Detection of TERT promoter mutations in primary adenocarcinoma of the urinary bladder.

Detection of TERT promoter mutations in primary adenocarcinoma of the urinary bladder.
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DOI:
10.1016/j.humpath.2016.02.009
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发表时间:
2016-07
期刊:
影响因子:
3.3
通讯作者:
Netto GJ
Netto GJ
中科院分区:
医学3区
文献类型:
--
作者:
Cowan ML;Springer S;Nguyen D;Taheri D;Guner G;Mendoza Rodriguez MA;Wang Y;Kinde I;Del Carmen Rodriguez Pena M;VandenBussche CJ;Olson MT;Cunha I;Fujita K;Ertoy D;Kinzler K;Bivalacqua T;Papadopoulos N;Vogelstein B;Netto GJ

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已在60%至80%的尿路上皮癌中检测到TERT启动子突变(TERT-mut)。我们小组和其他人目前正在进行一种基于分子尿液的检测TERT-mut的筛查试验。一小部分但数量可观的膀胱癌是腺癌。目前的研究评估了TERT-mut在膀胱腺癌中的发生率。回顾我们的机构病理记录,发现23例膀胱癌切除标本被诊断为腺癌(2000-2014)。所有切片均由资深泌尿科病理学家检查,以确定肿瘤类型,并选择具有代表性的福尔马林固定石蜡包埋切片进行突变分析。14例患者有足够的DNA检测材料(7例肠型,7例未作特殊说明)。使用前面描述的SafeSeq技术进行TERT-MUT测序分析。总体而言,28.5%的原发腺癌携带TERT-mut。有趣的是,57%的非肠道腺癌是突变阳性的,而肠道型肿瘤中没有突变。与尿路上皮癌相似,我们发现在非肠道型腺癌中TERT-mut的发生率相对较高,进一步支持了基于尿液的TERT-mut在膀胱癌筛查中的潜在应用。
TERT promoter mutations (TERT-mut) have been detected in 60% to 80% of urothelial carcinomas. A molecular urine-based screening assay for the detection of TERT-mut is currently being pursued by our group and others. A small but significant number of bladder carcinomas are adenocarcinoma. The current study assesses the incidence of TERT-mut in primary adenocarcinomas of urinary bladder. A retrospective search of our institutional pathology records identified 23 cystectomy specimens with a diagnosis of adenocarcinoma (2000–2014). All slides were reviewed by a senior urologic pathologist to confirm tumor type and select a representative formalin-fixed, paraffin-embedded block for mutational analysis. Adequate material for DNA testing was available in 14 cases (7 enteric type and 7 not otherwise specified). TERT-mut sequencing analysis was performed using previously described SafeSeq technique. Overall, 28.5% of primary adenocarcinoma harbored TERT-mut. Interestingly, 57% of nonenteric adenocarcinomas were mutation positive, whereas none of the enteric-type tumors harbored mutations. Similar to urothelial carcinoma, we found a relatively higher rate of TERT-mut among nonenteric-type adenocarcinomas further supporting the potential utility of TERT-mut urine-based screening assay for bladder cancer.
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