Abstract
Glomangiopericytoma (sinonasal-type hemangiopericytoma) is a rare mesenchymal neoplasm with myoid phenotype (smooth muscle actin-positive), which distinguishes this tumor from soft tissue hemangiopericytoma/solitary fibrous tumor. Molecular genetic changes underlying the pathogenesis of glomangiopericytoma are not known. In this study, 13 well-characterized glomangiopericytomas were immunohistochemically evaluated for β-catenin expression. All analyzed tumors showed strong expression and nuclear accumulation of β-catenin. Following this observation, β-catenin glycogen serine kinase-3 beta phosphorylation region, encoded by exon 3, was PCR amplified in all cases and evaluated for mutations using Sanger sequencing. Heterozygous mutations were identified in 12 of 13 tumors. All mutations consisted of single-nucleotide substitutions: three in codon 32 (c.94G>C (n=2) and c.95A>T), four in codon 33 (two each c.98C>G and c.98C>T), two in codon 37 (c.109T>G), one in codon 41 (c.121A>G), and two in codon 45 (c.133T>C). At the protein level, these substitutions would lead to p.D32H, p.D32V, p.S33C, p.S33F, p.S37A, p.T41A, and p.S45L mutations, respectively. Previously, similar mutations have been reported in different types of cancers and shown to trigger activation of β-catenin signaling. All analyzed glomangiopericytomas showed prominent nuclear expression of cyclin D1, as previously shown for tumors with nuclear expression of β-catenin as a sign of oncogenic activation. These results demonstrate that mutational activation of β-catenin and associated cyclin D1 overexpression may be central events in the pathogenesis of glomangiopericytoma. In additon, nuclear accumulation of β-catenin is a diagnostic marker for glomangiopericytoma.
摘要
球周皮细胞瘤(鼻窦型血管外皮细胞瘤)是一种罕见的间叶性肿瘤,具有肌样表型(SMA阳性),据此可将其与软组织血管外皮细胞瘤/孤立性纤维性肿瘤鉴别。球周皮细胞瘤发病机制的分子遗传学改变尚不清楚。本研究用免疫组化方法检查了13例特征明确的球周皮细胞瘤β-catenin的表达。结果显示所有肿瘤β-catenin核表达较强。根据这一观察,所有病例进一步用PCR方法进行了3号外显子编码的β-catenin糖原丝氨酸激酶-3β磷酸化区域的扩增并用Sanger测序法检测有无突变。13例肿瘤中有12例发现杂合子突变。所有突变显示为单碱基替换:3例在32号密码子(c.94G>C(n = 2)和c.95A> T)、4例在33号密码子(c.98C> G和c.98C> T各两例)、2例在37号密码子(c.109T > G)、1例在41号密码子(c.121A > G)、2例在45号密码子(c.133T>C)。蛋白水平上,这些碱基替换分别导致p.D32H、p.D32V、p.S33C、p.S33F、p.S37A、p.T41A和p.S45L突变。此前,多种不同类型癌中已有类似的基因突变报道,并显示出β-catenin信号通路触发激活。本研究中球周皮细胞瘤显著的cyclinD1核表达,同肿瘤β-catenin核表达一样可作为肿瘤癌基因活化的标志。这些结果表明,β-catenin基因突变激活和cyclin D1过表达可能是球周皮细胞瘤发病的核心事件。此外,β-catenin核表达是球周皮细胞瘤的诊断性标志。
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