Fontaine B, Hanson M P, VonSattel J P, Martuza R L, Gusella J F
Molecular Neurogenetics Laboratory, Neuroscience Center, Massachusetts General Hospital, Charlestown 02129.
Ann Neurol. 1991 Feb;29(2):183-6. doi: 10.1002/ana.410290211.
Acoustic neuromas occur either as sporadic solitary tumors in the general population or as inherited bilateral tumors typically in patients with neurofibromatosis type 2. Loss of heterozygosity for markers on the long arm of chromosome 22 has been reported in both instances, and neurofibromatosis type 2 has been genetically linked to a marker on the long arm of this autosome, suggesting that a unique locus on chromosome 22 is implicated in tumorigenesis of both sporadic and inherited acoustic neuromas. To determine whether the locus for neurofibromatosis type 2 might also be responsible for tumorigenesis of those schwannomas distinct from acoustic neuromas in people without neurofibromatosis type 2, we studied the DNA content of three sporadic spinal schwannomas. In all three, we found loss of heterozygosity for at least three markers on the long arm of chromosome 22, indicating a partial or total monosomy 22 in the tumor. Our results suggest that a locus on chromosome 22 is responsible for tumorigenesis in schwann cells regardless of their location in the central nervous system, and that some other mechanism (genetic or nongenetic) might account for the relative high proportion of schwannomas developing from the eighth cranial nerve.
听神经瘤在普通人群中以散发性孤立肿瘤的形式出现,或者在患有2型神经纤维瘤病的患者中以遗传性双侧肿瘤的形式出现。在这两种情况下均已报道22号染色体长臂上的标记出现杂合性缺失,并且2型神经纤维瘤病在基因上与这条常染色体长臂上的一个标记相关联,这表明22号染色体上的一个独特位点与散发性和遗传性听神经瘤的肿瘤发生有关。为了确定2型神经纤维瘤病的位点是否也可能导致在没有2型神经纤维瘤病的人群中那些不同于听神经瘤的神经鞘瘤的肿瘤发生,我们研究了三个散发性脊髓神经鞘瘤的DNA含量。在所有这三个病例中,我们发现22号染色体长臂上至少三个标记出现杂合性缺失,表明肿瘤中存在部分或完全的22号染色体单体性。我们的结果表明,22号染色体上的一个位点与神经鞘细胞的肿瘤发生有关,而不论其在中枢神经系统中的位置如何,并且可能存在其他一些机制(遗传或非遗传)来解释起源于第八对脑神经的神经鞘瘤相对较高的比例。