Gijtenbeek Johanna M M, Boots-Sprenger Sandra H E, Franke Barbara, Wesseling Pieter, Jeuken Judith W M
Department of Neurology, Radboud University, Nijmegen Medical Center, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands.
J Neurooncol. 2005 Sep;74(3):261-6. doi: 10.1007/s11060-004-7326-z.
Central nervous system (CNS) hemangioblastomas are highly-vascularized tumors occurring in sporadic form or as a manifestation of von Hippel-Lindau disease (VHL). The VHL protein (pVHL) regulates various target genes, one of which is the CCND1 gene, encoding cyclin D1, a protein that plays a critical role in the control of the cell cycle. Overexpression of cyclin D1 is found in many cancers. The CCND1 gene contains a common G --> A polymorphism (870G > A) that enhances alternative splicing of the gene. CCND1 genotype is associated with clinical outcome in a number of cancers although prognostic significance varies with tumor type. In VHL disease, CCND1 genotype has been suggested as a genetic modifier that influences susceptibility to hemangioblastomas. In order to analyze whether CCND1 genotype plays a role in sporadic CNS hemangioblastomas, we investigated CCND1 genotype in tumor tissue of 17 sporadic and also in five VHL-related CNS hemangioblastomas. In addition, in these tumors the extent and localization of cyclin D1 expression was investigated by immunohistochemistry. We found no deviation in CCND1 genotype distribution and allele frequencies from expected values. Also, there was no correlation between age at onset and CCND1 genotype. The expression of cyclin D1 as detected by immunohistochemistry was highly variable within and between tumors, without a clear correlation with CCND1 genotype. We conclude that, whereas variable but sometimes high cyclin D1 expression is a feature of sporadic hemangioblastomas, CCND1 genotype is unlikely to be an important genetic modifier in the oncogenesis of these tumors.
中枢神经系统(CNS)血管母细胞瘤是高度血管化的肿瘤,以散发性形式出现或作为冯·希佩尔-林道病(VHL)的一种表现。VHL蛋白(pVHL)调节各种靶基因,其中之一是CCND1基因,它编码细胞周期蛋白D1,一种在细胞周期控制中起关键作用的蛋白质。细胞周期蛋白D1的过表达在许多癌症中都有发现。CCND1基因包含一个常见的G→A多态性(870G>A),该多态性增强了该基因的可变剪接。CCND1基因型与多种癌症的临床结果相关,尽管预后意义因肿瘤类型而异。在VHL病中,CCND1基因型被认为是一种影响血管母细胞瘤易感性的遗传修饰因子。为了分析CCND1基因型在散发性CNS血管母细胞瘤中是否起作用,我们研究了17例散发性肿瘤组织以及5例与VHL相关的CNS血管母细胞瘤中的CCND1基因型。此外,通过免疫组织化学研究了这些肿瘤中细胞周期蛋白D1表达的程度和定位。我们发现CCND1基因型分布和等位基因频率与预期值没有偏差。此外,发病年龄与CCND1基因型之间也没有相关性。免疫组织化学检测到的细胞周期蛋白D1表达在肿瘤内部和肿瘤之间高度可变,与CCND1基因型没有明显相关性。我们得出结论,虽然可变但有时较高的细胞周期蛋白D1表达是散发性血管母细胞瘤的一个特征,但CCND1基因型不太可能是这些肿瘤发生过程中的重要遗传修饰因子。