A complex karyotype in an atypical teratoid/rhabdoid tumor: case report and review of the literature

Atypical teratoid/rhabdoid tumor (AT/RT) is a highly aggressive and uncommon neoplasm of the central nervous system that usually occurs in children less than 2 years of age. It is characterized by deletions and/or mutations of the INI1 tumor suppressor gene located in chromosome band 22q11.2. We per...

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Veröffentlicht in:Journal of neuro-oncology 2011-08, Vol.104 (1), p.375-380
Hauptverfasser: Coccé, Mariela C., Lubieniecki, Fabiana, Kordes, Uwe, Alderete, Daniel, Gallego, Marta S.
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creator Coccé, Mariela C.
Lubieniecki, Fabiana
Kordes, Uwe
Alderete, Daniel
Gallego, Marta S.
description Atypical teratoid/rhabdoid tumor (AT/RT) is a highly aggressive and uncommon neoplasm of the central nervous system that usually occurs in children less than 2 years of age. It is characterized by deletions and/or mutations of the INI1 tumor suppressor gene located in chromosome band 22q11.2. We performed cytogenetic and molecular studies of an AT/RT on a 15-month-old boy. The tumor showed a complex karyotype with one cell line showing monosomy 22 and another near-tetraploid one with additional chromosomal abnormalities, involving chromosomes 2, 3, 5, 6, and Y, which had not been previously described. Sequence analysis of the tumor did not identify mutations of the INI1 gene. The karyotypic evolution observed in this tumor suggests that INI1 has an epigenetic role in the maintenance of genome integrity by affecting genes, which produces mitotic defects and polyploidy. Finally, this case is the first to support the theory that loss of INI1 could induce the chromosomal instability that might be responsible for the genesis of this tumor.
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subjects Age
Case Report
Case reports
Central nervous system
Children
Chromosomal Proteins, Non-Histone - genetics
Chromosome Deletion
Chromosomes, Human, Pair 22 - genetics
DNA-Binding Proteins - genetics
epigenetics
Evolution
Evolutionary genetics
Gene deletion
Genomes
Genomic instability
Humans
Infant
INI1 protein
Karyotypes
Karyotyping - methods
Literature reviews
Male
Medicine
Medicine & Public Health
Monosomy
Mutation
Mutation - genetics
Neurology
Oncology
Polyploidy
Reviews
Rhabdoid Tumor - diagnosis
Rhabdoid Tumor - genetics
SMARCB1 Protein
Teratoma - diagnosis
Teratoma - genetics
Transcription Factors - genetics
Tumor suppressor genes
Tumors
title A complex karyotype in an atypical teratoid/rhabdoid tumor: case report and review of the literature
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