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少突胶质细胞瘤中1p缺失的瘤内分布。

Intratumoral distribution of 1p loss in oligodendroglial tumors.

作者信息

Kros Johan M, van der Weiden Marcel, Zheng Ping-Pin, Hop Wim C, van den Bent Martin J, Kouwenhoven Mathilde C M

机构信息

Department of Pathology, Erasmus Medical Center, Rotterdam, The Netherlands.

出版信息

J Neuropathol Exp Neurol. 2007 Dec;66(12):1118-23. doi: 10.1097/nen.0b013e31815c254d.

Abstract

The favorable response of oligodendrogliomas correlates well with characteristic chromosomal losses, of which loss of the short arm of chromosome 1 is most predictive. Oligodendrogliomas are histopathologically heterogeneous tumors and, in addition to the classic honeycomb histology, fields of nonclassic histology are often encountered. Information about the distribution of 1p loss in various regions of oligodendroglioma is, therefore, important to interpret findings in tumor biopsies. In this study we investigated the distribution of 1p loss in multiple fields in 24 biopsy specimens of oligodendroglioma consisting of classic and nonclassic histology by fluorescent in situ hybridization and loss of heterozygosity analysis. By fluorescent in situ hybridization analysis, loss of 1p was found in all fields examined in 37% of the tumor samples, and no loss was detected in 46%. In fields of classic oligodendroglial and polar spongioblastoma-like histology, significantly more loss for 1p was found (p < 0.001 and p < 0.01, respectively). Although fluorescent in situ hybridization analysis indicated heterogeneity for 1p loss in the other 17% of tumors, loss of heterozygosity analysis of these samples pointed to homogeneity of 1p status in all fields. The 1p status of the fields with classic histology significantly correlated with the status of the other fields in the same tumors (Spearman's rho 0.918, p < 0.001). These results point to genotypic homogeneity for 1p in oligodendroglial tumors.

摘要

少突胶质细胞瘤的良好反应与特征性染色体缺失密切相关,其中1号染色体短臂缺失最具预测性。少突胶质细胞瘤是组织病理学上异质性的肿瘤,除了经典的蜂窝状组织学外,还经常遇到非经典组织学区域。因此,了解少突胶质细胞瘤不同区域1p缺失的分布情况对于解释肿瘤活检结果很重要。在本研究中,我们通过荧光原位杂交和杂合性缺失分析,调查了24例由经典和非经典组织学组成的少突胶质细胞瘤活检标本中多个区域1p缺失的分布情况。通过荧光原位杂交分析,在37%的肿瘤样本中,所有检测区域均发现1p缺失,46%未检测到缺失。在经典少突胶质细胞和极性海绵状母细胞瘤样组织学区域,发现1p缺失明显更多(分别为p < 0.001和p < 0.01)。虽然荧光原位杂交分析表明另外17%的肿瘤中1p缺失存在异质性,但这些样本的杂合性缺失分析表明所有区域1p状态均一。具有经典组织学的区域的1p状态与同一肿瘤中其他区域的状态显著相关(Spearman秩相关系数0.918,p < 0.001)。这些结果表明少突胶质细胞瘤中1p的基因型均一性。

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