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探讨肾上腺皮质肿瘤中的 BRAF 和 CTNNB1 激活突变。

Investigation of BRAF and CTNNB1 activating mutations in adrenocortical tumors.

机构信息

Department of Histology, Microbiology, and Medical Biotechnologies, University of Padua, Padua, Italy.

出版信息

J Endocrinol Invest. 2009 Jul;32(7):597-600. doi: 10.1007/BF03346515. Epub 2009 May 15.

Abstract

BACKGROUND

Activating mutations of the BRAF oncogene play a central role in the development of various cancer types, but their role in human adrenocortical tumors is unknown. At variance, activating mutations of another oncogene, CTNNB1, which encodes beta-catenin, have been shown to be common events in both benign and malignant adrenocortical tumors.

AIM

To investigate the prevalence of BRAF and CTNNB1 activating mutations in sporadic adrenocortical tumors.

MATERIALS AND METHODS

Tissue samples from 15 adrenocortical carcinomas and 41 adrenocortical adenomas were investigated for the presence of BRAF and CTNNB1 activating mutations by PCR amplification and direct sequencing.

RESULTS

An advanced invasive non-functioning adrenocortical carcinoma carried a somatic heterozygous BRAF V600E mutation, while 4 functioning and 4 non-functioning adenomas and 3 functioning carcinomas carried different CTNNB1 activating mutations.

CONCLUSIONS

Activating BRAF somatic mutations may be occasionally found in advanced adrenocortical carcinomas, while CTNNB1 activating mutations are early and common events in adrenal tumorigenesis.

摘要

背景

BRAF 癌基因的激活突变在各种癌症类型的发展中起着核心作用,但它们在人类肾上腺皮质肿瘤中的作用尚不清楚。相比之下,另一个癌基因 CTNNB1 的激活突变,其编码β-连环蛋白,已被证明是良性和恶性肾上腺皮质肿瘤中的常见事件。

目的

研究 BRAF 和 CTNNB1 激活突变在散发性肾上腺皮质肿瘤中的流行情况。

材料和方法

通过 PCR 扩增和直接测序,对 15 例肾上腺皮质癌和 41 例肾上腺皮质腺瘤组织样本进行 BRAF 和 CTNNB1 激活突变的检测。

结果

一例晚期浸润性无功能肾上腺皮质癌携带 BRAF V600E 体细胞杂合突变,而 4 例功能性和 4 例非功能性腺瘤以及 3 例功能性癌均携带不同的 CTNNB1 激活突变。

结论

激活的 BRAF 体细胞突变偶尔可在晚期肾上腺皮质癌中发现,而 CTNNB1 激活突变是肾上腺肿瘤发生的早期和常见事件。

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