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FGFR3 基因突变激活:与肾细胞癌的发生无关。

Mutational activation of FGFR3: no involvement in the development of renal cell carcinoma.

机构信息

Institute of Pathology, University Hospital Erlangen, Erlangen, Germany.

出版信息

J Cancer Res Clin Oncol. 2012 Feb;138(2):359-61. doi: 10.1007/s00432-011-1130-x. Epub 2011 Dec 28.

Abstract

BACKGROUND

Somatic point mutations in the fibroblast growth factor receptor 3 (FGFR3) gene have been identified in certain types of urological cancers, especially urothelial carcinoma of the bladder and the renal pelvis, and could be correlated with a favourable outcome. However, comprehensive data on the FGFR3 mutation status in renal cell carcinoma (RCC) are still missing.

METHODS

In order to investigate a possible role for FGFR3 mutations in renal cell carcinogenesis, we performed a sequence-based mutational analysis of FGFR3 in 238 primary RCC. The cohort obtained the common RCC subtypes including 101 clear cell, 50 papillary and 68 chromophobe RCC specimens. The analysed regions encompassed all FGFR3 point mutations previously described in epithelial tumours and other noncutaneous epithelial malignancies.

RESULTS

No mutations were detected in any renal tumour type examined, and all cases showed wild-type sequence.

CONCLUSION

Our results argue against an involvement of mutational activation of FGFR3 in the development of RCC. A recently described cystic renal dysplasia in a patient with thanatophoric dysplasia type 1 due to a germ line FGFR3 mutation might portend to an involvement of mutational FGFR3 activation in renal cyst formation, but this speculation needs further evaluation.

摘要

背景

成纤维细胞生长因子受体 3(FGFR3)基因中的体细胞点突变已在某些类型的泌尿系统癌症中被发现,尤其是膀胱癌和肾盂癌,并且可能与良好的预后相关。然而,有关肾细胞癌(RCC)中 FGFR3 突变状态的综合数据仍然缺失。

方法

为了研究 FGFR3 突变在肾细胞癌发生中的可能作用,我们对 238 例原发性 RCC 进行了基于序列的 FGFR3 突变分析。该队列获得了常见的 RCC 亚型,包括 101 例透明细胞癌、50 例乳头状癌和 68 例嫌色细胞癌标本。分析的区域包括以前在上皮肿瘤和其他非皮肤上皮恶性肿瘤中描述的所有 FGFR3 点突变。

结果

未在任何检查的肾肿瘤类型中检测到突变,并且所有病例均显示野生型序列。

结论

我们的结果表明,FGFR3 的突变激活不参与 RCC 的发生。一名患有致死性骨发育不全 1 型的患者中出现的囊性肾发育不良可能预示着突变性 FGFR3 激活参与了肾囊肿的形成,但这一推测需要进一步评估。

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