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Published in: BMC Cancer 1/2010

Open Access 01-12-2010 | Research article

Prognostic utility of chromosomal instability detected by fluorescence in situ hybridization in fine-needle aspirates from oral squamous cell carcinomas

Authors: Hiroaki Sato, Narikazu Uzawa, Ken-Ichiro Takahashi, Kunihiro Myo, Yoshio Ohyama, Teruo Amagasa

Published in: BMC Cancer | Issue 1/2010

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Abstract

Background

Although chromosomal instability (CIN) has been detected in many kinds of human malignancies by means of various methods, there is no practical assessment for small clinical specimens. In this study, we evaluated CIN in fine-needle aspiration (FNA) biopsied oral squamous cell carcinomas (SCCs) using fluorescence in situ hybridization (FISH) analysis, and investigated its prognostic significance.

Methods

To evaluate CIN status of tumors, FISH with genomic probes for the centromeres of chromosomes 7, 9, and 11 was performed on specimens obtained by FNA from 77 patients with primary oral SCCs.

Results

High-grade CIN (CIN3) was observed in 11.7% (9/77) of patients with oral SCCs and was associated significantly with reduced disease-free survival (p = .008) and overall survival (p = .003). Multivariate Cox proportional hazards analysis showed that CIN status was significantly correlated with disease-free survival (p = .035) and overall survival (p = .041).

Conclusion

Analysis of CIN status using FISH on FNA biopsy specimens may be useful in predicting of recurrence and poor prognosis in patients with oral SCCs.
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Literature
1.
go back to reference Parkin DM, Bray F, Ferlay J, Pisani P: Global cancer statistics, 2002. CA Cancer J Clin. 2005, 55: 74-108. 10.3322/canjclin.55.2.74.CrossRefPubMed Parkin DM, Bray F, Ferlay J, Pisani P: Global cancer statistics, 2002. CA Cancer J Clin. 2005, 55: 74-108. 10.3322/canjclin.55.2.74.CrossRefPubMed
2.
go back to reference Forastiere A, Koch W, Trotti A, Sidransky D: Head-and-neck cancer. N Engl J Med. 2001, 345: 1890-1900. 10.1056/NEJMra001375.CrossRefPubMed Forastiere A, Koch W, Trotti A, Sidransky D: Head-and-neck cancer. N Engl J Med. 2001, 345: 1890-1900. 10.1056/NEJMra001375.CrossRefPubMed
3.
go back to reference Lengauer C, Kinzler KW, Vogelstein B: Genetic instabilities in human cancers. Nature. 1998, 396: 643-649. 10.1038/25292.CrossRefPubMed Lengauer C, Kinzler KW, Vogelstein B: Genetic instabilities in human cancers. Nature. 1998, 396: 643-649. 10.1038/25292.CrossRefPubMed
4.
go back to reference De Schutter H, Spaepen M, Mc Bride WH, Nuyts S: The clinical relevance of microsatellite alterations in head and neck squamous cell carcinoma: a critical review. Eur J Hum Genet. 2007, 15: 734-741. 10.1038/sj.ejhg.5201845.CrossRefPubMed De Schutter H, Spaepen M, Mc Bride WH, Nuyts S: The clinical relevance of microsatellite alterations in head and neck squamous cell carcinoma: a critical review. Eur J Hum Genet. 2007, 15: 734-741. 10.1038/sj.ejhg.5201845.CrossRefPubMed
5.
go back to reference De Schutter H, Spaepen M, Opstal S, Poorten VV, Verbeken E, Nuyts S: The prevalence of microsatellite instability in head and neck squamous cell carcinoma. J Cancer Res Clin Oncol. 2009, 135: 485-490. 10.1007/s00432-008-0476-1.CrossRefPubMed De Schutter H, Spaepen M, Opstal S, Poorten VV, Verbeken E, Nuyts S: The prevalence of microsatellite instability in head and neck squamous cell carcinoma. J Cancer Res Clin Oncol. 2009, 135: 485-490. 10.1007/s00432-008-0476-1.CrossRefPubMed
6.
go back to reference Wang Y, Irish J, Mc Millan C, Brown D, Xuan Y, Boyington C, Gullane P, Kamel-Reid S: High frequency of microsatellite instability in young patients with head-and-neck squamous-cell carcinoma: Lack of involvement of the mismatch repair genes hMLH1 and hMSH2. Int J Cancer. 2001, 93: 353-360. 10.1002/ijc.1337.CrossRefPubMed Wang Y, Irish J, Mc Millan C, Brown D, Xuan Y, Boyington C, Gullane P, Kamel-Reid S: High frequency of microsatellite instability in young patients with head-and-neck squamous-cell carcinoma: Lack of involvement of the mismatch repair genes hMLH1 and hMSH2. Int J Cancer. 2001, 93: 353-360. 10.1002/ijc.1337.CrossRefPubMed
7.
go back to reference Vogelstein B, Fearon ER, Kern SE, Hamilton SR, Preisinger AC, Nakamura Y, White R: Allelotype of colorectal carcinomas. Science. 1989, 244: 207-211. 10.1126/science.2565047.CrossRefPubMed Vogelstein B, Fearon ER, Kern SE, Hamilton SR, Preisinger AC, Nakamura Y, White R: Allelotype of colorectal carcinomas. Science. 1989, 244: 207-211. 10.1126/science.2565047.CrossRefPubMed
8.
go back to reference Kallioniemi A, Kallioniemi OP, Sudar D, Rutovitz D, Gray JW, Waldman F, Pinkel D: Comparative genomic hybridization for molecular cytogenetic analysis of solid tumors. Science. 1992, 258: 818-821. 10.1126/science.1359641.CrossRefPubMed Kallioniemi A, Kallioniemi OP, Sudar D, Rutovitz D, Gray JW, Waldman F, Pinkel D: Comparative genomic hybridization for molecular cytogenetic analysis of solid tumors. Science. 1992, 258: 818-821. 10.1126/science.1359641.CrossRefPubMed
9.
go back to reference Jass JR, Mukawa K, Goh HS, Love SB, Capellaro D: Clinical importance of DNA content in rectal-cancer measured by flow-cytometry. J Clin Pathol. 1989, 42: 254-259. 10.1136/jcp.42.3.254.CrossRefPubMedPubMedCentral Jass JR, Mukawa K, Goh HS, Love SB, Capellaro D: Clinical importance of DNA content in rectal-cancer measured by flow-cytometry. J Clin Pathol. 1989, 42: 254-259. 10.1136/jcp.42.3.254.CrossRefPubMedPubMedCentral
10.
go back to reference Viswanathan M, Sangiliyandi G, Vinod SS, Mohanprasad B, Shanmugam G: Genomic instability and tumor-specific alterations in oral squamous cell carcinomas assessed by inter-(simple sequence repeat) PCR. Clin Cancer Res. 2003, 9: 1057-1062.PubMed Viswanathan M, Sangiliyandi G, Vinod SS, Mohanprasad B, Shanmugam G: Genomic instability and tumor-specific alterations in oral squamous cell carcinomas assessed by inter-(simple sequence repeat) PCR. Clin Cancer Res. 2003, 9: 1057-1062.PubMed
11.
go back to reference Teh MT, Tilakaratne WM, Chaplin T, Young BD, Ariyawardana A, Pitiyage G, Lalli A, Stewart JE, Hagi-Pavli E, Cruchley A, Waseem A, Fortune F: Fingerprinting genomic instability in oral submucous fibrosis. J Oral Pathol Med. 2008, 37: 430-436.CrossRefPubMed Teh MT, Tilakaratne WM, Chaplin T, Young BD, Ariyawardana A, Pitiyage G, Lalli A, Stewart JE, Hagi-Pavli E, Cruchley A, Waseem A, Fortune F: Fingerprinting genomic instability in oral submucous fibrosis. J Oral Pathol Med. 2008, 37: 430-436.CrossRefPubMed
12.
go back to reference Gollin SM: Chromosomal alterations in squamous cell carcinomas of the head and neck: window to the biology of disease. Head Neck. 2001, 23: 238-253. 10.1002/1097-0347(200103)23:3<238::AID-HED1025>3.0.CO;2-H.CrossRefPubMed Gollin SM: Chromosomal alterations in squamous cell carcinomas of the head and neck: window to the biology of disease. Head Neck. 2001, 23: 238-253. 10.1002/1097-0347(200103)23:3<238::AID-HED1025>3.0.CO;2-H.CrossRefPubMed
13.
go back to reference Jin C, Jin Y, Wennerberg J, Akervall J, Dictor M, Mertens F: Karyotypic heterogeneity and clonal evolution in squamous cell carcinomas of the head and neck. Cancer Genet Cytogenet. 2002, 132: 85-96. 10.1016/S0165-4608(01)00535-0.CrossRefPubMed Jin C, Jin Y, Wennerberg J, Akervall J, Dictor M, Mertens F: Karyotypic heterogeneity and clonal evolution in squamous cell carcinomas of the head and neck. Cancer Genet Cytogenet. 2002, 132: 85-96. 10.1016/S0165-4608(01)00535-0.CrossRefPubMed
14.
go back to reference Reshmi SC, Gollin SM: Chromosomal instability in oral cancer cells. J Dent Res. 2005, 84: 107-117. 10.1177/154405910508400203.CrossRefPubMed Reshmi SC, Gollin SM: Chromosomal instability in oral cancer cells. J Dent Res. 2005, 84: 107-117. 10.1177/154405910508400203.CrossRefPubMed
15.
go back to reference Sobin LH, Wittekind C, editors: TNM classification of Malignant tumors. 1997, New York NY: John Wiley & Sons, 5 Sobin LH, Wittekind C, editors: TNM classification of Malignant tumors. 1997, New York NY: John Wiley & Sons, 5
16.
go back to reference World Health Organization: International Histological Classification of Tumors. 1998, Berlin Germany: Springer-Verlag, 2 World Health Organization: International Histological Classification of Tumors. 1998, Berlin Germany: Springer-Verlag, 2
17.
go back to reference Miyamoto R, Uzawa N, Nagaoka S, Nakakuki K, Hirata Y, Amagasa T: Potential marker of oral squamous cell carcinoma aggressiveness detected by fluorescence in situ hybridization in fine-needle aspiration biopsies. Cancer. 2000, 95: 2152-2159. 10.1002/cncr.10929.CrossRef Miyamoto R, Uzawa N, Nagaoka S, Nakakuki K, Hirata Y, Amagasa T: Potential marker of oral squamous cell carcinoma aggressiveness detected by fluorescence in situ hybridization in fine-needle aspiration biopsies. Cancer. 2000, 95: 2152-2159. 10.1002/cncr.10929.CrossRef
18.
go back to reference Miyamoto R, Uzawa N, Nagaoka S, Hirata Y, Amagasa T: Prognostic significance of cyclin D1 amplification and overexpression in oral squamous cell carcinomas. Oral Oncol. 2003, 39: 610-618. 10.1016/S1368-8375(03)00048-4.CrossRefPubMed Miyamoto R, Uzawa N, Nagaoka S, Hirata Y, Amagasa T: Prognostic significance of cyclin D1 amplification and overexpression in oral squamous cell carcinomas. Oral Oncol. 2003, 39: 610-618. 10.1016/S1368-8375(03)00048-4.CrossRefPubMed
19.
go back to reference Kawamura K, Moriyama M, Shiba N, Ozaki M, Tanaka T, Nojima T, Fujikawa-Yamamoto K, Ikeda R, Suzaki K: Centrosome Hyperamplification and Chromosomal Instability in Bladder Cancer. Eur Urol. 2003, 43: 505-515. 10.1016/S0302-2838(03)00056-3.CrossRefPubMed Kawamura K, Moriyama M, Shiba N, Ozaki M, Tanaka T, Nojima T, Fujikawa-Yamamoto K, Ikeda R, Suzaki K: Centrosome Hyperamplification and Chromosomal Instability in Bladder Cancer. Eur Urol. 2003, 43: 505-515. 10.1016/S0302-2838(03)00056-3.CrossRefPubMed
20.
go back to reference Mork J, Lie K, Glattre E, Hallmans G, Jellum E, Koskela P, Moller B, Pukkala E, Schiller JT, Youngman L, Lehtinen M, Dillner J: Human papillomavirus infection as a risk factor for squamous-cell carcinoma of the head and neck. N Engl J Med. 2001, 344: 1125-1131. 10.1056/NEJM200104123441503.CrossRefPubMed Mork J, Lie K, Glattre E, Hallmans G, Jellum E, Koskela P, Moller B, Pukkala E, Schiller JT, Youngman L, Lehtinen M, Dillner J: Human papillomavirus infection as a risk factor for squamous-cell carcinoma of the head and neck. N Engl J Med. 2001, 344: 1125-1131. 10.1056/NEJM200104123441503.CrossRefPubMed
21.
go back to reference Nakamura H, Saji H, Idiris A, Kawasaki N, Hosaka M, Ogata A, Saijo T, Kato H: Chromosomal instability detected by fluorescence in situ hybridization in surgical specimens of non-small cell lung cancer is associated with poor survival. Clin Cancer Res. 2003, 9: 2294-2299.PubMed Nakamura H, Saji H, Idiris A, Kawasaki N, Hosaka M, Ogata A, Saijo T, Kato H: Chromosomal instability detected by fluorescence in situ hybridization in surgical specimens of non-small cell lung cancer is associated with poor survival. Clin Cancer Res. 2003, 9: 2294-2299.PubMed
22.
go back to reference Nishizaki T, Harada K, Kubota H, Harada K, Furuya T, Suzuki M, Sasaki K: Chromosome instability in malignant astrocytic tumors detected by fluorescence in situ hybridization. J Neuro Oncol. 2002, 56: 159-165. 10.1023/A:1014570720843.CrossRef Nishizaki T, Harada K, Kubota H, Harada K, Furuya T, Suzuki M, Sasaki K: Chromosome instability in malignant astrocytic tumors detected by fluorescence in situ hybridization. J Neuro Oncol. 2002, 56: 159-165. 10.1023/A:1014570720843.CrossRef
23.
go back to reference Caraway NP, Thomas E, Khanna A, Payne L, Zhang H, Lin E, Keating MJ, Katz RL: Chromosomal abnormalities detected by multicolor fluorescence in situ hybridization in fine-needle aspirates from patients with small lymphocytic lymphoma are useful for predicting survival. Cancer. 2008, 114: 315-322. 10.1002/cncr.23796.CrossRefPubMed Caraway NP, Thomas E, Khanna A, Payne L, Zhang H, Lin E, Keating MJ, Katz RL: Chromosomal abnormalities detected by multicolor fluorescence in situ hybridization in fine-needle aspirates from patients with small lymphocytic lymphoma are useful for predicting survival. Cancer. 2008, 114: 315-322. 10.1002/cncr.23796.CrossRefPubMed
24.
go back to reference Hardisson D, Marcos CA, Bustamante AS, Guervos MA, Sastre N, Sampedro A: Numerical aberrations of chromosomes 8, 9, 11, and 17 in squamous cell carcinoma of the pharynx and larynx: a fluorescence in situ hybridization and DNA flow cytometric analysis of 50 cases. Oral Oncol. 2004, 40: 409-417. 10.1016/j.oraloncology.2003.09.008.CrossRefPubMed Hardisson D, Marcos CA, Bustamante AS, Guervos MA, Sastre N, Sampedro A: Numerical aberrations of chromosomes 8, 9, 11, and 17 in squamous cell carcinoma of the pharynx and larynx: a fluorescence in situ hybridization and DNA flow cytometric analysis of 50 cases. Oral Oncol. 2004, 40: 409-417. 10.1016/j.oraloncology.2003.09.008.CrossRefPubMed
25.
go back to reference Soder AI, Hopman AH, Ramaekers FC, Conradt C, Bosch FX: Distinct nonrandom patterns of chromosomal aberrations in the progression of squamous cell carcinomas of the head and neck. Cancer Res. 1995, 55: 5030-5037.PubMed Soder AI, Hopman AH, Ramaekers FC, Conradt C, Bosch FX: Distinct nonrandom patterns of chromosomal aberrations in the progression of squamous cell carcinomas of the head and neck. Cancer Res. 1995, 55: 5030-5037.PubMed
26.
go back to reference Bergshoeff VE, Hopman AH, Zwijnenberg IR, Ramaekers FCS, Bot FJ, Kremer B, Manni JJ, Speel EM: Chromosome instability in resection margins predicts recurrence of oral squamous cell carcinoma. J Pathol. 2008, 215: 347-348. 10.1002/path.2349.CrossRefPubMed Bergshoeff VE, Hopman AH, Zwijnenberg IR, Ramaekers FCS, Bot FJ, Kremer B, Manni JJ, Speel EM: Chromosome instability in resection margins predicts recurrence of oral squamous cell carcinoma. J Pathol. 2008, 215: 347-348. 10.1002/path.2349.CrossRefPubMed
27.
go back to reference Michor F, Iwasa Y, Vogelstein B, Lengauer C, Nowak MA: Can chromosomal instability initiate tumorigenesis?. Cancer Biol. 2005, 15: 43-49. 10.1016/j.semcancer.2004.09.007.CrossRef Michor F, Iwasa Y, Vogelstein B, Lengauer C, Nowak MA: Can chromosomal instability initiate tumorigenesis?. Cancer Biol. 2005, 15: 43-49. 10.1016/j.semcancer.2004.09.007.CrossRef
28.
go back to reference Myo K, Uzawa N, Miyamoto R, Sonoda I, Yuki Y, Amagasa T: Cyclin D1 gene numerical aberration is a predictive marker for occult cervical lymph node metastasis in TNM stage and squamous cell carcinoma of the oral cavity. Cancer. 2005, 104: 2709-2716. 10.1002/cncr.21491.CrossRefPubMed Myo K, Uzawa N, Miyamoto R, Sonoda I, Yuki Y, Amagasa T: Cyclin D1 gene numerical aberration is a predictive marker for occult cervical lymph node metastasis in TNM stage and squamous cell carcinoma of the oral cavity. Cancer. 2005, 104: 2709-2716. 10.1002/cncr.21491.CrossRefPubMed
29.
go back to reference Uzawa N, Sonoda I, Myo K, Takahashi K, Miyamoto R, Amagasa T: Fluorescence in situ hybridization for detecting genomic alterations of cyclin D1 and p16 in oral squamous cell carcinomas. Cancer. 2007, 110: 2230-2239. 10.1002/cncr.23030.CrossRefPubMed Uzawa N, Sonoda I, Myo K, Takahashi K, Miyamoto R, Amagasa T: Fluorescence in situ hybridization for detecting genomic alterations of cyclin D1 and p16 in oral squamous cell carcinomas. Cancer. 2007, 110: 2230-2239. 10.1002/cncr.23030.CrossRefPubMed
30.
go back to reference Takahashi K, Uzawa N, Kunihiro M, Okada N, Amagasa T: Simultaneous assessment of cyclin D1 and epidermal growth factor receptor gene copy number for prognostic factor in oral squamous cell carcinomas. Oral Sci Int. 2009, 6: 8-20.CrossRef Takahashi K, Uzawa N, Kunihiro M, Okada N, Amagasa T: Simultaneous assessment of cyclin D1 and epidermal growth factor receptor gene copy number for prognostic factor in oral squamous cell carcinomas. Oral Sci Int. 2009, 6: 8-20.CrossRef
31.
go back to reference Shonn MA, McCarroll R, Murray AW: Requirement of the spindle checkpoint for proper chromosome segregation in budding yeast meiosis. Science. 2000, 289: 300-303. 10.1126/science.289.5477.300.CrossRefPubMed Shonn MA, McCarroll R, Murray AW: Requirement of the spindle checkpoint for proper chromosome segregation in budding yeast meiosis. Science. 2000, 289: 300-303. 10.1126/science.289.5477.300.CrossRefPubMed
32.
go back to reference Kolodner RD, Putnam CD, Myung K: Maintenance of genome stability in Saccharomyces cerevisiae. Science. 2002, 297: 552-557. 10.1126/science.1075277.CrossRefPubMed Kolodner RD, Putnam CD, Myung K: Maintenance of genome stability in Saccharomyces cerevisiae. Science. 2002, 297: 552-557. 10.1126/science.1075277.CrossRefPubMed
33.
go back to reference Nasmyth K: Sgregating sister genomes: the molecular biology of chromosome separation. Science. 2002, 297: 559-565. 10.1126/science.1074757.CrossRefPubMed Nasmyth K: Sgregating sister genomes: the molecular biology of chromosome separation. Science. 2002, 297: 559-565. 10.1126/science.1074757.CrossRefPubMed
34.
go back to reference Li Y, Benezra R: Identification of a human mitotic checkpoint gene: hsMAD2. Science. 1996, 274: 246-248. 10.1126/science.274.5285.246.CrossRefPubMed Li Y, Benezra R: Identification of a human mitotic checkpoint gene: hsMAD2. Science. 1996, 274: 246-248. 10.1126/science.274.5285.246.CrossRefPubMed
35.
go back to reference Milner J, Ponder B, Hughes-Davies L, Seltmann M, Kouzarides T: Transcriptional activation functions in BRCA2. Nature. 1997, 386: 772-773. 10.1038/386772a0.CrossRefPubMed Milner J, Ponder B, Hughes-Davies L, Seltmann M, Kouzarides T: Transcriptional activation functions in BRCA2. Nature. 1997, 386: 772-773. 10.1038/386772a0.CrossRefPubMed
36.
go back to reference Pangilinan F, Li Q, Weaver T, Lewis BC, Dang CV, Spencer F: Mammalian BUB1 protein kinases: map positions and in vivo expression. Genomics. 1997, 46: 379-388. 10.1006/geno.1997.5068.CrossRefPubMed Pangilinan F, Li Q, Weaver T, Lewis BC, Dang CV, Spencer F: Mammalian BUB1 protein kinases: map positions and in vivo expression. Genomics. 1997, 46: 379-388. 10.1006/geno.1997.5068.CrossRefPubMed
37.
go back to reference Yarden RI, Pardo-Reoyo S, Sgagias M, Cowan KH, Brody LC: BRCA1 regulates the G2/M checkpoint by activating Chk1 kinase upon DNA damage. Nat Genet. 2002, 30: 265-269. 10.1038/ng837.CrossRef Yarden RI, Pardo-Reoyo S, Sgagias M, Cowan KH, Brody LC: BRCA1 regulates the G2/M checkpoint by activating Chk1 kinase upon DNA damage. Nat Genet. 2002, 30: 265-269. 10.1038/ng837.CrossRef
38.
go back to reference Rajagopalan H, Jallepalli PV, Rago C, Velculescu VE, Kinzler KW, Vogelstein B, Lengauer C: Inactivation of hCDC4 can cause chromosomal instability. Nature. 2004, 428: 77-81. 10.1038/nature02313.CrossRefPubMed Rajagopalan H, Jallepalli PV, Rago C, Velculescu VE, Kinzler KW, Vogelstein B, Lengauer C: Inactivation of hCDC4 can cause chromosomal instability. Nature. 2004, 428: 77-81. 10.1038/nature02313.CrossRefPubMed
39.
go back to reference Quintyne NJ, Reing JE, Hoffelder DR, Gollin SM, Saunders WS: Spindle Multipolarity is prevented by centrosomal clustering. Science. 2005, 307: 127-129. 10.1126/science.1104905.CrossRefPubMed Quintyne NJ, Reing JE, Hoffelder DR, Gollin SM, Saunders WS: Spindle Multipolarity is prevented by centrosomal clustering. Science. 2005, 307: 127-129. 10.1126/science.1104905.CrossRefPubMed
40.
go back to reference Saunders WS, Shuster M, Huang X, Gharaibeh B, Enyenihi AH, Petersen I, Gollin SM: Chromosomal instability and cytoskeletal defects in oral cancer cells. Proc Natl Acad Sci USA. 2000, 97: 303-308. 10.1073/pnas.97.1.303.CrossRefPubMedPubMedCentral Saunders WS, Shuster M, Huang X, Gharaibeh B, Enyenihi AH, Petersen I, Gollin SM: Chromosomal instability and cytoskeletal defects in oral cancer cells. Proc Natl Acad Sci USA. 2000, 97: 303-308. 10.1073/pnas.97.1.303.CrossRefPubMedPubMedCentral
Metadata
Title
Prognostic utility of chromosomal instability detected by fluorescence in situ hybridization in fine-needle aspirates from oral squamous cell carcinomas
Authors
Hiroaki Sato
Narikazu Uzawa
Ken-Ichiro Takahashi
Kunihiro Myo
Yoshio Ohyama
Teruo Amagasa
Publication date
01-12-2010
Publisher
BioMed Central
Published in
BMC Cancer / Issue 1/2010
Electronic ISSN: 1471-2407
DOI
https://doi.org/10.1186/1471-2407-10-182

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