver
shows extensive liver hyperplasia and many tumors and nodules
ofdifferent sizes (Fig. 2. A and B). Under identical magnification,
anM11T-G, Igf2 (+/-) male litter mate shows that extensive
liver
hyperplasia remains evident, but the number of tumors and
nodules isconsiderably reduced (Fig. 2, C and D).
Tumors were measured and counted at dissection to quantify
thedifferences in tumor size and frequency. A summary of tumor
sizedistribution and frequency for male and female animals is
presented(Table 2). Each tumor size class is sorted by the average
number oftumors per animal for each Igf2 genotype. As shown in
Table 2A, thelargest class of tumors appears 15-fold less
frequently in M11T-G.Igf2 (+/-) males relative to M11T-G, Igf2
(+/+) males. Smaller
tumor size classes also show reductions of 3.4-6.6-fold (Table
2A).
In females, the frequency of tumors greater than 8.0 mm is
reduced5-fold in Ml IT-G, Igf2 (+/-) relative to their Ml IT-G.
Igf2 (+/+)
counterparts. Similarly, tumors 6.1-8.0 mm are reduced 4.2-fold,
andtumors of 4.1-6.0-mm diameter appear 3.5-fold less frequently.Ml
IT-G, Igf2 (+/-) females manifest the same trend seen in males;
the largest tumor size class exhibits the greatest reduction
infrequency.
Igf2 Imprinting Control Is Rigidly Maintained in Liver andLiver
Tumors from Ml IT-G, ¡gf2(+/- ) Animals. If Igf2 expres
sion has an absolute causal role in liver tumorigenesis, LOI
controlcould result in the activation of the normally silent
maternal alÃ-eleintumors from Igf2 (+/—) mice. Because M11T-G.
Igf2 (+/—) ani
mals receive a null paternal Igf2 alÃ-ele,the presence of
functionalIgf2 transcripts can only be derived from the maternal
alÃ-ele.Consequently, any Igf2 expression observed in Ml IT-G, Igf2
(+/—) liver
or liver tumors can only be the result of LOI.We first examined
hyperplastic. Ml IT-G livers at 6 and 8 weeks of
age. Because M11T-G. Igf2 (+/-) animals show the same
relative
degree of liver hyperplasia as their Igf2 (+/+) litter mates
(Fig. 1 andTable IB), an LOI event resulting in maternal Igf2
expression mightbe responsible for the liver hyperplasia seen in
these animals. Igf2transcript levels measured by Northern blot in
Ml IT-G, Igf2 (+/—)
hyperplastic liver samples do not have detectable levels of
Ii>f2 at 6or 8 weeks of age (data not shown). Igf2 expression in
Ml IT-G, Igf2
(+/+) liver is also undetectable at 6 weeks of age but begins at
8weeks and remains activated (data not shown). These results
indicatethat the liver hyperplasia observed in Ml IT-G, Igf2 (+/-)
liver is not
due to ¡gf2expression from the maternal alÃ-ele.Consequently,
imprinting control is not affected in preneoplastic. hyperplastic
liver. Inaddition. Ml IT-G, ¡gf2(+/+) livers have extensive
hyperplasia priorto re-expression of Igf2, further indicating that
liver hyperplasia is not
dependent on Igf2 expression.Igf2 transcript levels in the liver
tumors were analyzed to deter
mine whether imprinting control had been disrupted. H19
transcriptlevels were also assayed because in Wilms' tumors with
biallelic Igf2
expression, H19 expression is lost (18). In addition, the
targeteddeletion of the HÌ9gene by homologous recombination
results inbiallelic Igf2 expression (33).
Representative Northern blots of tumor RNA were hybridized
withan Igf2 cDNA probe (Fig. 3; Ref. 9). The blots were then
stripped andsubsequently hybridized with an H19 cDNA probe.
Photographs ofethidium bromide-stained RNA preceding blotting
indicates equal
loading of RNA (data not shown).The ¡gf2 gene in mice has three
discernible RNA transcripts in
0.5
0.4o4-¡(B
Fig. 1. Effect of Igf2 (+/-) alÃ-eleon Ml IT-G liver: >,body
weight ralio. Each point represents one individual "5
mouse. —¿�
0.1
00
D Igf2 (+/-) Male
•¿�Igf2 (+/+) Male
o Igf2 (+/-) Female
•¿�Igf2 (+/+) Female
A Igf2 (+/+)/lgf2 (+/-) Control
0| 10 20TAg Expression A (weeks)
Activated
30
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EFFECTS OF Igf2 DELETION ON LIVER TUMORIGENESIS
A) M11T-G, Igf2 (+/+), anterior view B) M11T-G, Igf2 (+/+),
posterior view
Fig. 2. Visible effect of Igf2(+l-) on the number and size
oftumors in an M11T-G liver. A and B, anterior and posterior
viewsof an Ml 1T-G. Igf2 (+/+) male at 16 weeks of age. C and
D.similar views of an MI 1T-G. Igf2 (+/-) male littermate at
16weeks of age. E and F, two views of a nontransgenic. Igf2 (
+/—)
female littermate at 16 weeks of age. All photographs were
takenunder identical magnification.
C) M11T-G, Igf2 (+/-), anterior view D) M11T-G, Igf2 (+/-),
posterior view
E) Igf2 (+/-), anterior view F) Igf2 (+/-), posterior view
Northern blots (Fig. 3). M11T-G, Igf2 (+/+) tumors
frequently
express ¡gf2transcripts to various levels (Fig. 3). Strikingly,
only twoM11T-G, Igf2 (+/—) tumors of 87 analyzed express the
maternal
Igf2 alÃ-ele.Tumors 78/4-5 and 29/4-5 express the maternal Igf2
alÃ-ele
Table 2 Effect of Igf 2 {+/—) on the distribution of iunior
size and frequency
A. Males
Average tumorno./animalIgf2
(+/+) Igf2(+/-) Igf2
(+/+):lgf2(+/-)Tumordiameter(mm)>8.06.1
-8.04.1-6.03.0
-4.0tf-10"22.25.619.8N
=150.130.331.73.9ratio15"6.6"3
4*5.1"B.
Females
Average tumor no./animal
Tumor diameter(mm)>8.06.1
-8.04.1-6.03.0
-4.0N
=93.84.29.218.9N =80.712.67.92(+/+):Igf2 (+/-)
ratio5"4.2*3.5*2.4
' N. number of animals.' Statistically significant value at P =
0.001 with Mann-Whitney U test.
to similar levels seen in Ml 1T-G, Igf2 (+/+) tumors (Fig. 3).
Thefrequency of Hi9 expression in Ml 1T-G tumors did not depend
on
Igf2 genotype (Fig. 3). In particular, of the two tumors that
expressmaternal 7g/2, 78/4-5 expresses high levels of H19, and
29/4-5
expresses no detectable HI9. This suggests that, contrary to
thesituation observed in Wilms' tumor (18), maternal Igf2
expression
does not preclude HI 9 expression in the liver.Table 3
summarizes the frequency of Igf2 and Hi 9 expression
from 87 Igf2 (+/-) and 108 Igf2 (+/+) tumors. The vast
majority
(91%) of M11T-G, Igf2 (+/+) tumors express Igf2, whereas onlytwo
Ml 1T-G, Igf2 (+/-) tumors (2%) express maternal Igf2. There
fore, loss of Igf2 imprinting control is a very rare event in Ml
1T-G,Igf2 (+/—) tumors. The frequency of HÌ9expression in
M11T-G
tumors is independent of Igf2 genotype (Table 3). There is no
clearand discernible correlation between tumor size and Igf2
expressionlevels or between Igf2 and H19 expression levels (data
not shown).Because Igf2 LOI is common in many other tumor types (6,
18, 19,23, 24, 26), these results suggest that imprinting control
in livertumors is much more rigid than in tumors originating in
other tissues.
Maternal-specific LOH and Allelic Imbalance on Distal Chromosome
7 Remains Evident in M11T-G, Igf2 (+/—) Tumors atOne-Half the
Frequency. Because M11T-G, Igf2 (+/+) liver tumors exhibit
maternal-specific LOH/pLOH on distal chromosome 7
(8), we wanted to determine whether LOH/pLOH was altered in
the
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EFFECTS OF Igf2 DELETION ON LIVKR TUMORIGENESIS
context of an /#/2 (+/—) heterozygous null genetic background.
If
chromosome 7 maternal-specific LOH/pLOH represents selection
for
the loss of a maternally expressed growth suppressor gene such
asHÌ9(14), then M11T-G, Igf2 (+/-) tumors would be expected to
maintain maternal-specific LOH/pLOH. Alternatively,
maternal-spe
cific LOH/pLOH may result in paternal disomies and be driven
byselection for the acquisition of paternal alÃ-elesof a paternally
expressed growth promoter such as Igf2. In this case, M11T-G,
Igf2(+/—) tumors would no longer be expected to exhibit
maternal-
specific LOH/pLOH. Maternal-specific LOH/pLOH could also rep
resent a combination of both loss of a maternally expressed
tumorsuppressor and acquisition of a paternally expressed growth
promoter.
LOH/pLOH analysis was performed using SSLPs defined by MITprimer
pairs (28). The females used in this cross were generated
bybackcrossing M11T-G males with (C57BL/10 X C3H)F, (BCF1)females.
Males in this cross of genotype Igf2 (-/+) were derived
from strain 129/Sv. Consequently, primer pairs defining SSLPs
arerequired to differentiate the two possible maternal
alÃ-eles(C57BL/10or C3H) from the paternal alÃ-ele(129/Sv).
Fig. 4A is a schematic of the map positions of the MIT primer
pairsused for the analysis. Fig. 4B shows typical ethidium
bromide-stained
acrylamide gels of PCR reactions at three representative MIT
loci.MIT primer pairs were chosen based on coverage of the
entirechromosome and the ability to differentiate between maternal
andpaternal alÃ-eles.As indicated in Fig. 44, Igf2 and HI9 are
approximately 67 cM distal to the centromere (11). The Igf2
knockout usedin these experiments was generated by insertion of a
neo cassette intothe coding region of Igf2 (27). A set of primers
was, therefore, createdthat could differentiate the maternal Igf2
from the paternal neoinsertion in Ml 1T-G, Igf2 (+/—) tumors.
Control PCR reactions were performed with varying ratios
ofpurified maternal and paternal strain-specific DNA (data not
shown).
MUP/SV40 T Antigen Liver Tumors
Igl2(W-) («/«)
c < T- w n
£ c a a a
.- CM o
Igl2
f «•«
MUP/SV40 T Antigen Liver Tumors
|gf2 (W.)
Fig. 3. Representative Northern hlots of Inf2 and HIV
transcripts. Ten ¿ig"f totaltumor RNA were probed with a 0.7-kb
EcnR\ ¡g/2cDNA probe or a 0.35-kb Psll HI9cDNA probe. *. M1IT-G.
¡gf2(+/-) tumors that have lost imprinting control andre-express
maternal Igf2 transcripts. See text for further details.
Table 3 SumirÃ-an'of the frequency of Igf2 ami H19 niRNA
expression in M11T-G.Igf2 !+/-) and MIIT-G, /gf2 (+/+) liver
tumors
Expression of Igf2 and HI9 mRNA was determined by Northern blot
analysis.Expression in liver tumors"
GenotypeIgf2
-
EFFECTS OF Igfl DELETION ON LIVER TUMORIGENESIS
Fig. 4. Genetic map and LOH/pLOH analysis oftumors. A. genetic
map of chromosome 7 indicatingmap position of Igf2. HI9, and MIT
primer pairsused for analysis. Numbers indicate
recombinationdistance from the centromere measured in
centi-Morgans. B. ethidium bromide-stained acrylamide
gels of typical PCR reactions to determine LOH/pLOH at
representative loci D7MÃŒI152.D7MH96,and D7MÃŒI223.P and M.
paternal- and maternal-
specific bands, respectively. Lanes labeled 129/Sv,C57BL/IO. and
C3H contain DNA from thesestrains. All Igf2 (+/+) and Igf2 (+/-)
samples
contain control spleen DNA or DNA from threetumors from mouse
50/1. two tumors from mouse82/2, and four tumors from mouse 29/2.
LOH/pLOH is determined by comparing differences inpaternal and
maternal band intensity relative tocontrol spleen DNA and relative
to a DNA controlseries with varying ratios of purified maternal-
orpaternal strain-specific DNA (data not shown). Maternal- or
paternal-specific pLOH is scored when
the allelic imbalance is between 1:3 and 1:9(pLOHM and pLOHP,
respectively). CompleteLOH is scored when the maternal- or
paternal-specific allelic imbalance is greater than 1:9(LOHM and
LOHP. respectively).
Igf2 (+/-) Igf2 (+/+
A) 0
10
5053
6770
CM
—¿�D7MÃŒI152
—¿�D7MÃŒ196—¿�D7Mit40
—¿�Igf2/H19~D7Mit223
—¿�telomere
B)
D7MÃŒM52
D7Mit96
D7MÃŽ1223
analysis, alterations in HÌ9band intensity 25% or greater than
theaverage band intensity of control tissue were scored as losses
oracquisitions. Tumors can have exclusive maternal-specific loss
(e.g.,26/2-3, -4), paternal-specific acquisition (e.g., 19/1-4), or
a combination of both genetic events (e.g., 19/1-1, -3; Fig. 5). Of
21 tumorsanalyzed, there were no instances of maternal-specific
acquisition
(data not shown).The quantitative Southern blotting was used to
analyze 21 tumors
as described above, and the results are summarized (Table 5).
Thedistribution of genetic alterations indicates that maternal loss
of chromosome 7 is as likely a genetic event as paternal
acquisition (Table 5).Taken together with the PCR LOH/pLOH
analysis, these results areconsistent with maternal-specific
LOH/pLOH on chromosome 7 rep
resenting a combination of paternal alÃ-eleacquisitions of
functionalIgf2 alÃ-elesand maternal-specific losses of a maternally
expressed
tumor suppressor gene.Maternal-specific LOH and Allelic
Imbalance Results in In
creased Igf2 Expression, Whereas Reduced H19 Expression IsNot
Selected for in Tumors. One expected consequence of
maternal-specific chromosome loss or paternal-specific chromosome
acquisi
tion would be alterations in the levels of imprinted gene
expression.Because Igf2 is a driving force for selection of
paternal chromosome7 alÃ-eleacquisition (scored as
maternal-specific LOH/pLOH in thePCR analysis), we would expect
that tumors with maternal-specific
LOH/pLOH are more likely to express high levels of Igf2
mRNAtranscripts. Similarly, if H19 was the tumor suppressor gene
responsible for the selection of maternal chromosome alÃ-eleloss in
Igf2
(+/-) tumors, we would expect that H19 expression levels would
bereduced in Igf2 (+/-) tumors with maternal-specific pLOH.
PCR-
derived LOH/pLOH data were, therefore, combined with
Northernblot expression data (Table 6).
Table 6 includes a summary of Ml 1T-G, Igf2 (+/+) tumors
that
do not exhibit LOH (Igf2 (+/+) no LOH] and tumors that
exhibitpartial maternal-specific LOH [Igf2 (+/+) pLOHM], complete
maternal LOH [Igf2 (+/+) LOHM] and partial paternal-specific
LOH
[Igf2 (+/+) pLOHP]. These tumors were categorized for Igf2
expression levels as low, medium, or high as described (Table 6).
Igf2(+/+) tumors exhibiting LOHM or pLOHM are considerably
morelikely to express high levels of Igf2 relative to tumors
without LOH(Table 6). The few tumors with paternal pLOH express
Igf2 at lowand medium levels (Table 6). Taken together, these
results indicatethat Igf2 is approximately proportional to its
allelic representation inall tumor types indicated. These results
further corroborate the importance of active paternal
alÃ-eleacquisitions of Igf2 as the drivingforce for the selection
of maternal-specific LOH/pLOH on distal
chromosome 7 in liver tumors.A summary of H19 expression is also
included in Table 6. Igf2
(+/+) tumors without LOH tend to express high HI 9 levels,
whereasIgf2 (+/+) pLOHM tumors are considerably more likely to
expresslow levels of H19 (Table 6). As expected, fgf2 (+/+) tumors
withcomplete LOHM all express low HÌ9(Table 6). Therefore,
H19expression is proportional to active maternal
alÃ-elerepresentation inIgf2 (+/+) tumors. H19 expression could be
a factor in drivingchromosome 7 LOH/pLOH in Igf2 (+/+) tumors,
which would yield
Table 4 Summary of LOH tinti pLOH analysis
Locus"
GenotypeIgf2
(+/+)LOHM or pLOHMLOHP or pLOHPTotal LOH andpLOHLOHM
or pLOHMLOHP or pLOHPTotal LOH and pLOHcD7MH15252/94
(55%)6 /94 (6%)
58 /94(62%)15/70(21%)
9/70(13%)24 no (34%)D7MH9655
/97 (57%)6 /97 (6%)
61/97(63%)22
/89 (25%)9/89(10%)31 189(35%)D7MMO55
/97 (57%)4 /97 (4%)
59/97(61%)22
/89 (25%)9/89(10%)
31 189(35%)Igf2/neohNA
NA25
/89 (28%)8 /89 (9%)
33 /89 (37%)D7MH22358
/97 (60%)3 /97 (3%)
61 /97(63%)22
/89 (25%)7 /89 (8%)
29 /89 (33%)' Values for all genetic loci tested are
statistically significant deviations from equal probability of LOHM
or pLOHM and LOHP or pLOHP as determined by %2(P = 0.02) with
the exception of D7Mitl52 in Igf2 (+/—) tumors due to the
lower sample size.
NA. primer pair is not applicable.' The reduction in total LOH
and pLOH in Igf2 (+/—) tumors relative to Igf2 (+/+) tumors is
statistically significant as determined by %2 (P —¿�0.001).
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EFFECTS OF Igf2 DELETION ON LIVER TUMORIGENESIS
Fig. 5. Representative quantitative Southern blotof tumor DNA to
determine the precise nature ofLOHM/pLOHM on chromosome 7. Ten fig
of totaltumor or control DNA from (MI1T-G X Cas) and(Cas X M1IT-G)
was digested with Pstl and Pralland simultaneously probed with an
0.8-kb Psll-
Pvull fragment of the Cck gene from chromosome9 and a 1.6-kb
P.s/1-PraII fragment of the HI9 genefrom chromosome 7. Chromosome 9
is rarely lostin MUP-TAg liver tumors (7), and the Cck
probe.therefore, served as a normalization control. Thetumors in
this Southern blot do not exhibit chromosome 9 LOH/pLOH (data not
shown). Arrows. HI9bands specific to the Cas or BCF-1 alÃ-ele,as
well asthe Cck band common to both Cas and BCF-1
alÃ-eles.Numbers beneath each lane represent quantification of
either Cas or BCF-1 H19 allele-specific
bands after normalization to the level of the Cckband in each
lane. Control DNA is represented byspleen DNA from animal 11/3 as
well as tumors26/2-1 and 19/1-2, which show no LOH/pLOH.Allelic
loss was scored as such when the alÃ-elebandintensity was less than
75% of the control average.Allelic acquisition was scored when the
band intensity was equal to or greater than 125% of the
controlaverage. Thus, the normal range of normalized H19band
intensity was 2.6-4.0. P+, paternal alÃ-eleacquisition; Po, the
paternal alÃ-elewas unaffected.M—,maternal alÃ-eleloss; Mo, the
maternal alÃ-ele
was unaffected.
M11T-GXCasLiver Tumors
CasXM11T-G
Liver Tumors
1
CasH19-
BCF H19-
Cck
CasH19 3.1 3.6 3.3 3.7 3.2 4.7 3.0 3.1BCF1 H19 3.1 3.6 2.1 2.3
2.1 2.1 3.2 2.6
Po Po Po P+M- M- M- M-
1.6 0.5 3.23.0 4.6 3.1
2.35.9
2.55.5
Po P+ P+ P+M- M- M- Mo
this result. Alternatively, another tumor suppressor gene may
bedriving LOH/pLOH, and Hi 9 expression is altered as a
consequenceof its allelic representation.
The distribution oÃ-H19 expression levels in Igf2 (+/-) tumors
is
not altered in tumors with pLOHM relative to tumors without
LOH(Table 6). and H19 imprinting is rigidly maintained in
M11T-Gtumors.5 These results indicate that the maternal-specific
LOH/pLOH
in Igf2 (+/-) tumors is not selecting for changes in H19
expression
levels.In tumors without LOH, H19 expression levels are reduced
in ¡gf2
(+/-) tumors compared with Igf2 (+/+) tumors (Table 6). That
is,
although the frequency of HI 9 expression is unaffected by
Igf2genotype (Table 3), the actual levels of H19 expression are
reduced.Thus, in Ml 1T-G, Igf2 (+/+) tumors, both Igf2 and H19
expression
levels are proportional to allelic representation. Furthermore,
H19expression levels are not altered in Igf2 (+/—) tumors,
irrespective of
maternal-specific LOH/pLOH, suggesting that Hi 9 is not
drivingselection for maternal-specific LOH/pLOH observed in Igf2
(+/-)
tumors.
DISCUSSION
We have found that Igf2 has a large effect on tumor size
andfrequency. Specifically, Ml 1T-G, Igf2 (+/—) males show a
15-fold
reduction in the frequency of the largest tumor size, and all Ml
1T-G,Igf2 (+/—)animals show reductions in the frequency of other
tumor
sizes. In addition, Igf2 is not required for the initial
TAg-induced liverhyperplasia in MI 1T-G mice. We have also found
that ¡gf2imprinting control is rigidly maintained in M11T-G
tumors. Maternal-specific LOH/pLOH on chromosome 7 remains evident
in Ml 1T-G, Igf2(+/-) tumors at about one-half the frequency,
indicating that Igf2 is
driving approximately one-half of the maternal-specific
LOH/pLOH
on chromosome 7. In addition, quantitative Southern blots
indicatethat PCR-detected LOH/pLOH represents an equal occurrence
of
maternal alÃ-eleloss and paternal alÃ-elegain. Our combined
genetic
analysis is consistent with maternal-specific LOH/pLOH on
distalchromosome 7 being driven by paternal acquisition of Igf '2
alÃ-elesand
not by H19 alÃ-eleloss.Igf2 has been implicated in several other
TAg-induced transgenic
mouse models of tumorigenesis, most notably RIP-TAg mice
(25),which develop insulomas, and C-reactive protein-TAg mice
(10),
which develop hepatocellular carcinomas. Comparing results
presented in this report with studies done using RIP-TAg mice (25,
26)
indicates that the effect of Igf2 on tumorigenesis is tissue
specific. Inparticular, RIP-TAg, Igf2 (—/—)mice do not maintain
the initial islet
of Langerhans hyperplasia seen in ¡gf2(+/+) mice, and tumors
thatsubsequently develop are 7% the volume relative to Igf2
(+/+)tumors (25, 26). This differs from our results, indicating
that the initialliver hyperplasia is unaffected by Igf2 genotype.
Thus. Igf2 is notrequired for liver hyperplasia in TAg-induced
liver tumors, whereasIgf2 is required for islet of Langerhans
hyperplasia in TAg-inducedinsulomas. The effect of Igf2 on
end-stage tumors taken at dissection
appears similar in both the liver and pancreas because we
observed adecrease in tumor size and frequency, whereas the average
size ofIgf2 (-/-) insulomas decreases considerably (25).
Interestingly, inRIP-TAg mice, all Igf2 (+/-) tumors re-express the
maternal Igf2
alÃ-ele(26), indicating that Igf2 imprinting is not rigid in the
pancreas,contrary to results demonstrated here for liver.
Although many human tumor types exhibit LOI control and
re-express IGF2 biallelically as determined by reverse
transcription-PCR
(6, 18, 19, 23, 24), it is noteworthy that hepatoblastomas
infrequentlyshow LOI control of ÃŒGF2(5, 6, 20, 21, 22). Although
reverse
Table 5 Summary of quantitative Southern blot analvsis of (Cas X
Ml ÃŒT-G)and(M1IT-G X CaÃ-)liver tumors
Type of maternalallelic imbalance" No. of tumors
P+/MOP+/M-Po/M-PO/M+
51150
5 M. Gobey and W. A. Held, unpublished results." P-K paternal
alÃ-eleacquisition; Po, paternal alÃ-elewas unaffected; M
—¿�.matemal
alÃ-eleloss; Mo. maternal alÃ-elewas unaffected.
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EFFECTS OF Iff! DELETION ON LIVER TUMORIGENESIS
Table 6 Correlation of Igf 2 and H19 expression levéisin tumors
wilh LOH análisis
Expression levels were determined by Northern blot analysis.
Igf2(+/+) noLOHIgf2(+/+)pLOHMIgf2(+/+)LOHMIgf2
(+/ +)pLOHPürIgf2
(+/-) noLOHIgf2(+/-)pLOHMIgf2
(+/-)LOHMIgf2(+/-)pLOHPA?Low6178016.22216220.84H
19expression"Medium612I)120702High1760212202Low61027.49Igf2
expression"Medium10961High13242(I
" Low, expression from undetectahle to less than one-fourth
neonatal liver: medium, expression from one-fourth neonatal liver
to less than 2x neonatal liver; high, expression at
least 2x more intense than neonatal liver.A pairwise comparison
of no LOH and pLOHM for all expression levels described. Pairwise
comparison of H19 expression between Igf2 (+/+) no LOH and Igf2
(+/—)no
LOH gives a *2 value of 15.05. x2 values of P = 0.001, 13.82 and
/> = 0.025. 7.34.
transcription-PCR is more sensitive than Northern blotting (Fig.
3) for
determining LOI control, it is not clear whether there is
biologicalsignificance to LOI without high expression levels. Our
results indicate that LOI control in mouse liver tumors is similar
to that observedin human hepatoblastomas. This similarity must be
qualified becausethe human IGF2 gene shows imprinted expression
from the threeIGF2 promoters, which are homologous to the three
mouse Igf2promoters. However, the fourth human IGF2 promoter, which
doesnot have a mouse homologue, is not imprinted in adult liver
andexhibits biallelic and constitutive expression (34, 35).
Maternal-specific LOH/pLOH on distal chromosome 7 implies arole
for imprinted genes in M11T-G tumorigenesis (8). LOH/pLOHanalysis
of tumors from reciprocal genetic crosses of Ml 1T-G with
M.castaneus by Southern blotting with a chromosome 7-specific
H19probe has demonstrated that 58% of these tumors have
maternal-
specific LOH/pLOH (8). This frequency of allelic imbalance is
remarkably similar to the LOH/pLOH frequency determined by PCR
forM11T-G, Igf2 (+/+) tumors tabulated in Table 4. Because
thisLOH/pLOH is halved in Igf2 (+/—) tumors, Igf2 appears to be,
in
part, responsible for driving selection for this LOH/pLOH.
Thisconclusion is supported by quantitative Southern blotting of
tumorsfrom reciprocal genetic crosses of M11T-G and M. castaneus
and
from correlations of increased Igf2 expression associated with
maternal-specific LOH/pLOH.
The remaining maternal-specific LOH/pLOH likely represents
se
lection for loss of a maternally expressed tumor suppressor
gene.RNA expression analysis shows that maternal-specific pLOH does
notcorrelate with H19 expression in Igf2 (+/—) tumors, suggesting
that
loss of H19 expression is not driving the remaining
maternal-specific
LOH/pLOH. However, H¡9cannot be rigorously excluded
withoutfurther experimentation, such as an analysis of paternal H19
expression. We are not presently able to explain why H19 expression
levelsare reduced in Igf2 (+/—) tumors without LOH relative to
similar
tumors bearing the Igf2 (+/+) genotype.What imprinted gene
remains to drive maternal-specific LOH/
pLOH on chromosome 7? Such a gene would be required to fulfill
thefollowing minimal criteria. The gene must be on chromosome 7,
beimprinted, and maternally active. The gene product would be
expectedto be expressed in normal adult liver. We would also expect
that thisputative gene could be inactivated by genetic or
epigenetic eventsother than LOH/pLOH. The imprinted region of
distal mouse chromosome 7 contains the following known genes: IGF2,
H19, Insulin 2,MASH2, and p51K"'2. Insulin 2 is not expressed in
the liver and,
therefore, is unlikely to be a candidate gene. MASH2 is a
maternallyexpressed imprinted gene required for trophoblast
development (36)and has no known tumor suppressor activity.
Currently, p51K"'2 is a
candidate tumor suppressor gene responsible for driving
selection formaternal-specific LOH/pLOH on distal chromosome 7.
p57A'"'2 is a
cyclin-dependent kinase inhibitor (37), the overexpression of
which in
transfected human cells causes complete cell cycle arrest (38).
Thegene is imprinted and maternally expressed in mouse tissues,
including the adult liver (39). p51K"'2 expression patterns are
under inves
tigation to examine its role in M11T-G liver tumorigenesis.
It should also be mentioned that the central region of
mousechromosome 7 is imprinted and is syntenic to human
chromosome15qll, a region that contains genes associated with
Prader-Willi
syndrome (40,41 ), and SNRPN, a paternally expressed imprinted
gene(42). The proximal region of mouse chromosome 7 is imprinted
aswell (43). We cannot exclude the possibility that the imprinted
genedriving maternal-specific LOH/pLOH is contained in one of
these
imprinted regions of chromosome 7.Multiple pathways to
tumorigenesis exist, and Igf2 is involved in
the major pathway in M11T-G mice because we demonstrated
that
loss of Igf2 leads to fewer and smaller tumors. Given that
tumors mayresult in an Igf2 (+/—) genetic background, however,
Igf2 is notcompletely essential for Ml 1T-G tumorigenesis.
In the course of our LOH/pLOH analysis, we have noticed
thattumors from an individual animal can exhibit considerable
geneticrelatedness. For instance, all tumors from animal 29/2
showed complete LOHM for all chromosome 7 loci tested (Fig. 4B).
Althougheach tumor from animal 29/2 was dissected from separate
liver lobes(data not shown), they show this striking relatedness.
Thus, eachtumor within an animal may not have an independent
origin.
The biochemical mechanism by which Igf2 is having its effect
inour tumorigenicity model is presently unknown. It is known
thatRIP-TAg tumors have an increase in the number of apoptotic
bodiesin an Igf2 (—/—)genetic background relative to Igf2 (+/+)
insulo-mas (44). It will be necessary to test whether Igf2 (+/—)
tumors
exhibit more apoptosis than Igf2 (+/+) tumors in our
transgenicmodel.
Our data are consistent with the importance of Igf2 in
M11T-G
liver tumorigenesis, providing strong selection pressure for
Igf2 expression in liver tumors. To increase Igf2 expression,
tumors mayactivate all three paternal Igf2 promoters (27) or
deregulate imprinting control and activate the maternal Igf2 gene.
As well, tumors mayacquire more copies of active paternal
alÃ-elesof chromosome 7, whichwill be manifest as maternal-specific
LOH/pLOH in PCR assays.Quantitative Southern blots indicate
maternal-specific LOH/pLOH
represent equal frequencies of maternal alÃ-eleloss and paternal
alÃ-elegain. We have shown that Igf2 imprinting control in the
liver is tightlymaintained. Consequently, there is a strong
selection pressure formaternal-specific LOH/pLOH on distal
chromosome 7 in M11T-G
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-
EFFECTS OF Igfl DELETION ON LIVER TUMORIGENESIS
tumors. This LOH/pLOH correlates with increased Igf2
expression,further supporting this model. In an Igf2 (+/—)
genetic background,Ml IT-G-induced liver tumors exhibit a residual
maternal-specific
LOH/pLOH on chromosome 7, indicating the existence of a
maternally expressed tumor suppressor gene. H19 is unlikely to be
responsible for driving selection of this residual chromosome 7
maternal-
specific LOH/pLOH because HI 9 expression levels remain
unalteredby allelic imbalance.
ACKNOWLEDGMENTS
We are indebted to Argiris Efstratiadis for kindly providing us
with Igf2(—/+) heterozygous mice. We gratefully acknowledge Allan
Kinniburgh,
Scott Pearsall, and Paul Soloway for critical review of the
manuscript. We alsothank Ken Manly for help with statistical
analysis of the data. We thankKimberly Kearns. Ya Qin Zhang, and
Mary Kay Ellsworth for technicalassistance and Margaret Gobey for
providing us with unpublished data. R. H.thanks Catherine Le Feuvre
for love and support.
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1997;57:4615-4623. Cancer Res Ramsi Haddad and William A. Held
Loss of Heterozygosity in SV40 T Antigen Transgenic Mice
Influence Liver Tumorigenesis andIgf2Genomic Imprinting and
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