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Frequent Mutation and Nuclear Localization of β-Catenin in Sertoli Cell Tumors of the Testis.

睾丸支持细胞瘤中β-Catenin的常见基因突变与免疫组化核阳性定位

Perrone F,Bertolotti A,Montemurro G,Paolini B,Pierotti MA,Colecchia M

Abstract

The Sertoli cell tumor (SCT) of the testis is a sex cord stromal tumor, usually sporadic, rarely associated with genetic syndromes. Much remains unclear about the molecular genetic changes involved in SCT and its histogenesis. Recently, nuclear β-catenin immunostaining has been reported in a case of bilateral SCT, but the molecular basis of the aberrant nuclear β-catenin expression remains uncertain. In the present study, β-catenin immunohistochemical assay and mutational analysis of exon 3 of the CTNNB1 gene by direct sequencing were performed in 14 SCTs, 2 of which had an unfavorable clinical course. Immunohistochemical study showed that β-catenin was located in the cytoplasm of tumor cells in 4 cases (28.6%) and in both the nuclei and the cytoplasm in the remaining 10 cases (71.4%). β-Catenin mutations were detected in 10 of the 14 patients (71.4%) under evaluation. Ten of 10 mutation-carrying cases showed strong nuclear and diffuse cytoplasmic β-catenin immunoreactivity. Seven of the 8 CTNNB1-mutated tumors tested for cyclin D1 displayed diffuse immunoreactivity in the nuclei of tumor cells. We conclude that CTNNB1 exon 3 mutations are likely to be involved in the pathogenesis of male SCT with nuclear accumulation of β-catenin and affect the expression of cyclin D1.

摘要

睾丸支持细胞瘤(SCT)是一种性索间质肿瘤,通常为散发,很少具有遗传特征。关于其分子遗传学改变及组织学发生目前仍不清楚。最近,报道一例双侧发生SCT、免疫组化显示β-Catenin基因核阳性定位的病例,但β-Catenin异常核表达的分子基础仍不明确。本研究针对14例SCT患者,均行β-catenin免疫组化检查及针对CTNNB1基因外显子3(exon 3)突变检测(直接测序法),其中2例患者临床预后欠佳。免疫组化结果显示,4/14例(28.6%) β-Catenin染色定位于胞浆,10/14例(71.4%)显示胞浆、胞核一起着色。对14例中的10例患者进行β-Catenin基因突变检测,10/10例突变携带者β-Catenin均显示明显核阳性及胞浆弥散阳性。7/8例CTNNB1基因突变患者行CyclinD1免疫组化,结果显示不同程度的核阳性。我们的结果表明CTNNB1基因外显子3的突变与β-Catenin核异常表达相关,并与 CyclinD1核表达相关。

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