Substantial evidence implicates amplification of the N-myc gene with aggres
sive tumor growth and poor outcome in neuroblastoma. However some evidence
suggests that this gene alone is not the sole determinant of outcome in N-m
yc amplified tumors. We have searched for genes that co-amplify with N-myc
in neuroblastoma by means of two-dimensional analysis of genomic restrictio
n digests. Using this approach, we have identified and cloned a novel genom
ic fragment which is co-amplified with N-myc in neuroblastomas, This fragme
nt was mapped in close vicinity to N-myc on chromosome arm 2p24, It was amp
lified in 5/8 N-myc amplified neuroblastoma cell lines and in 9/13 N-myc am
plified tumors. Using a PCR-based approach we isolated a 4.5 kb c-DNA seque
nce that is partly contained in the genomic fragment, The open reading fram
e of the cDNA encodes a predicted protein of 1353 amino acids (aa), The hom
ology of the predicted protein, which we designated NAG (neuroblastoma ampl
ified gene), to a C, elegans protein of as yet unknown function, and its ub
iquious expression suggest that NAG may serve an essential function, By Nor
thern blot analysis we showed that amplification of the cloned gene correla
tes with over-expression in neuroblastoma cell lines. Amplification and con
sequent over-expression of NAG may, therefore, contribute to the phenotype
of a subset of neuroblastomas.