Department of Pathology, Nanjing Jinling Hospital, Nanjing University School of Medicine, Nanjing, China.
School of Basic Medical Sciences, Nanjing University of Traditional Chinese Medicine, Nanjing, China.
Histopathology. 2015 Jul;67(1):121-9. doi: 10.1111/his.12632. Epub 2015 Feb 5.
Malignant rhabdoid tumours (MRTs) are highly aggressive malignancies of early infancy characterized by inactivation of SMARCB1, a core member of the SWI/SNF chromatin-remodelling complex. The aim of this study was to explore the status of multiple key subunits of the SWI/SNF complex in MRTs.
We screened the key subunits of the SWI/SNF complex, including SMARCB1, SMARCA2, PBRM1, SMARCA4, and ARID1A, in four MRTs by immunohistochemistry, sequencing, and fluorescence in-situ hybridization (FISH). Complete loss of SMARCB1, SMARCA2 and PBRM1 expression and corresponding mutations in the same genes were observed in all cases. The mutations included seven missense, three same-sense, four frameshift and two truncating mutations. FISH revealed heterozygous deletion of SMARCB1 in one case, and monoploidy of chromosome 22, which harbours SMARCB1, in another case. Furthermore, trisomy of chromosome 9, which harbours SMARCA2, was observed in two cases. Abnormality of PBRM1 was not found in any case.
We report, for the first time, co-inactivation and frequent mutations of SMARCB1, SMARCA2 and PBRM1 in MRTs. Multiple subunit abnormalities of the SWI/SNF complex potentially act together to contribute to the tumorigenesis of MRTs, which provides unique insights into this disease.
恶性横纹肌样瘤(MRT)是一种具有高度侵袭性的婴儿早期恶性肿瘤,其特征是 SWI/SNF 染色质重塑复合物的核心成员 SMARCB1 失活。本研究旨在探讨 MRT 中 SWI/SNF 复合物的多个关键亚基的状态。
我们通过免疫组织化学、测序和荧光原位杂交(FISH)筛选了四个 MRT 中的 SWI/SNF 复合物的关键亚基,包括 SMARCB1、SMARCA2、PBRM1、SMARCA4 和 ARID1A。所有病例均观察到 SMARCB1、SMARCA2 和 PBRM1 表达完全缺失,以及相应基因的突变。突变包括七个错义突变、三个同义突变、四个移码突变和两个截断突变。FISH 显示一个病例中 SMARCB1 存在杂合性缺失,另一个病例中 22 号染色体(包含 SMARCB1)存在单体性。此外,两个病例中还观察到 9 号染色体(包含 SMARCA2)的三体性。在任何病例中均未发现 PBRM1 异常。
我们首次报道了 MRT 中 SMARCB1、SMARCA2 和 PBRM1 的共失活和高频突变。SWI/SNF 复合物的多个亚基异常可能共同作用促进 MRT 的肿瘤发生,为该疾病提供了独特的见解。