Monoclonality of multifocal epithelioid hemangioendothelioma of the liver by analysis of WWTR1 - CAMTA1 breakpoints

Similar to other vascular tumors, epithelioid hemangioendothelioma (EHE) can have multifocal presentation in up to 50% of cases. However, whether multifocal EHE represents an unusual pattern of metastasis or multiple separate primary tumors remains to be elucidated. Our recent identification of a WW...

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Veröffentlicht in:Cancer genetics 2012-01, Vol.205 (1), p.12-17
Hauptverfasser: Errani, Costantino, Sung, Yun Shao, Zhang, Lei, Healey, John H, Antonescu, Cristina R
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Sung, Yun Shao
Zhang, Lei
Healey, John H
Antonescu, Cristina R
description Similar to other vascular tumors, epithelioid hemangioendothelioma (EHE) can have multifocal presentation in up to 50% of cases. However, whether multifocal EHE represents an unusual pattern of metastasis or multiple separate primary tumors remains to be elucidated. Our recent identification of a WWTR1 - CAMTA1 fusion as the genetic hallmark of EHE irrespective of anatomic location was used to clarify this question by comparing the similarity of translocation breakpoints. In our previous study, we found variability of the fusion transcripts of the t(1;3)(p36;q25) translocation among different patients with EHE. Thus, we undertook a molecular analysis of six samples from two patients with multicentric hepatic EHE to test our hypothesis that the presence of identical breakpoints in WWTR1 and CAMTA1 support the monoclonal nature of multifocal EHE. Using reverse transcription-polymerase chain reaction (RT-PCR) and subsequent sequencing, we confirmed an identical WWTR1 - CAMTA1 fusion transcript product from different nodules in each patient. Our results confirm that multifocal EHE are monoclonal and thus represent metastatic implants of the same neoplastic clone rather than a “field-effect” or synchronous occurrence of multiple neoplastic clones.
doi_str_mv 10.1016/j.cancergen.2011.10.008
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subjects Adult
Base Sequence
Calcium-Binding Proteins - analysis
Calcium-Binding Proteins - genetics
Chromosome Breakpoints
Clonal Evolution - genetics
Clonal Evolution - physiology
Clone Cells - metabolism
Clone Cells - pathology
epithelioid hemangioendothelioma
Female
Hemangioendothelioma, Epithelioid - genetics
Hemangioendothelioma, Epithelioid - pathology
Hematology, Oncology and Palliative Medicine
Humans
Intracellular Signaling Peptides and Proteins - analysis
Intracellular Signaling Peptides and Proteins - genetics
Liver Neoplasms - genetics
Liver Neoplasms - pathology
Male
Medical Education
metastasis
Molecular Sequence Data
monoclonality
multifocality
Neoplasms, Multiple Primary - genetics
Neoplasms, Multiple Primary - pathology
Reverse Transcriptase Polymerase Chain Reaction
Sequence Analysis, DNA
Trans-Activators - analysis
Trans-Activators - genetics
Vascular tumor
WWTR1-CAMTA1
title Monoclonality of multifocal epithelioid hemangioendothelioma of the liver by analysis of WWTR1 - CAMTA1 breakpoints
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