<?xml version='1.0'?>
<!DOCTYPE art SYSTEM 'http://www.biomedcentral.com/xml/article.dtd'>
<art>
   <ui>1471-2407-1-15</ui>
   <ji>1471-2407</ji>
   <fm>
      <dochead>Research article</dochead>
      <bibl>
         <title>
            <p>Immunodetection of nmt55/p54<sup>nrb</sup> isoforms in human breast cancer</p>
         </title>
         <aug>
            <au id="A1">
               <snm>Pavao</snm>
               <fnm>Matthew</fnm>
               <insr iid="I1"/>
               <email>mpavao@bu.edu</email>
            </au>
            <au id="A2">
               <snm>Huang</snm>
               <fnm>Yue-Hua</fnm>
               <insr iid="I1"/>
               <email>yhhg@bu.edu</email>
            </au>
            <au id="A3">
               <snm>Hafer</snm>
               <mi>J</mi>
               <fnm>Laurie</fnm>
               <insr iid="I1"/>
               <email>laurie.hafer.2000@alum.bu.edu</email>
            </au>
            <au id="A4">
               <snm>Moreland</snm>
               <mi>B</mi>
               <fnm>Robert</fnm>
               <insr iid="I1"/>
               <email>robert.moreland@ln.ssw.abbott.com</email>
            </au>
            <au id="A5" ca="yes">
               <snm>Traish</snm>
               <mi>M</mi>
               <fnm>Abdulmaged</fnm>
               <insr iid="I1"/>
               <email>atraish@bu.edu</email>
            </au>
         </aug>
         <insg>
            <ins id="I1">
               <p>Department of Biochemistry, Boston University School of Medicine, Center for Advanced Biomedical Research, 700 Albany Street, W607, Boston, MA 02118, USA</p>
            </ins>
         </insg>
         <source>BMC Cancer</source>
         <issn>1471-2407</issn>
         <pubdate>2001</pubdate>
         <volume>1</volume>
         <issue>1</issue>
         <fpage>15</fpage>
         <url>http://www.biomedcentral.com/1471-2407/1/15</url>
         <xrefbib>
            <pubidlist>
               <pubid idtype="doi">10.1186/1471-2407-1-15</pubid>
               <pubid idtype="pmpid">11710964</pubid>
            </pubidlist>
         </xrefbib>
      </bibl>
      <history>
         <rec>
            <date>
               <day>8</day>
               <month>7</month>
               <year>2001</year>
            </date>
         </rec>
         <acc>
            <date>
               <day>29</day>
               <month>10</month>
               <year>2001</year>
            </date>
         </acc>
         <pub>
            <date>
               <day>29</day>
               <month>10</month>
               <year>2001</year>
            </date>
         </pub>
      </history>
      <cpyrt>
         <year>2001</year>
         <collab>Pavao et al; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL.</collab>
      </cpyrt>
      <abs>
         <sec>
            <st>
               <p>Abstract</p>
            </st>
            <sec>
               <st>
                  <p>Background</p>
               </st>
               <p>We previously identified and characterized a novel 55 kDa nuclear protein, termed nmt55/p54<sup>nrb</sup>, whose expression was decreased in a subset of human breast tumors. The objective of this study was to determine if this reduced expression in human breast tumors was attributed to the regulation of mRNA transcription or the presence of altered forms of this protein.</p>
            </sec>
            <sec>
               <st>
                  <p>Results</p>
               </st>
               <p>Northern blot analysis and ribonuclease protection assay indicated that nmt55/p54<sup>nrb</sup> mRNA is expressed at varying levels in estrogen receptor positive (ER+) and estrogen receptor negative (ER-) human breast tumors suggesting that reduced expression of nmt55/p54<sup>nrb</sup> protein in ER- tumors was not due to transcriptional regulation. To determine if multiple protein isoforms are expressed in breast cancer, we utilized Western blot and immunohistochemical analyses, which revealed the expression of an nmt55/p54<sup>nrb</sup> protein isoform in a subset of ER+ tumors. This subset of ER+ human breast tumors expressed an altered form of nmt55/p54<sup>nrb</sup> that was undetectable with an amino-terminal specific antibody suggesting that this isoform contains alterations or modifications within the amino terminal domain.</p>
            </sec>
            <sec>
               <st>
                  <p>Conclusions</p>
               </st>
               <p>Our study indicates that nmt55/p54<sup>nrb</sup> protein is post-transcriptionally regulated in human breast tumors leading to reduced expression in ER- tumors and the expression of an amino terminal altered isoform in a subset of ER+ tumors. The potential involvement of nmt55/p54<sup>nrb</sup> in RNA binding and pre-mRNA splicing may be important for normal cell growth and function; thus, loss or alteration of protein structure may contribute to tumor growth and progression.</p>
            </sec>
         </sec>
      </abs>
   </fm>
   <bdy>
      <sec>
         <st>
            <p>Background</p>
         </st>
         <p>Human breast tumorigenesis is a multistage process encompassing complex cellular transformation from normalcy to malignancy <abbrgrp><abbr bid="B1">1</abbr></abbrgrp>. It has been proposed that multiple, different cellular events dictate the biochemical changes that allow normal cells to become highly malignant. These key events require alterations in the expression of many genes, translation of RNA transcripts, and cellular activation by growth factors, hormones and proteins in the evolving tumor cell population <abbrgrp><abbr bid="B1">1</abbr><abbr bid="B2">2</abbr><abbr bid="B3">3</abbr><abbr bid="B4">4</abbr><abbr bid="B5">5</abbr></abbrgrp>.</p>
         <p>Steroid hormones play a vital role in the growth of normal mammary gland tissue, as well as, the development and progression of breast tumors. Human estrogen receptor alpha (hER&#945;) is detected in 50&#8211;85% of all breast tumors <abbrgrp><abbr bid="B6">6</abbr></abbrgrp>, and is utilized as a prognostic marker to identify patients who may have a favorable response to hormonal or endocrine manipulations. Thus, hER&#945; provides a useful prognostic index in patients with metastatic disease and is associated with disease-free survival <abbrgrp><abbr bid="B7">7</abbr><abbr bid="B8">8</abbr><abbr bid="B9">9</abbr><abbr bid="B10">10</abbr></abbrgrp>. However, 35% of all patients with hER&#945; positive (ER+) tumors do not respond to hormonal interventions suggesting cellular and molecular alterations <abbrgrp><abbr bid="B6">6</abbr><abbr bid="B11">11</abbr><abbr bid="B12">12</abbr></abbrgrp>.</p>
         <p>This lack of response may be attributed, at least in part, to the presence of nonfunctional hER&#945; as determined by the inability of hER&#945; to bind hormone, to recognize and bind to specific DNA-responsive elements and/or its inability to recruit other transcriptional activation factors <abbrgrp><abbr bid="B6">6</abbr><abbr bid="B11">11</abbr><abbr bid="B12">12</abbr></abbrgrp>. It may also be attributed to tumor heterogeneity in which some tumor cells may continue to express functional hER&#945; while other cells may express either dysfunctional hER&#945; or do not express hER&#945; at all. This may permit the tumor to become autonomous with respect to hormone sensitivity, allowing tumor progression. Currently, human breast tumor hER&#945; content is determined by ligand-binding assays or immunohistochemistry. While these techniques measure either hER&#945; content or its cellular distribution, they do not provide the means for assessing hER&#945; functionality.</p>
         <p>In our search for new tumor markers, we identified and characterized a novel 55 kDa nuclear protein, termed nmt55 <abbrgrp><abbr bid="B13">13</abbr></abbrgrp>. The amino acid sequence of nmt55 was highly homologous, but not identical, to that reported for the nuclear protein p54<sup>nrb</sup> identified in HeLa cells <abbrgrp><abbr bid="B14">14</abbr></abbrgrp>. A more recent report by Peters et al. <abbrgrp><abbr bid="B15">15</abbr></abbrgrp> noted differences in the sequence of the reported HeLa cell p54<sup>nrb</sup><abbrgrp><abbr bid="B14">14</abbr></abbrgrp> and placental p54<sup>nrb</sup>. When we compared the sequences of nmt55 and placental p54<sup>nrb</sup> (U. Muller, Personal Communication), we determined that the sequences were identical. The differences in the sequence for nmt55, placental p54<sup>nrb</sup> and HeLa p54<sup>nrb</sup> are most likely due to HeLa p54<sup>nrb</sup> sequencing error. Chromosomal location and sequence identity data confirm that p54<sup>nrb</sup> has the same sequence as nmt55 and are the same gene. We refer to this protein as nmt55/p54<sup>nrb</sup>.</p>
         <p>Our studies on nmt55 and those of p54<sup>nrb</sup> have characterized this protein as an RNA binding protein with the ability to associate with Topoisomerase I and the polypyrimidine tract-binding protein associated splicing factor (PSF) <abbrgrp><abbr bid="B16">16</abbr><abbr bid="B17">17</abbr><abbr bid="B18">18</abbr><abbr bid="B19">19</abbr><abbr bid="B20">20</abbr></abbrgrp>. Further, we observed the association of nmt55/p54<sup>nrb</sup> with several splicing factors known to be essential for spliceosome formation suggesting a role for nmt55/p54<sup>nrb</sup> in pre-mRNA splicing (unpublished results).</p>
         <p>Our previous studies investigated the protein expression of nmt55/p54<sup>nrb</sup> in human breast tumors using a monoclonal antibody with an epitope localized to the carboxyl terminal domain of this protein. These studies demonstrated a statistically significant association between nmt55/p54<sup>nrb</sup> protein expression, tumor hormonal phenotype and mean tumor size <abbrgrp><abbr bid="B13">13</abbr></abbrgrp>. Specifically, in tumors large in size or those tumors which were determined to be ER-, the expression of nmt55/p54<sup>nrb</sup> protein was absent, or greatly reduced <abbrgrp><abbr bid="B13">13</abbr></abbrgrp>. These results suggested that loss of nmt55/p54<sup>nrb</sup> protein expression may be related to hormone insensitivity, tumor differentiation state, unregulated tumor growth and metastases.</p>
         <p>The absence or reduced expression of nmt55/p54<sup>nrb</sup> may be attributed to the regulation of mRNA expression, protein processing of a specific functional domain or the presence of a heterogeneous population of nmt55/p54<sup>nrb</sup> isoforms which may not be immunodetected by monoclonal antibody NMT-1. In this study, we compared mRNA levels in ER+ and ER- human breast tumors using Northern blot analysis and ribonuclease protection assay to assess if nmt55/p54<sup>nrb</sup> is regulated at the transcription level. We further developed, nmt55/p54<sup>nrb</sup> specific, site-directed polyclonal antibodies to the amino terminal region and to a mid-region to assess the potential presence of multiple nmt55/p54<sup>nrb</sup> isoforms or processed nmt55/p54<sup>nrb</sup> in human breast tumors.</p>
      </sec>
      <sec>
         <st>
            <p>Methods</p>
         </st>
         <sec>
            <st>
               <p>Isotopes, reagents and chemicals</p>
            </st>
            <p>[2,4,6,7-<sup>3</sup>H] Oestradiol ([<sup>3</sup>H] E<sub>2</sub>) (102 Ci/mmol) was obtained from Amersham (Arlington Heights, IL). &#945;-<sup>32</sup>P CTP (800 Ci/mmol) and &#947;-<sup>32</sup>P ATP (3000 Ci/mmol) were obtained from New England Nuclear (Boston, Ma). Unlabeled diethylstilbestrol (DES) was obtained from Steraloids (Wilton, NH). Monoclonal antibodies NMT-1 and EVG F9 were developed to unique peptides encompassing amino acids 140&#8211;154 and 140&#8211;154&#8211;247&#8211;263 of hER&#945;, respectively <abbrgrp><abbr bid="B21">21</abbr><abbr bid="B22">22</abbr><abbr bid="B23">23</abbr><abbr bid="B24">24</abbr></abbrgrp>. Monoclonal antibody 4.14 was raised against a peptide representing amino acid sequence 533&#8211;547 of human progesterone receptor (hPR) <abbrgrp><abbr bid="B25">25</abbr></abbrgrp>. All other chemicals were reagent grade and were obtained from commercial sources.</p>
         </sec>
         <sec>
            <st>
               <p>Human tissue and cell lines</p>
            </st>
            <p>Human breast cancer tissue was obtained from patients undergoing surgery for the treatment of breast cancer, as described previously <abbrgrp><abbr bid="B26">26</abbr></abbrgrp>. The MCF-7 human adenocarcinoma cell line was obtained from the American Type Tissue Culture Collection (Manassas, VA).</p>
         </sec>
         <sec>
            <st>
               <p>Buffers and solutions</p>
            </st>
            <p>TEGT Buffer consisted of 50 mM Tris-HCl, 10% [vol/vol] glycerol, 1 mM EDTA, 0.02% [wt/vol] sodium azide and 10 mM monothioglycerol, pH 7.4, at 4&#176;C. TGET/MO buffer was TGET buffer containing 10 mM sodium molybdate. TBST buffer consisted of 50 mM Tris-HCl, 0.15 M NaCl, and 0.5% Tween 20, pH 8.0.</p>
         </sec>
         <sec>
            <st>
               <p>Cytosol and nuclear extract preparation</p>
            </st>
            <p>Cytosols were prepared as described <abbrgrp><abbr bid="B22">22</abbr><abbr bid="B27">27</abbr><abbr bid="B28">28</abbr><abbr bid="B29">29</abbr></abbrgrp>. Briefly, tissue was homogenized (0.5 g/3 ml) in TEGT/MO buffer. The homogenate was centrifuged at 100,000 &#215; <it>g</it> for 30 minutes at 4&#176;C and the supernatant fraction (cytosol) was collected. After the removal of the cytosolic fraction, the nuclear pellet was resuspended in 1.5 ml of TEGT buffer containing 0.4 M KCl and incubated on ice for 1 hour with intermittent vortexing. The solubilized proteins were separated from the insoluble chromatin by centrifugation at 100,000 &#215; <it>g</it> for 30 minutes at 4&#176;C. The supernatant fraction (nuclear extract) was collected and used immediately for experimentation or frozen at -80&#176;C.</p>
         </sec>
         <sec>
            <st>
               <p>Estrogen receptor assay</p>
            </st>
            <p>The concentration of unoccupied hER&#945; was determined by ligand binding analyses as described previously <abbrgrp><abbr bid="B22">22</abbr><abbr bid="B27">27</abbr><abbr bid="B28">28</abbr><abbr bid="B29">29</abbr><abbr bid="B30">30</abbr></abbrgrp>. Briefly, cytosols were incubated with 5 nM [<sup>3</sup>H] E<sub>2</sub> in the absence (total binding) or presence (nonspecific binding) of a 1000-fold molar excess of unlabeled DES for 16&#8211;20 hours at 4&#176;C. Free radioactivity was then separated from bound radioactivity by dextran-coated charcoal (DCC) pellets. In all experiments, nonspecific binding was determined and subtracted from total binding to obtain specific binding. The binding data were normalized in femtomoles per milligram (fmol/mg) of cytosol proteins. We chose a positive cutoff value of 10 fmol/mg protein for hER&#945; <abbrgrp><abbr bid="B6">6</abbr><abbr bid="B11">11</abbr><abbr bid="B12">12</abbr><abbr bid="B13">13</abbr><abbr bid="B31">31</abbr><abbr bid="B32">32</abbr></abbrgrp>.</p>
         </sec>
         <sec>
            <st>
               <p>Synthesis and purification of peptides</p>
            </st>
            <p>We have previously used sequence specific peptides to generate site-directed monoclonal and polyclonal antibodies <abbrgrp><abbr bid="B21">21</abbr><abbr bid="B22">22</abbr><abbr bid="B24">24</abbr><abbr bid="B25">25</abbr><abbr bid="B27">27</abbr><abbr bid="B28">28</abbr></abbrgrp>. Two peptides, NMT-4 and NMT-5, were synthesized, purified by gel filtration and analyzed by HPLC. Analyses of the amino acid composition correlated well with the primary sequence. The sequences of these peptides is given in Figure <figr fid="F1">1A</figr>.</p>
            <fig id="F1">
               <title>
                  <p>Figure 1</p>
               </title>
               <caption>
                  <p>Amino acid sequence and molecular localization of the synthetic oligopeptides used to generate human nmt55/p54<sup>nrb</sup> polyclonal antibodies.</p>
               </caption>
               <text>
                  <p>Amino acid sequence and molecular localization of the synthetic oligopeptides used to generate human nmt55/p54<sup>nrb</sup> polyclonal antibodies.</p>
               </text>
               <graphic file="1471-2407-1-15-3"/>
            </fig>
         </sec>
         <sec>
            <st>
               <p>Peptide conjugation and immunization</p>
            </st>
            <p>Keyhole limpet hemocyanin (KLH) and bovine serum albumin (BSA) were dissolved in phosphate-buffered saline (PBS) to give a final concentration of 1 mg/ml. Five milligrams of each peptide was then dissolved in 5 ml of the KLH solution or BSA solution. The pH of the mixtures was adjusted to 9.0 with 0.1 M LiOH. Coupling of the peptide to the carrier protein was initiated by drop wise addition of 6.25% glutaraldehyde to achieve a final concentration of 1%. Each mixture was incubated at 4&#176;C for one hour with gentle agitation. Each mixture was then dialyzed extensively against four changes of PBS. Aliquots were taken after dialysis to determine efficiency of coupling and the remaining dialyzed material was stored at -80&#176;C.</p>
            <p>New Zealand White female rabbits were obtained from Pine Acre Rabbitry (Norton, MA). Prior to immunization, serum was collected from each rabbit by bleeding through the ear artery and this was designated as pre-immune serum. Each animal was immunized by subcutaneous injection at multiple sites along the back with a total of 1 ml of an emulsion made by mixing equal volumes of complete Freund's adjuvant and KLH-conjugated peptide. The final emulsion contained 500 &#956;g/ml of the desired peptide. After 3 weeks, the animals were boosted with the antigen in incomplete Freund's adjuvant. Two weeks after the booster shots the animals were bled, the sera were collected and tested for the presence of anti-peptide antibodies by enzyme-linked immunosorbent assay (ELISA).</p>
         </sec>
         <sec>
            <st>
               <p>RNA preparation and northern blot analyses</p>
            </st>
            <p>Total RNA from MCF-7 cells and human breast tumors was prepared as described <abbrgrp><abbr bid="B33">33</abbr></abbrgrp>. Total RNA was electrophoresed on 1% formaldehyde/MOPS agarose gels and transferred onto nylon-reinforced nitrocellulose membranes. Northern blot analysis was carried out using double-stranded DNA probes labeled to a specific activity of 10<sup>8</sup> &#8211; 10<sup>9</sup> cpm/&#956;g with &#945;-[<sup>32</sup>P] CTP using T7 DNA polymerase and random primers. Hybridization was carried out at 67&#176;C for 2 hours in Quickhyb solution (Stratagene, La Jolla, CA). Membranes were exposed to Hyperfilm (Amersham, Arlington Heights, IL) for 24 hours at -70&#176;C following low (2X SSC, 0.1% SDS, 25&#176;C) and high (0.2X SSC, 0.1% SDS, 65&#176;C) stringency washes.</p>
            <p>The probe used for nmt55/p54<sup>nrb</sup> analysis was a 499 bp SacI/BglII fragment representing the unique carboxyl terminus of nmt55/p54<sup>nrb</sup><abbrgrp><abbr bid="B13">13</abbr></abbrgrp>. This probe was utilized to prevent cross-hybridization with other homologous RNA binding proteins. A 545 bp HindIII/Xbal fragment of human glyceraldehyde-3-phosphate dehydrogenase (GAPDH) was utilized as a probe to normalize for RNA loading <abbrgrp><abbr bid="B34">34</abbr></abbrgrp>.</p>
         </sec>
         <sec>
            <st>
               <p>Ribonuclease protection assays</p>
            </st>
            <p>Ribonuclease protection assays were performed using the RPA III Ribonuclease Protection Assay Kit from Ambion (Austin, TX) according to the manufacturer's specifications. RNA was isolated and prepared as described above. A 499 bp nmt55/p54<sup>nrb</sup> fragment was transcribed with T7 RNA polymerase in the presence of &#945;-[<sup>32</sup>P] CTP and non-radioactive nucleotides to generate an antisense probe (specific activity of 10<sup>8</sup> &#8211; 10<sup>9</sup> cpm/&#956;g) or SP6 RNA polymerase in the presence of non-labeled nucleotides to generate a sense probe (control). Sample RNA and the antisense probe were mixed and co-precipitated with 0.5 M ammonium acetate. Samples were hybridized for 18 hours in acetate/citrate buffer, pH 6.8, at 45&#176;C. The hybridization product was digested with an RNase A/T1 mixture. Following digestion, RNase was inactivated and hybridized RNA was precipitated according to the manufacturer's instructions. Precipitated samples were resuspended and analyzed by gel electrophoresis on 5% urea-polyacrylamide denaturing gels. Following electrophoresis, gels were dried for 2 hours at 80&#176;C and subjected to autoradiography for 24 hours at -70&#176;C. Century markers were radiolabeled according to the manufacturer's instructions and used as molecular weight markers.</p>
         </sec>
         <sec>
            <st>
               <p>Electrophoresis and western blot analyses</p>
            </st>
            <p>Polyacrylamide gel electrophoresis and Western blot analyses were performed as described <abbrgrp><abbr bid="B13">13</abbr><abbr bid="B23">23</abbr></abbrgrp>. Briefly, samples were electrophoresed on 10% resolving sodium dodecyl sulphate-polyacrylamide gels (SDS/PAGE) according to the method of Laemmli <abbrgrp><abbr bid="B35">35</abbr></abbrgrp>. Proteins were then electrotransferred onto nitrocellulose membranes and the membranes were incubated in TBST buffer containing 5% nonfat dry milk for 1 hour to block nonspecific protein binding. Membranes were incubated with primary antibodies, at various dilutions, for 1 hour and then washed three times with TBST, 10 minutes each. Nitrocellulose membranes were then incubated with the appropriate corresponding horseradish peroxidase-conjugated secondary antibody for 1 hour and washed as above. Antibody-protein interactions were detected using enhanced chemiluminescence (ECL) (Pierce, Rockford, IL) and autoradiography.</p>
         </sec>
         <sec>
            <st>
               <p>Immunohistochemistry</p>
            </st>
            <p>Formalin-fixed, paraffin-embedded blocks of human breast tissue were re-cut at a thickness of 4 &#956;m, and consecutive sections were stained with Gill's hematoxylin and eosin (H&amp;E) <abbrgrp><abbr bid="B23">23</abbr></abbrgrp>. Immunohistochemical assays were performed using a modification of the antigen-retrieval technique based on microwave exposure. Unless stated otherwise, all incubations were at 37&#176;C in a humidity chamber, followed by two PBS plus Triton X-100 (1:500) washes, 2 minutes each. Endogenous peroxidase activity was quenched using a 3% hydrogen peroxide/methanol solution for 30 minutes at 25&#176;C. This was followed by antigen retrieval and subsequent incubation in blocking reagent (1:50 normal horse serum) for 20 minutes. Anti-hER&#945; monoclonal antibody EVG F9 and anti-hPR monoclonal antibody 4.14 were diluted 1:200 and incubated for 30 minutes at 37&#176;C. Anti-nmt55/p54<sup>nrb</sup> polyclonal antibodies, NMT-4 and NMT-5, were diluted 1:2500 and incubated for 2 hours at 37&#176;C. Non-immune mouse IgG was used as a negative control antibody. Sections were rinsed and incubated with secondary antibody (rabbit anti-mouse IgG, biotinylated or swine anti-rabbit IgG, biotinylated) for 30 minutes followed by a 30 minute incubation in Streptavidin solution, using DAKO's Quick Staining LSAB Kit (DAKO Corp, Carpinteria, CA). To visualize antibody binding, tissue sections were incubated for 10 minutes in 3, 3'-diaminobenzidine (DAB) at 25&#176;C. Sections were then rinsed in distilled water and counterstained for 1 minute in Gill's hematoxylin. Slides were analyzed by standard light microscopy.</p>
         </sec>
      </sec>
      <sec>
         <st>
            <p>Results</p>
         </st>
         <sec>
            <st>
               <p>Analysis of nmt55/p54<sup>nrb</sup> mRNA in ER+ and ER- human breast tumors</p>
            </st>
            <p>We have previously shown that nmt55/p54<sup>nrb</sup> protein was expressed in most ER+/PR+ human breast tumors but was undetectable in ER-/PR- human breast tumors <abbrgrp><abbr bid="B13">13</abbr></abbrgrp>. Since loss of hER&#945; expression is associated with poor prognosis and continued expression of hER&#945; is associated with disease-free survival and correlates well with tumor differentiation state, we wanted to investigate the regulation of nmt55/p54<sup>nrb</sup> expression. To test the possibility that nmt55/p54<sup>nrb</sup> may be transcriptionally downregulated in ER- tumors, we analyzed mRNA levels from a series of human breast tumors utilizing Northern blot analyses and ribonuclease protection assays.</p>
            <p>Figure <figr fid="F2">2</figr> shows Northern blot analysis of nmt55/p54<sup>nrb</sup> mRNA expression in 12 human breast tumors. MCF-7 cells (Lane M), used as a control, express an abundant 2.6 kb mRNA transcript for nmt55/p54<sup>nrb</sup>. nmt55/p54<sup>nrb</sup> transcripts were detected at varying levels in both ER+ and ER- tumors. mRNA transcript was expressed at high levels (lanes 2, 3, 5, 9, 11 and 12) moderate levels (lanes 2, 7 and 10) or low levels (lanes 1, 4 and 8). The tumor sample in lane 6 was degraded and was not analyzed further. These different nmt55/p54<sup>nrb</sup> mRNA levels were not due to differential RNA loading, as GAPDH levels were similar in all tumor samples. These results suggest that nmt55/p54<sup>nrb</sup> mRNA transcripts are expressed at various levels. It also suggested that nmt55/p54<sup>nrb</sup> protein expression in some breast tumors does not correlate with nmt55/p54<sup>nrb</sup> mRNA expression. Specifically, the decreased nmt55/p54<sup>nrb</sup> protein expression observed in ER- human breast tumors may not be attributed to transcriptional regulation of nmt55/p54<sup>nrb</sup> mRNA since mRNA expression in ER- tumors is not universally decreased.</p>
            <fig id="F2">
               <title>
                  <p>Figure 2</p>
               </title>
               <caption>
                  <p>Northern blot analysis of nmt55/p54<sup>nrb</sup> mRNA expression in MCF-7 cells and ER+/ER- Human Breast tumors.</p>
               </caption>
               <text>
                  <p>Northern blot analysis of nmt55/p54<sup>nrb</sup> mRNA expression in MCF-7 cells and ER+/ER- Human Breast tumors. Total RNA (20 &#956;g) was prepared from MCF-7 cells (lane M) and twelve different human breast tumors (lanes 1&#8211;12). The RNA was subjected to hybridization with a human nmt55/p54<sup>nrb</sup> 499 bp SacI/BglII radiolabeled probe (top panel) or a human glyceraldehyde-3-phosphate (GAPDH) 545 bp HindIII/Xbal radiolabeled probe to indicate levels of RNA loading (bottom panel). Estrogen receptor (ER) expression levels were determined by ligand binding assay and are indicated along the top of the figure.</p>
               </text>
               <graphic file="1471-2407-1-15-1"/>
            </fig>
            <p>To confirm these observations, ribonuclease protection assay was utilized to analyze a set of different human breast tumors. As shown in Figure <figr fid="F3">3</figr>, all human tumor samples expressed nmt55/p54<sup>nrb</sup> mRNA transcript. nmt55/p54<sup>nrb</sup> mRNA was not detected in calf uterine tissue. This was expected since the nmt55/p54<sup>nrb</sup> probe utilized for detection is of human origin and calf uterus tissue expresses a different transcript for nmt55/p54<sup>nrb</sup>. This prevents high fidelity hybridization between the probe and the mRNA allowing complete mRNA probe digestion. Based on the data presented in Figures <figr fid="F2">2</figr> and <figr fid="F3">3</figr>, it appears that nmt55/p54<sup>nrb</sup> mRNA is expressed independent of tumor hormonal status suggesting that nmt55/p54<sup>nrb</sup> mRNA is not regulated by hER&#945;. These results, together with those reported previously <abbrgrp><abbr bid="B13">13</abbr></abbrgrp>, further suggest that decreased expression of nmt55/p54<sup>nrb</sup> protein in ER- human breast tumors is likely a post-transcriptional event.</p>
            <fig id="F3">
               <title>
                  <p>Figure 3</p>
               </title>
               <caption>
                  <p>Ribonuclease protection assay of nmt55/p54<sup>nrb</sup> mRNA expression in MCF-7 cells and ER+/ER- Human Breast tumors.</p>
               </caption>
               <text>
                  <p>Ribonuclease protection assay of nmt55/p54<sup>nrb</sup> mRNA expression in MCF-7 cells and ER+/ER- Human Breast tumors. Total RNA (20 &#956;g) was prepared from MCF-7 cells (lane M), ten different human breast tumors (lanes 1&#8211;10) and calf uterus tissue (lane C). The RNA was subjected to hybridization with a human nmt55/p54<sup>nrb</sup> 499 bp SacI/BglII radiolabeled probe. The total RNA/radiolabeled probe mixtures were then digested and separated as described in Materials and Methods. Lane P indicates radiolabeled probe alone, which was not subjected to RNase digestion. Lane R represents radiolabeled probe alone that was digested with the RNase mixture. Estrogen receptor (ER) expression levels were determined by ligand binding assay and are indicated along the top of the figure. Estimated molecular weight is indicated in the MW lane.</p>
               </text>
               <graphic file="1471-2407-1-15-2"/>
            </fig>
         </sec>
         <sec>
            <st>
               <p>Immunochemical detection of multiple nmt55/p54<sup>nrb</sup> protein isoforms in human breast tumors</p>
            </st>
            <p>Since there was no apparent nmt55/p54<sup>nrb</sup> mRNA regulation in ER+ or ER- human breast tumors, it was possible that monoclonal antibody NMT-1 may not detect the presence of potential multiple isoforms of nmt55/p54<sup>nrb</sup> protein especially in ER- tumors. This necessitated the development of domain specific antibodies. To this end, two peptides were synthesized and purified based on selected sequences in the subdomains of human nmt55/p54<sup>nrb</sup> (Figure <figr fid="F1">1A</figr>). These selected peptides were referred to as NMT-4 and NMT-5 and represent sequences 56&#8211;72 and 371&#8211;386 of human nmt55/p54<sup>nrb</sup>, respectively (Figure <figr fid="F1">1A</figr>). Polyclonal antibodies were developed against these peptides; polyclonal antibody NMT-4 recognized a sequence in the amino terminal region of nmt55/p54<sup>nrb</sup> and polyclonal antibody NMT-5 recognized a sequence in a mid-region of nmt55/p54<sup>nrb</sup> (Figure <figr fid="F1">1B</figr>).</p>
            <p>Figure <figr fid="F4">4</figr> shows the binding of polyclonal antibodies NMT-4 and NMT-5 to a protein with an estimated molecular weight of 55 kDa (lanes 3 and 5 respectively). Pre-immune sera detected no specific protein in the 55 kDa range (lanes 1 and 2). Specificity of the polyclonal antibodies was assessed by pre-incubation with the appropriate immunogenic free peptides. As shown in Figure <figr fid="F4">4</figr> (lanes 4 and 6), the antigenic peptides competed effectively for the binding of the antibodies to the protein indicating that these antibodies are specific. Complete displacement was not seen in Lane 6 which was due to high titer of the antibody. Incubation of NMT-5 antibody with a higher concentration of free immunogenic NMT-5 peptide resulted in complete displacement (results not shown). These results indicate that the anti-peptide polyclonal antibodies, NMT-4 and NMT-5, detect this 55 kDa protein with high specificity and high affinity.</p>
            <fig id="F4">
               <title>
                  <p>Figure 4</p>
               </title>
               <caption>
                  <p>Assessment of NMT-4 and NMT-5 polyclonal antibody specificity for nmt55/p54<sup>nrb</sup>.</p>
               </caption>
               <text>
                  <p>Assessment of NMT-4 and NMT-5 polyclonal antibody specificity for nmt55/p54<sup>nrb</sup>. MCF-7 nuclear extract (50 &#956;g) was separated by SDS/PAGE and subjected to Western blot analysis. Lanes 1 and 2 represent immunodetection with NMT-4 pre-immune serum and NMT-5 pre-immune serum, respectively. Lanes 3 and 5 represent immunodetection with polyclonal antibodies NMT-4 and NMT-5, respectively. Lane 4 represents MCF-7 nuclear extract immunoblotted with polyclonal antibody NMT-4 pre-incubated with its corresponding immunogenic peptide. Lane 6 represents MCF-7 nuclear extract immunoblotted with polyclonal antibody NMT-5 pre-incubated with its corresponding immunogenic peptide. Right hand margin represents estimated molecular weight.</p>
               </text>
               <graphic file="1471-2407-1-15-4"/>
            </fig>
            <p>Since nmt55/p54<sup>nrb</sup> belongs to a family of RNA binding proteins with conserved domains, it was possible that the polyclonal antibodies NMT-4 and NMT-5 were detecting a protein with a similar molecular weight. To investigate this possibility, we carried out immunoprecipitation assays of MCF-7 nuclear extract with a series of antibodies, and immunoblotted with the same series of antibodies.</p>
            <p>Figure <figr fid="F5">5</figr> shows MCF-7 nuclear extract immunoprecipitated with monoclonal antibody NMT-1, polyclonal antibody NMT-4, polyclonal antibody NMT-5 or monoclonal antibody EVG F9. The immunoprecipitate samples were then separated by SDS/PAGE and immunoblotted with monoclonal antibody NMT-1 (top panel), polyclonal antibody NMT-4 (middle panel) or polyclonal antibody NMT-5 (bottom panel). The results show that this 55 kDa protein is detected regardless of which antibody is used for immunoprecipitation or immunoblotting. Since monoclonal antibody NMT-1 is specific for nmt55/p54<sup>nrb</sup> protein <abbrgrp><abbr bid="B13">13</abbr></abbrgrp>, the results suggest that polyclonal antibodies NMT-4 and NMT-5 are specific to nmt55/p54<sup>nrb</sup> and do not detect related RNA binding proteins. nmt55/p54<sup>nrb</sup> protein was not detected in the anti-hER&#945; monoclonal antibody EVG F9 immunoprecipitation sample (negative control). Monoclonal antibody NMT-1 and polyclonal antibodies NMT-4 and NMT-5 also detect bacterially expressed partially purified nmt55/p54<sup>nrb</sup> protein (results not shown). These results indicate that monoclonal antibody NMT-1 (carboxyl terminal) and the polyclonal antibodies NMT-4 (amino terminal) and NMT-5 (mid-region) detect nmt55/p54<sup>nrb</sup> protein with high affinity and high specificity.</p>
            <fig id="F5">
               <title>
                  <p>Figure 5</p>
               </title>
               <caption>
                  <p>Imimunoprecipitation and immunodetection of nmt55/p54<sup>nrb</sup> protein with specific site-directed antibodies raised against various domains of nmt55/p54<sup>nrb</sup>.</p>
               </caption>
               <text>
                  <p>Imimunoprecipitation and immunodetection of nmt55/p54<sup>nrb</sup> protein with specific site-directed antibodies raised against various domains of nmt55/p54<sup>nrb</sup>. MCF-7 cell nuclear extracts (50 &#956;g) were subjected to immunoprecipitation assays with the antibodies indicated along the top margin. Lane 1 represents immunoprecipitation with monoclonal antibody EVG F9 (raised against human estrogen receptor alpha), lane 2 monoclonal antibody NMT-1, lane 3 polyclonal antibody NMT-4 and lane 4 polyclonal antibody NMT-5. Immunoprecipitated samples were separated by SDS/PAGE and analyzed by Western blot. Left margin indicates the antibodies used for immunodetection. Top panel represents immunodetection with monoclonal antibody NMT-1, middle panel polyclonal antibody NMT-4 and bottom panel polyclonal antibody NMT-5.</p>
               </text>
               <graphic file="1471-2407-1-15-5"/>
            </fig>
            <p>Figure <figr fid="F6">6</figr> shows Western blot analysis of nuclear extracts from 10 human breast tumor immunoblotted with polyclonal antibodies NMT-4 (top panel), NMT-5 (middle panel) and monoclonal antibody NMT-1 (bottom panel). No antibodies detected nmt55/p54<sup>nrb</sup> protein in ER- human breast tumors (lanes 1&#8211;5) confirming previous observations <abbrgrp><abbr bid="B13">13</abbr></abbrgrp>. Monoclonal antibody NMT-1 and polyclonal antibody NMT-5 detect nmt55/p54<sup>nrb</sup> protein in all ER+ tumor samples (lanes 5&#8211;10), albeit at varying levels. Interestingly however, polyclonal antibody NMT- 4 detected nmt55/p54<sup>nrb</sup> in only 3 out of 5 ER+ tumors. These results have been reproduced in the nuclear extracts of approximately forty human breast tumors suggesting that there is an alteration or modification in the amino terminal domain of nmt55/p54<sup>nrb</sup> that prevents polyclonal antibody NMT-4 from binding to nmt55/p54<sup>nrb</sup>protein. The observations made here further suggest the presence of nmt55/p54<sup>nrb</sup> variants in a subset of ER+ human breast tumors.</p>
            <fig id="F6">
               <title>
                  <p>Figure 6</p>
               </title>
               <caption>
                  <p>Detection of nmt55/p54<sup>nrb</sup> protein isoforms by Western Blot Analysis using NMT-4, NMT-5 and NMT-1 antibodies.</p>
               </caption>
               <text>
                  <p>Detection of nmt55/p54<sup>nrb</sup> protein isoforms by Western Blot Analysis using NMT-4, NMT-5 and NMT-1 antibodies. MCF-7 cell nuclear extract (50 &#956;g), lane M, and ten different human breast tumor nuclear extracts (50 &#956;g), lanes 1&#8211;10, were separated by SDS/PAGE and subjected to Western blot analysis with polyclonal antibody NMT-4 (Top Panel), polyclonal antibody NMT-5 (Middle Panel) and monoclonal antibody NMT-1 (Bottom Panel). Estrogen receptor (ER) expression levels were determined by ligand binding assay and are indicated along the top of the figure.</p>
               </text>
               <graphic file="1471-2407-1-15-6"/>
            </fig>
            <p>Detection of nmt55/p54<sup>nrb</sup> by Western blot analyses requires tumor pulverization, homogenization, fractionation and the preparation of cellular extracts. These manipulations may result in biochemical alterations of nmt55/p54<sup>nrb</sup> during processing. To insure that this observation was not the result of experimental manipulation, and indeed the nmt55/p54<sup>nrb</sup> variants detected with polyclonal antibody NMT-5 and monoclonal antibody NMT-1 but not polyclonal antibody NMT-4 were also expressed in intact cells, we utilized immunohistochemical analyses in human breast tumor tissue sections. Further, immunohistochemistry permits the assessment of nmt55/p54<sup>nrb</sup> subcellular localization and distribution within human breast tumors.</p>
            <p>Figure <figr fid="F7">7</figr> shows immunohistochemical analyses of a human breast tumor using hER&#945;, hPR and nmt55/p54<sup>nrb</sup> specific antibodies. Tissue sections stained positively with monoclonal antibodies EVG F9 (Panel A) and 4.14 (Panel B) showing the expression of hER&#945; and hPR, respectively. Positive staining with polyclonal antibodies NMT-4 (Panel C) and NMT-5 (Panel D) showed the presence of nmt55/p54<sup>nrb</sup>. Figure <figr fid="F8">8</figr> represents a tumor which exhibited positive staining for hER&#945; (Panel A), hPR (Panel B), and nmt55/p54<sup>nrb</sup> when utilizing polyclonal antibody NMT-5 (Panel D). However, this tumor did not stain positive for nmt55/p54<sup>nrb</sup> when polyclonal antibody NMT-4 was utilized (Panel C). Similar results have been observed in sixteen different human breast tumor tissue sections. The immunohistochemistry data confirm the results obtained by Western blot analyses, suggesting that nmt55/p54<sup>nrb</sup> protein is expressed in various isoforms in a subset of ER+ human breast tumors. The nature of the alteration or modification in the amino-terminal region of nmt55/p54<sup>nrb</sup>, which prevents the detection of nmt55/p54<sup>nrb</sup> by polyclonal antibody NMT-4 by Western blot and immunohistochemical analyses, remains to be determined.</p>
            <fig id="F7">
               <title>
                  <p>Figure 7</p>
               </title>
               <caption>
                  <p>Immunohistochemical Analyses of Estrogen Receptor, Progesterone Receptor and nmt55/p54<sup>nrb</sup> in a Human Breast Tumor.</p>
               </caption>
               <text>
                  <p>Immunohistochemical Analyses of Estrogen Receptor, Progesterone Receptor and nmt55/p54<sup>nrb</sup> in a Human Breast Tumor. Human breast tumor tissue was fixed, embedded, sectioned and subjected to immunohistochemical analysis with antibodies to human estrogen receptor alpha (hER&#945;), human progesterone receptor (hPR) and nmt55/p54<sup>nrb</sup>. Panel A represents immunostaining with monoclonal antibody EVG F9 raised against hER&#945;. Panel B represents immunostaining with monoclonal antibody 4.14 raised against hPR. Panels C and D represent immunostaining with anti-nmt55/p54<sup>nrb</sup> polyclonal antibodies NMT-4 and NMT-5, respectively.</p>
               </text>
               <graphic file="1471-2407-1-15-7"/>
            </fig>
            <fig id="F8">
               <title>
                  <p>Figure 8</p>
               </title>
               <caption>
                  <p>Detection of nmt55/p54<sup>nrb</sup> protein variants by immunohistochemical analyses with NMT-4 and NMT-5 antibodies in a Human Breast tumor.</p>
               </caption>
               <text>
                  <p>Detection of nmt55/p54<sup>nrb</sup> protein variants by immunohistochemical analyses with NMT-4 and NMT-5 antibodies in a Human Breast tumor. Human breast tumor tissue was fixed, embedded, sectioned and subjected to immunohistochemical analysis with antibodies to human estrogen receptor alpha (hER&#945;), human progesterone receptor (hPR) and nmt55/p54<sup>nrb</sup>. Panel A represents immunostaining with monoclonal antibody EVG F9 raised against hER&#945;. Panel B represents immunostaining with monoclonal antibody 4.14 raised against hPR. Panels C and D represent immunostaining with anti-nmt55/p54<sup>nrb</sup> polyclonal antibodies NMT-4 and NMT-5, respectively.</p>
               </text>
               <graphic file="1471-2407-1-15-8"/>
            </fig>
         </sec>
      </sec>
      <sec>
         <st>
            <p>Discussion</p>
         </st>
         <p>We have previously investigated nmt55/p54<sup>nrb</sup> protein expression in human breast tumors and observed a statistically significant association between decreased nmt55/p54<sup>nrb</sup> expression, loss of hER&#945; and hPR and increased tumor size <abbrgrp><abbr bid="B13">13</abbr></abbrgrp>. It is possible that decreased nmt55/p54<sup>nrb</sup> expression represents poor tumor differentiation, increased tumor growth and metastases since reduced or absent hER&#945; expression and function correlates with poor tumor differentiation <abbrgrp><abbr bid="B11">11</abbr><abbr bid="B36">36</abbr></abbrgrp> and tumor size is a strong indicator of tumor progression <abbrgrp><abbr bid="B37">37</abbr></abbrgrp>. Here we investigated nmt55/p54<sup>nrb</sup> mRNA expression using Northern blot analyses and ribonuclease protection assays to determine if the reduction of nmt55/p54<sup>nrb</sup> protein expression was the result of transcriptional regulation. mRNA transcripts for nmt55/p54<sup>nrb</sup> showed similar expression in human breast tumors and were not related to hER&#945; expression. These results suggest that the regulation of nmt55/p54<sup>nrb</sup> protein expression observed in human breast tumors is likely a post-transcriptional event.</p>
         <p>Results from Western blot analyses with polyclonal antibodies NMT-4 and NMT-5 showed that nmt55/p54<sup>nrb</sup> expression was absent, or greatly reduced, in most of ER- tumors. This confirmed the previous observations obtained with monoclonal antibody NMT-1 <abbrgrp><abbr bid="B13">13</abbr></abbrgrp>. Data also showed that a subset of ER+ tumors expressed nmt55/p54<sup>nrb</sup> protein detectable with polyclonal antibody NMT-5 and monoclonal antibody NMT-1 but not polyclonal antibody NMT-4. These results suggested the presence of nmt55/p54<sup>nrb</sup> variants in a subset of ER+ human breast tumors. The inability of polyclonal antibody NMT-4 to detect nmt55/p54<sup>nrb</sup> in some ER+ tumors may be attributed to proteolysis during nuclear extraction and analyses or biochemical modification of functionally distinct isoform. While the altered molecular weight of the protein sample shown in Figure <figr fid="F6">6</figr>, lane 9 may be attributed to proteolysis, most of the protein samples in Figure <figr fid="F6">6</figr> displayed a similar estimated molecular weight of 55 kDa. Thus, the lack of nmt55/p54nrb protein detection in this study is most likely not due to proteolysis. We also wanted to determine if nmt55/p54<sup>nrb</sup> variants detected with polyclonal antibody NMT-5 and monoclonal antibody NMT-1 but not polyclonal antibody NMT-4 using nuclear extracts and Western blot analyses were also detectable in intact cells. To test this premise, we utilized immunohistochemistry to detect nmt55/p54<sup>nrb</sup> protein in human breast tumor tissue sections. The data from immunohistochemistry confirmed the results obtained by Western blot analyses, which suggested that nmt55/p54<sup>nrb</sup> protein was expressed in various isoforms in a subset of ER+ human breast tumors. These potential isoforms may have altered biological function due to the loss of domain specific interactions. We have attempted to ascertain the presence and nature of these isoforms by utilizing mixing experiments; however, these experiments have proved inconclusive. The expression and role of this isoform in human breast cancer remains to be determined.</p>
         <p>A plausible explanation for the lack of nmt55/p54<sup>nrb</sup> protein detection with polyclonal antibody NMT-4 is a point mutation in the epitope for polyclonal antibody NMT-4, a post-translational modification, such as phosphorylation, in or near this epitope or an alternative splice variant affecting this epitope. Another possibility is the methylation of arginine residues; although this would not alter the overall charge of the protein, it could sterically hinder the protein/antibody interaction. The methylation of arginine residues has been shown to take place in other pre-mRNA splicing proteins though the role of this modification is unknown <abbrgrp><abbr bid="B38">38</abbr></abbrgrp>. One approach to determine the presence of a point mutation or a splice variant is to perform PCR coupled with sequencing techniques. Another approach to resolve this issue is to analyze this protein isoform by Mass Spectroscopy. These studies are currently under investigation.</p>
         <p>In this report, we show that nmt55/p54<sup>nrb</sup> protein is expressed in a variant isoform in a subset of ER+ tumors. These data, along with our previous observations, suggest that the association of nmt55/p54<sup>nrb</sup> and hER&#945; expression represents three separate human breast tumor phenotypes. The first phenotype represents tumors that express wild type nmt55/p54<sup>nrb</sup> and are ER+. These tumors may be classified as low grade or early stage tumors and respond well to endocrine manipulations. The second phenotype is identified as ER+ using Western blot or immunohistochemical analyses and would express the amino terminal altered/modified nmt55/p54<sup>nrb</sup> isoform. This may represent mid-grade and mid-stage tumors which are very heterogeneous. It would be of interest to determine if these tumors express nonfunctional hER&#945; and, as a result, do not respond to hormonal therapy. Finally, the third phenotype represents tumors that do not express hER&#945; and nmt55/p54<sup>nrb</sup>. These tumors would most likely be highly proliferative, classified as high grade and late stage, hormone insensitive and potentially metastatic. While the focus of this study has been the biochemical relationship between nmt55/p54<sup>nrb</sup> and tumor hormonal status, a more expansive study correlating nmt55/p54<sup>nrb</sup> protein expression with various breast tumor clinicopathological characteristics may provide additional key information. These studies are under investigation.</p>
         <p>Our data suggests that nmt55/p54<sup>nrb</sup> may be critical to cell growth and function, such that, decreased nmt55/p54<sup>nrb</sup> expression in ER- human breast tumors or the expression of nmt55/p54<sup>nrb</sup> variants in ER+ tumors may indicate loss of normal growth, nmt55/p54<sup>nrb</sup> has been shown in several studies to bind RNA and interact with PSF and Topoisomerase I <abbrgrp><abbr bid="B14">14</abbr><abbr bid="B16">16</abbr><abbr bid="B17">17</abbr><abbr bid="B18">18</abbr><abbr bid="B19">19</abbr><abbr bid="B20">20</abbr><abbr bid="B39">39</abbr></abbrgrp>. Those results along with our observations that nmt55/p54<sup>nrb</sup> associates with several splicing factors essential for spliceosome formation (unpublished) and relates to tumor hormonal status <abbrgrp><abbr bid="B13">13</abbr></abbrgrp> suggest that nmt55/p54<sup>nrb</sup> may be involved in pre-mRNA processing. Thus, loss of nmt55/p54<sup>nrb</sup> protein or the expression of nmt55/p54<sup>nrb</sup> protein variants in tumor cells may result in the loss of hER&#945; expression, the expression of nonfunctional hER&#945; or the altered expression other critical cell growth factors due to lack of proper pre-mRNA splicing.</p>
         <p>Specifically, the role of nmt55/p54<sup>nrb</sup> as a splicing factor may affect hER&#945; structure and function. The progression of breast cancer may be associated with changes in RNA processing and the production of aberrantly spliced mRNAs, which may result in non-functional gene products or the loss of specific gene expression. It has been proposed that loss of hER&#945; expression in breast tumors is the result of aberrant RNA processing <abbrgrp><abbr bid="B40">40</abbr><abbr bid="B41">41</abbr><abbr bid="B42">42</abbr><abbr bid="B43">43</abbr></abbrgrp>. These aberrantly spliced mRNAs, if translated, could lead to truncated receptors with hormone binding but not DNA binding function <abbrgrp><abbr bid="B44">44</abbr></abbrgrp>. Further, there is evidence for the role of RNA processing in oncogenesis <abbrgrp><abbr bid="B45">45</abbr><abbr bid="B46">46</abbr></abbrgrp>. Many studies, including those on human hnRNP A2/B1 and the CD44 gene, suggest that high fidelity pre-mRNA splicing is critical to normal cellular function and may play a key role in oncogenesis and breast cancer progression <abbrgrp><abbr bid="B47">47</abbr><abbr bid="B48">48</abbr></abbrgrp>. The strong association between nmt55/p54<sup>nrb</sup> and hER&#945; expression indicates that nmt55/p54<sup>nrb</sup> may be an important marker for breast cancer progression. The decreased or altered expression of nmt55/p54<sup>nrb</sup> may be related to tumor differentiation, unregulated tumor cell growth and metastases and may explain tumor heterogeneity, especially with respect to hormonal interventions in the course of treatment. Although an RNA splicing protein, hnRNP A2/B1, has been used as a tumor marker in lung cancer progression <abbrgrp><abbr bid="B47">47</abbr></abbrgrp>, this is the first time that a protein involved in pre-mRNA splicing has been implicated in breast cancer progression and may represent an important breast tumor marker. Further studies are necessary to determine a functional link between this RNA binding protein and hER&#945; in human breast cancer.</p>
      </sec>
      <sec>
         <st>
            <p>Competing interests</p>
         </st>
         <p>None declared.</p>
      </sec>
   </bdy>
   <bm>
      <ack>
         <sec>
            <st>
               <p>Acknowledgments</p>
            </st>
            <p>This work was supported by the U.S. Army Medical Research and Material Command under DAMD 17&#8211;98&#8211;1&#8211;8035.</p>
         </sec>
      </ack>
      <refgrp>
         <bibl id="B1">
            <title>
               <p>Cellular and molecular aspects of the multistage progression of mammary carcinogenesis in humans and rats.</p>
            </title>
            <aug>
               <au>
                  <snm>Gould</snm>
                  <fnm>MN</fnm>
               </au>
            </aug>
            <source>Semin Cancer Biol</source>
            <pubdate>1993</pubdate>
            <volume>4</volume>
            <fpage>161</fpage>
            <lpage>169</lpage>
            <xrefbib>
               <pubid idtype="pmpid">8318692</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B2">
            <title>
               <p>Growth factors in breast cancer.</p>
            </title>
            <aug>
               <au>
                  <snm>Dickson</snm>
                  <fnm>RB</fnm>
               </au>
               <au>
                  <snm>Lippman</snm>
                  <fnm>ME</fnm>
               </au>
            </aug>
            <source>Endocr Rev</source>
            <pubdate>1995</pubdate>
            <volume>16</volume>
            <fpage>559</fpage>
            <lpage>589</lpage>
            <xrefbib>
               <pubid idtype="pmpid">8529572</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B3">
            <title>
               <p>Tumor suppressor genes.</p>
            </title>
            <aug>
               <au>
                  <snm>Weinberg</snm>
                  <fnm>RA</fnm>
               </au>
            </aug>
            <source>Science</source>
            <pubdate>1991</pubdate>
            <volume>254</volume>
            <fpage>1138</fpage>
            <lpage>1146</lpage>
            <xrefbib>
               <pubid idtype="pmpid">1659741</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B4">
            <title>
               <p>The molecular basis of oncogenes and tumor suppressor genes.</p>
            </title>
            <aug>
               <au>
                  <snm>Weinberg</snm>
                  <fnm>RA</fnm>
               </au>
            </aug>
            <source>Ann N Y Acad Sci</source>
            <pubdate>1995</pubdate>
            <volume>758</volume>
            <fpage>331</fpage>
            <lpage>338</lpage>
            <xrefbib>
               <pubid idtype="pmpid">7625701</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B5">
            <title>
               <p>The hallmarks of cancer.</p>
            </title>
            <aug>
               <au>
                  <snm>Hanahan</snm>
                  <fnm>D</fnm>
               </au>
               <au>
                  <snm>Weinberg</snm>
                  <fnm>RA</fnm>
               </au>
            </aug>
            <source>Cell</source>
            <pubdate>2000</pubdate>
            <volume>100</volume>
            <fpage>57</fpage>
            <lpage>70</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">10647931</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B6">
            <title>
               <p>Predicting hormone responsiveness in human breast cancer.</p>
            </title>
            <aug>
               <au>
                  <snm>McGuire</snm>
                  <fnm>WL</fnm>
               </au>
               <au>
                  <snm>Pearson</snm>
                  <fnm>OH</fnm>
               </au>
               <au>
                  <snm>Segaloff</snm>
                  <fnm>A</fnm>
               </au>
            </aug>
            <source>In: Estrogen Receptors in Breast Cancer pp. 17&#8211;30. New York, NY: Raven Press;</source>
            <pubdate>1975</pubdate>
            <fpage>17</fpage>
            <lpage>30</lpage>
         </bibl>
         <bibl id="B7">
            <title>
               <p>Prediction of relapse or survival in patients with node-negative breast cancer by DNA flow cytometry.</p>
            </title>
            <aug>
               <au>
                  <snm>dark</snm>
                  <fnm>GM</fnm>
               </au>
               <au>
                  <snm>Dressler</snm>
                  <fnm>LG</fnm>
               </au>
               <au>
                  <snm>Owens</snm>
                  <fnm>MA</fnm>
               </au>
               <au>
                  <snm>Pounds</snm>
                  <fnm>G</fnm>
               </au>
               <au>
                  <snm>Oldaker</snm>
                  <fnm>T</fnm>
               </au>
               <au>
                  <snm>McGuire</snm>
                  <fnm>WL</fnm>
               </au>
            </aug>
            <source>N Engl J Med</source>
            <pubdate>1989</pubdate>
            <volume>320</volume>
            <fpage>627</fpage>
            <lpage>633</lpage>
            <xrefbib>
               <pubid idtype="pmpid">2918874</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B8">
            <title>
               <p>Prognostic factors and therapeutic decisions in axillary node-negative breast cancer.</p>
            </title>
            <aug>
               <au>
                  <snm>Elledge</snm>
                  <fnm>RM</fnm>
               </au>
               <au>
                  <snm>McGuire</snm>
                  <fnm>WL</fnm>
               </au>
            </aug>
            <source>Annu Rev Med</source>
            <pubdate>1993</pubdate>
            <volume>44</volume>
            <fpage>201</fpage>
            <lpage>210</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1146/annurev.med.44.1.201</pubid>
                  <pubid idtype="pmpid" link="fulltext">8476242</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B9">
            <title>
               <p>Prognostic factors. Stage and receptor status in breast cancer.</p>
            </title>
            <aug>
               <au>
                  <snm>Donegan</snm>
                  <fnm>WL</fnm>
               </au>
            </aug>
            <source>Cancer</source>
            <pubdate>1992</pubdate>
            <volume>70</volume>
            <fpage>1755</fpage>
            <lpage>1764</lpage>
            <xrefbib>
               <pubid idtype="pmpid">1516031</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B10">
            <title>
               <p>Prognostic indicators in early breast cancer.</p>
            </title>
            <aug>
               <au>
                  <snm>Figueroa</snm>
                  <fnm>JA</fnm>
               </au>
               <au>
                  <snm>Yee</snm>
                  <fnm>D</fnm>
               </au>
               <au>
                  <snm>McGuire</snm>
                  <fnm>WL</fnm>
               </au>
            </aug>
            <source>Am J Med Sci</source>
            <pubdate>1993</pubdate>
            <volume>305</volume>
            <fpage>176</fpage>
            <lpage>182</lpage>
            <xrefbib>
               <pubid idtype="pmpid">7680528</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B11">
            <title>
               <p>Hormone receptors: their role in predicting prognosis and response to endocrine therapy.</p>
            </title>
            <aug>
               <au>
                  <snm>McGuire</snm>
                  <fnm>WL</fnm>
               </au>
            </aug>
            <source>Semin Oncol</source>
            <pubdate>1978</pubdate>
            <volume>5</volume>
            <fpage>428</fpage>
            <lpage>433</lpage>
            <xrefbib>
               <pubid idtype="pmpid">734443</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B12">
            <title>
               <p>Prognostic factors for recurrence and survival in human breast cancer.</p>
            </title>
            <aug>
               <au>
                  <snm>McGuire</snm>
                  <fnm>WL</fnm>
               </au>
            </aug>
            <source>Breast Cancer Res Treat</source>
            <pubdate>1987</pubdate>
            <volume>10</volume>
            <fpage>5</fpage>
            <lpage>9</lpage>
            <xrefbib>
               <pubid idtype="pmpid">3689982</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B13">
            <title>
               <p>Loss of expression of a 55 kDa nuclear protein (nmt55) in estrogen receptor-negative human breast cancer.</p>
            </title>
            <aug>
               <au>
                  <snm>Traish</snm>
                  <fnm>AM</fnm>
               </au>
               <au>
                  <snm>Huang</snm>
                  <fnm>YH</fnm>
               </au>
               <au>
                  <snm>Ashba</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Pronovost</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Pavao</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>McAneny</snm>
                  <fnm>DB</fnm>
               </au>
               <au>
                  <snm>Moreland</snm>
                  <fnm>RB</fnm>
               </au>
            </aug>
            <source>Diagn Mol Pathol</source>
            <pubdate>1997</pubdate>
            <volume>6</volume>
            <fpage>209</fpage>
            <lpage>221</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1097/00019606-199708000-00005</pubid>
                  <pubid idtype="pmpid">9360842</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B14">
            <title>
               <p>Purification and cDNA cloning of HeLa cell p54nrb, a nuclear protein with two RNA recognition motifs and extensive homology to human splicing factor PSF and Drosophila NONA/BJ6.</p>
            </title>
            <aug>
               <au>
                  <snm>Dong</snm>
                  <fnm>B</fnm>
               </au>
               <au>
                  <snm>Horowitz</snm>
                  <fnm>DS</fnm>
               </au>
               <au>
                  <snm>Kobayashi</snm>
                  <fnm>R</fnm>
               </au>
               <au>
                  <snm>Krainer</snm>
                  <fnm>AR</fnm>
               </au>
            </aug>
            <source>Nucleic Acids Res</source>
            <pubdate>1993</pubdate>
            <volume>21</volume>
            <fpage>4085</fpage>
            <lpage>4092</lpage>
            <xrefbib>
               <pubid idtype="pmpid">8371983</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B15">
            <title>
               <p>AFX1 and p54nrb: fine mapping, genomic structure, and exclusion as candidate genes of X-linked dystonia parkinsonism.</p>
            </title>
            <aug>
               <au>
                  <snm>Peters</snm>
                  <fnm>U</fnm>
               </au>
               <au>
                  <snm>Haberhausen</snm>
                  <fnm>G</fnm>
               </au>
               <au>
                  <snm>Kostrzewa</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Nolte</snm>
                  <fnm>D</fnm>
               </au>
               <au>
                  <snm>Muller</snm>
                  <fnm>U</fnm>
               </au>
            </aug>
            <source>Hum Genet</source>
            <pubdate>1997</pubdate>
            <volume>100</volume>
            <fpage>569</fpage>
            <lpage>572</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1007/s004390050553</pubid>
                  <pubid idtype="pmpid" link="fulltext">9341872</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B16">
            <title>
               <p>Cloning and characterization of PSF, a novel pre-mRNA splicing factor.</p>
            </title>
            <aug>
               <au>
                  <snm>Patton</snm>
                  <fnm>JG</fnm>
               </au>
               <au>
                  <snm>Porro</snm>
                  <fnm>EB</fnm>
               </au>
               <au>
                  <snm>Galceran</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Tempst</snm>
                  <fnm>P</fnm>
               </au>
               <au>
                  <snm>Nadal-Ginard</snm>
                  <fnm>B</fnm>
               </au>
            </aug>
            <source>Genes Dev</source>
            <pubdate>1993</pubdate>
            <volume>7</volume>
            <fpage>393</fpage>
            <lpage>406</lpage>
            <xrefbib>
               <pubid idtype="pmpid">8449401</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B17">
            <title>
               <p>A novel set of spliceosome-associated proteins and the essential splicing factor PSF bind stably to pre-mRNA prior to catalytic step II of the splicing reaction.</p>
            </title>
            <aug>
               <au>
                  <snm>Gozani</snm>
                  <fnm>O</fnm>
               </au>
               <au>
                  <snm>Patton</snm>
                  <fnm>JG</fnm>
               </au>
               <au>
                  <snm>Reed</snm>
                  <fnm>R</fnm>
               </au>
            </aug>
            <source>Embo J</source>
            <pubdate>1994</pubdate>
            <volume>13</volume>
            <fpage>3356</fpage>
            <lpage>3367</lpage>
            <xrefbib>
               <pubid idtype="pmpid">8045264</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B18">
            <title>
               <p>Specific phosphorylation of SR proteins by mammalian DNA topoisomerase I.</p>
            </title>
            <aug>
               <au>
                  <snm>Rossi</snm>
                  <fnm>F</fnm>
               </au>
               <au>
                  <snm>Labourier</snm>
                  <fnm>E</fnm>
               </au>
               <au>
                  <snm>Forne</snm>
                  <fnm>T</fnm>
               </au>
               <au>
                  <snm>Divita</snm>
                  <fnm>G</fnm>
               </au>
               <au>
                  <snm>Derancourt</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Riou</snm>
                  <fnm>JF</fnm>
               </au>
               <au>
                  <snm>Antoine</snm>
                  <fnm>E</fnm>
               </au>
               <au>
                  <snm>Cathala</snm>
                  <fnm>G</fnm>
               </au>
               <au>
                  <snm>Brunel</snm>
                  <fnm>C</fnm>
               </au>
               <au>
                  <snm>Tazi</snm>
                  <fnm>J</fnm>
               </au>
            </aug>
            <source>Nature</source>
            <pubdate>1996</pubdate>
            <volume>381</volume>
            <fpage>80</fpage>
            <lpage>82</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1038/381080a0</pubid>
                  <pubid idtype="pmpid">8609994</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B19">
            <title>
               <p>The RNA-splicing factor PSF/p54 controls DNA-topoisomerase I activity by a direct interaction.</p>
            </title>
            <aug>
               <au>
                  <snm>Straub</snm>
                  <fnm>T</fnm>
               </au>
               <au>
                  <snm>Grue</snm>
                  <fnm>P</fnm>
               </au>
               <au>
                  <snm>Uhse</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Lisby</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Knudsen</snm>
                  <fnm>BR</fnm>
               </au>
               <au>
                  <snm>Tange</snm>
                  <fnm>TO</fnm>
               </au>
               <au>
                  <snm>Westergaard</snm>
                  <fnm>O</fnm>
               </au>
               <au>
                  <snm>Boege</snm>
                  <fnm>F</fnm>
               </au>
            </aug>
            <source>J Biol Chem</source>
            <pubdate>1998</pubdate>
            <volume>273</volume>
            <fpage>26261</fpage>
            <lpage>26264</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1074/jbc.273.41.26261</pubid>
                  <pubid idtype="pmpid" link="fulltext">9756848</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B20">
            <title>
               <p>PSF/p54(nrb) stimulates "jumping" of DNA topoisomerase I between separate DNA helices.</p>
            </title>
            <aug>
               <au>
                  <snm>Straub</snm>
                  <fnm>T</fnm>
               </au>
               <au>
                  <snm>Knudsen</snm>
                  <fnm>BR</fnm>
               </au>
               <au>
                  <snm>Boege</snm>
                  <fnm>F</fnm>
               </au>
            </aug>
            <source>Biochemistry</source>
            <pubdate>2000</pubdate>
            <volume>39</volume>
            <fpage>7552</fpage>
            <lpage>7558</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1021/bi992898e</pubid>
                  <pubid idtype="pmpid" link="fulltext">10858305</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B21">
            <title>
               <p>Binding of site-directed monoclonal antibodies to an epitope located in the A/B region (amino acids 140&#8211;154) of human estrogen receptor-induced conformational changes in an epitope in the DNA-binding domain.</p>
            </title>
            <aug>
               <au>
                  <snm>Traish</snm>
                  <fnm>AM</fnm>
               </au>
               <au>
                  <snm>Pavao</snm>
                  <fnm>M</fnm>
               </au>
            </aug>
            <source>Steroids</source>
            <pubdate>1996</pubdate>
            <volume>61</volume>
            <fpage>549</fpage>
            <lpage>556</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/S0039-128X(96)00109-2</pubid>
                  <pubid idtype="pmpid" link="fulltext">8883222</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B22">
            <title>
               <p>Identification of structurally altered estrogen receptors in human breast cancer by site-directed monoclonal antibodies.</p>
            </title>
            <aug>
               <au>
                  <snm>Traish</snm>
                  <fnm>AM</fnm>
               </au>
               <au>
                  <snm>al-Fadhli</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Klinge</snm>
                  <fnm>C</fnm>
               </au>
               <au>
                  <snm>Kounine</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Quick</snm>
                  <fnm>TC</fnm>
               </au>
            </aug>
            <source>Steroids</source>
            <pubdate>1995</pubdate>
            <volume>60</volume>
            <fpage>467</fpage>
            <lpage>474</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/0039-128X(95)00061-T</pubid>
                  <pubid idtype="pmpid" link="fulltext">7482632</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B23">
            <title>
               <p>Immunochemical analyses of estrogen receptors in human breast tumors by a novel monoclonal estrogen receptor antibody (EVG F9).</p>
            </title>
            <aug>
               <au>
                  <snm>Rost</snm>
                  <fnm>NS</fnm>
               </au>
               <au>
                  <snm>Murphy</snm>
                  <fnm>K</fnm>
               </au>
               <au>
                  <snm>Hafer</snm>
                  <fnm>L</fnm>
               </au>
               <au>
                  <snm>Pavao</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Traish</snm>
                  <fnm>AM</fnm>
               </au>
            </aug>
            <source>Steroids</source>
            <pubdate>2000</pubdate>
            <volume>65</volume>
            <fpage>429</fpage>
            <lpage>436</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/S0039-128X(00)00102-1</pubid>
                  <pubid idtype="pmpid" link="fulltext">10936613</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B24">
            <title>
               <p>Estrogen receptor antibodies: specificity and utility in detection, localization and analyses of estrogen receptor alpha and beta.</p>
            </title>
            <aug>
               <au>
                  <snm>Pavao</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Traish</snm>
                  <fnm>AM</fnm>
               </au>
            </aug>
            <source>Steroids</source>
            <pubdate>2001</pubdate>
            <volume>66</volume>
            <fpage>1</fpage>
            <lpage>16</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/S0039-128X(00)00143-4</pubid>
                  <pubid idtype="pmpid" link="fulltext">11090653</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B25">
            <title>
               <p>Monoclonal and polyclonal antibodies to human progesterone receptor peptide-(533&#8211;547) recognize a specific site in unactivated (8S) and activated (4S) progesterone receptor and distinguish between intact and proteolyzed receptors.</p>
            </title>
            <aug>
               <au>
                  <snm>Traish</snm>
                  <fnm>AM</fnm>
               </au>
               <au>
                  <snm>Wotiz</snm>
                  <fnm>HH</fnm>
               </au>
            </aug>
            <source>Endocrinology</source>
            <pubdate>1990</pubdate>
            <volume>127</volume>
            <fpage>1167</fpage>
            <lpage>1175</lpage>
            <xrefbib>
               <pubid idtype="pmpid">2201532</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B26">
            <title>
               <p>Estrogen receptor functional status in human breast cancer.</p>
            </title>
            <aug>
               <au>
                  <snm>Traish</snm>
                  <fnm>AM</fnm>
               </au>
               <au>
                  <snm>Newton</snm>
                  <fnm>AW</fnm>
               </au>
               <au>
                  <snm>Styperek</snm>
                  <fnm>K</fnm>
               </au>
               <au>
                  <snm>Beazley</snm>
                  <fnm>R</fnm>
               </au>
               <au>
                  <snm>Kavanah</snm>
                  <fnm>M</fnm>
               </au>
            </aug>
            <source>Diagn Mol Pathol</source>
            <pubdate>1995</pubdate>
            <volume>4</volume>
            <fpage>220</fpage>
            <lpage>228</lpage>
            <xrefbib>
               <pubid idtype="pmpid">7493142</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B27">
            <title>
               <p>Characterization of polyclonal antibodies to preselected domains of the human estrogen receptor.</p>
            </title>
            <aug>
               <au>
                  <snm>Traish</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Kim</snm>
                  <fnm>N</fnm>
               </au>
               <au>
                  <snm>Wotiz</snm>
                  <fnm>HH</fnm>
               </au>
            </aug>
            <source>Endocrinology</source>
            <pubdate>1989</pubdate>
            <volume>125</volume>
            <fpage>172</fpage>
            <lpage>179</lpage>
            <xrefbib>
               <pubid idtype="pmpid">2737141</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B28">
            <title>
               <p>Development and characterization of monoclonal antibodies to a specific domain of human estrogen receptor.</p>
            </title>
            <aug>
               <au>
                  <snm>Traish</snm>
                  <fnm>AM</fnm>
               </au>
               <au>
                  <snm>Ettinger</snm>
                  <fnm>R</fnm>
               </au>
               <au>
                  <snm>Kim</snm>
                  <fnm>N</fnm>
               </au>
               <au>
                  <snm>Marshak-Rothstein</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Wotiz</snm>
                  <fnm>HH</fnm>
               </au>
            </aug>
            <source>Steroids</source>
            <pubdate>1990</pubdate>
            <volume>55</volume>
            <fpage>196</fpage>
            <lpage>208</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/0039-128X(90)90017-6</pubid>
                  <pubid idtype="pmpid">2360217</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B29">
            <title>
               <p>Site-directed polyclonal antibodies inhibit binding of activated estrogen receptor to DNA.</p>
            </title>
            <aug>
               <au>
                  <snm>Traish</snm>
                  <fnm>AM</fnm>
               </au>
               <au>
                  <snm>Kim</snm>
                  <fnm>N</fnm>
               </au>
               <au>
                  <snm>Wotiz</snm>
                  <fnm>HH</fnm>
               </au>
            </aug>
            <source>Steroids</source>
            <pubdate>1990</pubdate>
            <volume>55</volume>
            <fpage>551</fpage>
            <lpage>556</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/0039-128X(90)90051-C</pubid>
                  <pubid idtype="pmpid">2089745</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B30">
            <title>
               <p>Binding of 7 alpha, 17 alpha-dimethyl-19-nortestosterone (mibolerone) to androgen and progesterone receptors in human and animal tissues.</p>
            </title>
            <aug>
               <au>
                  <snm>Traish</snm>
                  <fnm>AM</fnm>
               </au>
               <au>
                  <snm>Muller</snm>
                  <fnm>RE</fnm>
               </au>
               <au>
                  <snm>Wotiz</snm>
                  <fnm>HH</fnm>
               </au>
            </aug>
            <source>Endocrinology</source>
            <pubdate>1986</pubdate>
            <volume>118</volume>
            <fpage>1327</fpage>
            <lpage>1333</lpage>
            <xrefbib>
               <pubid idtype="pmpid">2419120</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B31">
            <title>
               <p>Binding analysis of the estrogen receptor to its specific DNA target site in human breast cancer.</p>
            </title>
            <aug>
               <au>
                  <snm>Foster</snm>
                  <fnm>BD</fnm>
               </au>
               <au>
                  <snm>Cavener</snm>
                  <fnm>DR</fnm>
               </au>
               <au>
                  <snm>Parl</snm>
                  <fnm>FF</fnm>
               </au>
            </aug>
            <source>Cancer Res</source>
            <pubdate>1991</pubdate>
            <volume>51</volume>
            <fpage>3405</fpage>
            <lpage>3410</lpage>
            <xrefbib>
               <pubid idtype="pmpid">2054780</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B32">
            <title>
               <p>Truncated forms of DNA-binding estrogen receptors in human breast cancer.</p>
            </title>
            <aug>
               <au>
                  <snm>Scott</snm>
                  <fnm>GK</fnm>
               </au>
               <au>
                  <snm>Kushner</snm>
                  <fnm>P</fnm>
               </au>
               <au>
                  <snm>Vigne</snm>
                  <fnm>JL</fnm>
               </au>
               <au>
                  <snm>Benz</snm>
                  <fnm>CC</fnm>
               </au>
            </aug>
            <source>J Clin Invest</source>
            <pubdate>1991</pubdate>
            <volume>88</volume>
            <fpage>700</fpage>
            <lpage>706</lpage>
            <xrefbib>
               <pubid idtype="pmpid">1864980</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B33">
            <title>
               <p>Single-step method of RNA isolation by acid guanidinium thiocyanate-phenol-chloroform extraction.</p>
            </title>
            <aug>
               <au>
                  <snm>Chomczynski</snm>
                  <fnm>P</fnm>
               </au>
               <au>
                  <snm>Sacchi</snm>
                  <fnm>N</fnm>
               </au>
            </aug>
            <source>Anal Biochem</source>
            <pubdate>1987</pubdate>
            <volume>162</volume>
            <fpage>156</fpage>
            <lpage>159</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1006/abio.1987.9999</pubid>
                  <pubid idtype="pmpid" link="fulltext">2440339</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B34">
            <title>
               <p>Isolation and characterization of rat and human glyceraldehyde-3-phosphate dehydrogenase cDNAs: genomic complexity and molecular evolution of the gene.</p>
            </title>
            <aug>
               <au>
                  <snm>Tso</snm>
                  <fnm>JY</fnm>
               </au>
               <au>
                  <snm>Sun</snm>
                  <fnm>XH</fnm>
               </au>
               <au>
                  <snm>Kao</snm>
                  <fnm>TH</fnm>
               </au>
               <au>
                  <snm>Reece</snm>
                  <fnm>KS</fnm>
               </au>
               <au>
                  <snm>Wu</snm>
                  <fnm>R</fnm>
               </au>
            </aug>
            <source>Nucleic Acids Res</source>
            <pubdate>1985</pubdate>
            <volume>13</volume>
            <fpage>2485</fpage>
            <lpage>2502</lpage>
            <xrefbib>
               <pubid idtype="pmpid">2987855</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B35">
            <title>
               <p>Cleavage of structural proteins during the assembly of the head of bacteriophage T4.</p>
            </title>
            <aug>
               <au>
                  <snm>Laemmli</snm>
                  <fnm>UK</fnm>
               </au>
            </aug>
            <source>Nature</source>
            <pubdate>1970</pubdate>
            <volume>227</volume>
            <fpage>680</fpage>
            <lpage>685</lpage>
            <xrefbib>
               <pubid idtype="pmpid">5432063</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B36">
            <title>
               <p>Current status of estrogen and progesterone receptors in breast cancer.</p>
            </title>
            <aug>
               <au>
                  <snm>McGuire</snm>
                  <fnm>WL</fnm>
               </au>
               <au>
                  <snm>Horwitz</snm>
                  <fnm>KB</fnm>
               </au>
               <au>
                  <snm>Pearson</snm>
                  <fnm>OH</fnm>
               </au>
               <au>
                  <snm>Segaloff</snm>
                  <fnm>A</fnm>
               </au>
            </aug>
            <source>Cancer</source>
            <pubdate>1977</pubdate>
            <volume>39</volume>
            <fpage>2934</fpage>
            <lpage>2947</lpage>
            <xrefbib>
               <pubid idtype="pmpid">326386</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B37">
            <title>
               <p>Breast cancer: relationship between the size of the primary tumour and the probability of metastatic dissemination.</p>
            </title>
            <aug>
               <au>
                  <snm>Koscielny</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Tubiana</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Le</snm>
                  <fnm>MG</fnm>
               </au>
               <au>
                  <snm>Valleron</snm>
                  <fnm>AJ</fnm>
               </au>
               <au>
                  <snm>Mouriesse</snm>
                  <fnm>H</fnm>
               </au>
               <au>
                  <snm>Contesso</snm>
                  <fnm>G</fnm>
               </au>
               <au>
                  <snm>Sarrazin</snm>
                  <fnm>D</fnm>
               </au>
            </aug>
            <source>Br J Cancer</source>
            <pubdate>1984</pubdate>
            <volume>49</volume>
            <fpage>709</fpage>
            <lpage>715</lpage>
            <xrefbib>
               <pubid idtype="pmpid">6733019</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B38">
            <title>
               <p>In vivo and in vitro arginine methylation of RNA-binding proteins.</p>
            </title>
            <aug>
               <au>
                  <snm>Liu</snm>
                  <fnm>Q</fnm>
               </au>
               <au>
                  <snm>Dreyfuss</snm>
                  <fnm>G</fnm>
               </au>
            </aug>
            <source>Mol Cell Biol</source>
            <pubdate>1995</pubdate>
            <volume>15</volume>
            <fpage>2800</fpage>
            <lpage>2808</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="pmcid">230511</pubid>
                  <pubid idtype="pmpid" link="fulltext">7739561</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B39">
            <title>
               <p>The intracisternal A-particle proximal enhancer-binding protein activates transcription and is identical to the RNA- and DNA-binding protein p54nrb/NonO.</p>
            </title>
            <aug>
               <au>
                  <snm>Basu</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Dong</snm>
                  <fnm>B</fnm>
               </au>
               <au>
                  <snm>Krainer</snm>
                  <fnm>AR</fnm>
               </au>
               <au>
                  <snm>Howe</snm>
                  <fnm>CC</fnm>
               </au>
            </aug>
            <source>Mol Cell Biol</source>
            <pubdate>1997</pubdate>
            <volume>17</volume>
            <fpage>677</fpage>
            <lpage>686</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="pmcid">231793</pubid>
                  <pubid idtype="pmpid" link="fulltext">9001221</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B40">
            <title>
               <p>Genomic organization of the human oestrogen receptor gene.</p>
            </title>
            <aug>
               <au>
                  <snm>Ponglikitmongkol</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Green</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Chambon</snm>
                  <fnm>P</fnm>
               </au>
            </aug>
            <source>Embo J</source>
            <pubdate>1988</pubdate>
            <volume>7</volume>
            <fpage>3385</fpage>
            <lpage>3388</lpage>
            <xrefbib>
               <pubid idtype="pmpid">3145193</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B41">
            <title>
               <p>Mutations in the estrogen receptor gene.</p>
            </title>
            <aug>
               <au>
                  <snm>Sluyser</snm>
                  <fnm>M</fnm>
               </au>
            </aug>
            <source>Hum Mutat</source>
            <pubdate>1995</pubdate>
            <volume>6</volume>
            <fpage>97</fpage>
            <lpage>103</lpage>
            <xrefbib>
               <pubid idtype="pmpid">7581411</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B42">
            <title>
               <p>Novel mutations in the estrogen receptor messenger RNA in human breast cancers.</p>
            </title>
            <aug>
               <au>
                  <snm>Murphy</snm>
                  <fnm>LC</fnm>
               </au>
               <au>
                  <snm>Wang</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Coutt</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Dotzlaw</snm>
                  <fnm>H</fnm>
               </au>
            </aug>
            <source>J Clin Endocrinol Metab</source>
            <pubdate>1996</pubdate>
            <volume>81</volume>
            <fpage>1420</fpage>
            <lpage>1427</lpage>
            <xrefbib>
               <pubid idtype="pmpid">8636345</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B43">
            <title>
               <p>Estrogen receptors: new perspectives in breast cancer management.</p>
            </title>
            <aug>
               <au>
                  <snm>Petrangeli</snm>
                  <fnm>E</fnm>
               </au>
               <au>
                  <snm>Lubrano</snm>
                  <fnm>C</fnm>
               </au>
               <au>
                  <snm>Ortolani</snm>
                  <fnm>F</fnm>
               </au>
               <au>
                  <snm>Ravenna</snm>
                  <fnm>L</fnm>
               </au>
               <au>
                  <snm>Vacca</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Sciacchitano</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Frati</snm>
                  <fnm>L</fnm>
               </au>
               <au>
                  <snm>Gulino</snm>
                  <fnm>A</fnm>
               </au>
            </aug>
            <source>J Steroid Biochem Mol Biol</source>
            <pubdate>1994</pubdate>
            <volume>49</volume>
            <fpage>327</fpage>
            <lpage>331</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/0960-0760(94)90275-5</pubid>
                  <pubid idtype="pmpid">8043496</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B44">
            <title>
               <p>Alternative splicing of the estrogen receptor primary transcript normally occurs in estrogen receptor positive tissues and cell lines.</p>
            </title>
            <aug>
               <au>
                  <snm>Pfeffer</snm>
                  <fnm>U</fnm>
               </au>
               <au>
                  <snm>Fecarotta</snm>
                  <fnm>E</fnm>
               </au>
               <au>
                  <snm>Arena</snm>
                  <fnm>G</fnm>
               </au>
               <au>
                  <snm>Forlani</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Vidali</snm>
                  <fnm>G</fnm>
               </au>
            </aug>
            <source>J Steroid Biochem Mol Biol</source>
            <pubdate>1996</pubdate>
            <volume>56</volume>
            <fpage>99</fpage>
            <lpage>105</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/0960-0760(95)00227-8</pubid>
                  <pubid idtype="pmpid">8603053</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B45">
            <title>
               <p>Oncoprotein TLS interacts with serine-arginine proteins involved in RNA splicing.</p>
            </title>
            <aug>
               <au>
                  <snm>Yang</snm>
                  <fnm>L</fnm>
               </au>
               <au>
                  <snm>Embree</snm>
                  <fnm>LJ</fnm>
               </au>
               <au>
                  <snm>Tsai</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Hickstein</snm>
                  <fnm>DD</fnm>
               </au>
            </aug>
            <source>J Biol Chem</source>
            <pubdate>1998</pubdate>
            <volume>273</volume>
            <fpage>27761</fpage>
            <lpage>27764</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1074/jbc.273.43.27761</pubid>
                  <pubid idtype="pmpid" link="fulltext">9774382</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B46">
            <title>
               <p>Fusion of splicing factor genes PSF and NonO (p54nrb) to the TFE3 gene in papillary renal cell carcinoma.</p>
            </title>
            <aug>
               <au>
                  <snm>dark</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Lu</snm>
                  <fnm>YJ</fnm>
               </au>
               <au>
                  <snm>Sidhar</snm>
                  <fnm>SK</fnm>
               </au>
               <au>
                  <snm>Parker</snm>
                  <fnm>C</fnm>
               </au>
               <au>
                  <snm>Gill</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Smedley</snm>
                  <fnm>D</fnm>
               </au>
               <au>
                  <snm>Hamoudi</snm>
                  <fnm>R</fnm>
               </au>
               <au>
                  <snm>Linehan</snm>
                  <fnm>WM</fnm>
               </au>
               <au>
                  <snm>Shipley</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Cooper</snm>
                  <fnm>CS</fnm>
               </au>
            </aug>
            <source>Oncogene</source>
            <pubdate>1997</pubdate>
            <volume>15</volume>
            <fpage>2233</fpage>
            <lpage>2239</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1038/sj.onc.1201394</pubid>
                  <pubid idtype="pmpid" link="fulltext">9393982</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B47">
            <title>
               <p>Purification and characterization of a protein that permits early detection of lung cancer. Identification of heterogeneous nuclear ribonucleoprotein-A2/Bl as the antigen for monoclonal antibody 703D4.</p>
            </title>
            <aug>
               <au>
                  <snm>Zhou</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Mulshine</snm>
                  <fnm>JL</fnm>
               </au>
               <au>
                  <snm>Unsworth</snm>
                  <fnm>EJ</fnm>
               </au>
               <au>
                  <snm>Scott</snm>
                  <fnm>FM</fnm>
               </au>
               <au>
                  <snm>Avis</snm>
                  <fnm>IM</fnm>
               </au>
               <au>
                  <snm>Vos</snm>
                  <fnm>MD</fnm>
               </au>
               <au>
                  <snm>Treston</snm>
                  <fnm>AM</fnm>
               </au>
            </aug>
            <source>J Biol Chem</source>
            <pubdate>1996</pubdate>
            <volume>271</volume>
            <fpage>10760</fpage>
            <lpage>10766</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1074/jbc.271.18.10760</pubid>
                  <pubid idtype="pmpid" link="fulltext">8631886</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B48">
            <title>
               <p>The variant mRNA isoform of human metastasis gene (CD44V) detected in the cell lines of human hepatocellular carcinoma.</p>
            </title>
            <aug>
               <au>
                  <snm>Ham</snm>
                  <fnm>HJ</fnm>
               </au>
               <au>
                  <snm>Ho</snm>
                  <fnm>LI</fnm>
               </au>
               <au>
                  <snm>Yu</snm>
                  <fnm>CP</fnm>
               </au>
               <au>
                  <snm>Wang</snm>
                  <fnm>MW</fnm>
               </au>
               <au>
                  <snm>Lee</snm>
                  <fnm>HS</fnm>
               </au>
               <au>
                  <snm>Lin</snm>
                  <fnm>JJ</fnm>
               </au>
               <au>
                  <snm>Lee</snm>
                  <fnm>WH</fnm>
               </au>
               <au>
                  <snm>Isola</snm>
                  <fnm>NR</fnm>
               </au>
               <au>
                  <snm>Cooper</snm>
                  <fnm>DL</fnm>
               </au>
            </aug>
            <source>Biochem Mol Biol Int</source>
            <pubdate>1994</pubdate>
            <volume>32</volume>
            <fpage>233</fpage>
            <lpage>238</lpage>
            <xrefbib>
               <pubid idtype="pmpid">7517252</pubid>
            </xrefbib>
         </bibl>
      </refgrp>
      <sec>
         <st>
            <p>Pre-publication history</p>
         </st>
         <p>The pre-publication history for this paper can be accessed here:</p>
         <p>
            <url>http://www.biomedcentral.com/1471-2407/1/15/prepub</url>
         </p>
      </sec>
   </bm>
</art>
