Heterogeneity in the response of familial polyposis epithelial cells and adenomas to increasing levels of calcium in vitro Journal Article


Authors: Friedman, E.; Lipkin, M.; Winawer, S.; Buset, M.; Newmark, H.
Article Title: Heterogeneity in the response of familial polyposis epithelial cells and adenomas to increasing levels of calcium in vitro
Abstract: A biomarker of increased risk for colon cancer is abnormally high proliferation of colonic epithelial cells. The authors developed an in vitro assay that measures the ability of human colonic epithelial cells that are in progressive stages of abnormal development to respond to direct application of calcium as the chloride in tissue culture medium. Incorporation of 3H‐thymidine and autoradiography in situ was employed to measure the number of proliferating cells cultured at 0.1 mM CaCl2, the optimum level for growth, and 2.2 to 5 mM, both levels achievable in the colonic lumen. Abnormal cell proliferation was reduced in biopsies from 13 of 14 patients without familial polyposis but at increased risk for colon cancer because of previous colonic neoplasms or familial association; in cells from three of four asymptomatic individuals in familial polyposis families at risk for that disease; and in cells of three of ten patients symptomatic with familial polyposis. Growth of tubular adenoma cells from two of seven familial polyposis patients was also inhibited by calcium. Growth inhibition was not observed in more advanced colon tumors including eight adenomas, either villotubular or villous, and five carcinomas. These findings indicate heterogeneity within the familial polyposis phenotype for the normal cellular response to growth inhibition by calcium, and a further loss of response to calcium as these cells progress toward malignancy. Copyright © 1989 American Cancer Society
Keywords: adult; clinical article; cell division; cell growth; colonic neoplasms; calcium; tumor cells, cultured; adenoma; histochemistry; radioisotope; tumor growth; precancer; intestinal mucosa; adenomatous polyposis coli; colon polyposis; human; priority journal; support, non-u.s. gov't; calcium chloride
Journal Title: Cancer
Volume: 63
Issue: 12
ISSN: 0008-543X
Publisher: Wiley Blackwell  
Date Published: 1989-06-15
Start Page: 2486
End Page: 2491
Language: English
DOI: 10.1002/1097-0142(19890615)63:12<2486::AID-CNCR2820631221>3.0.CO;2-%23
PUBMED: 2541888
PROVIDER: scopus
DOI/URL:
Notes: Article -- Source: Scopus
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  1. Sidney J Winawer
    274 Winawer
  2. Martin   Lipkin
    116 Lipkin
  3. Harold L. Newmark
    61 Newmark