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Clinical and Diagnostic Laboratory Immunology, May 2000, p. 360-365, Vol. 7, No. 3
Department of Obstetrics and Gynecology,
Laboratory of Molecular Oncology, and Department of Biochemistry and
Molecular Biology, University of Nebraska Eppley Cancer Center, and
ViroTech LLC, Omaha, Nebraska
Received 25 June 1999/Returned for modification 16 September
1999/Accepted 14 January 2000
Human immunodeficiency virus type 1 (HIV-1)-like antigens RAK
(named after the inventor E. M. Rakowicz) p120, p42, and p25, as
well as HIV-1-like segments of cancer DNA (RAK gene alpha), have been
found before in breast and prostate cancers. The present study focused
on determining the value of markers RAK in the diagnosis and prognosis
of gynecological cancer. Expression of RAK antigens in ovarian,
uterine, cervical, and vulvar cancer, in benign tumors, in tissues
adjacent to cancer, and in normal tissues was tested by Western blot
hybridization of the electrophoretically separated proteins with
monoclonal antibody RAK BrI. The RAK alpha gene was PCR amplified with
HIV-1-derived primers SK68 and SK69. RAK antigens p120, p42, and p25
were found in 95% of ovarian, uterine, and cervical cancer cases and
in 75% of vulvar cancer cases. The RAK alpha gene was expressed in
100% of cancer cases, in approximately 25% of benign ovarian tumors,
and in 40% of benign tumors of the uterus. DNA sequences amplified in
all cancer cases exhibited more than 90% homology to HIV-1 gp41 and
were encoded for the functional peptide. DNA sequences found in benign
tumors contained frameshift mutations and encoded truncated or
nonfunctional peptides. Such sequences have not been amplified in
normal tissues. RAK antigens and the RAK alpha gene seem to belong to a
lentivirus type that is highly related to HIV-1. Beyond the diagnostic
value of RAK markers, future cloning of the full viral genome would lead to a better understanding of the etiology of malignant and nonmalignant tumors of reproductive organs and to the development of
novel therapeutic approaches.
1071-412X/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
Relevance of the Viral RAK Alpha Gene in Diagnosis
of Malignant Versus Nonmalignant Tumors of the Ovary and
Uterus
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