Anatomical Pathology, University of Cape Town, Cape Town, South Africa
Anatomical Pathology-Groote Schuur Hospital, National Health Laboratory Service, Cape Town, South Africa.
J Clin Pathol. 2020 Jun;73(6):314-317. doi: 10.1136/jclinpath-2020-206513. Epub 2020 Mar 11.
BCL-6 transcriptional corepressor () gene is located at Xp11.4 and encodes a protein which is involved in transcriptional repression in association with BCL-6 and epigenetic silencing through polycomb repressive complex 1 (PRC1). mutations are being identified in an increasing number of tumours which are diverse in their anatomical location and clinical setting. Interestingly, these tumours share similar and overlapping histological features, namely small round blue cell morphology and a myxoid background with delicate capillary channels. Clear cell sarcoma of the kidney, primitive myxoid mesenchymal tumour of infancy and central nervous system high-grade neuroepithelial tumour with alteration all share similar internal tandem duplications in the polycomb-group really interesting new gene (RING) finger homolog ubiquitin-likefold discriminator domain of Translocations resulting in fusion with , and have been identified in undifferentiated round cell sarcoma. Subsets of high-grade endometrial stromal sarcoma and ossifying fibromyxoid tumour which have a more aggressive clinical course have been shown to harbour fusions. BCOR immunohistochemistry is an established marker with diagnostic utility.
BCL-6 转录核心抑制因子 () 基因位于 Xp11.4,编码一种蛋白,该蛋白与 BCL-6 一起参与转录抑制,并通过多梳抑制复合物 1 (PRC1) 进行表观遗传沉默。 在越来越多的肿瘤中发现了 突变,这些肿瘤在解剖位置和临床环境上都具有多样性。有趣的是,这些肿瘤具有相似的、重叠的组织学特征,即小圆蓝细胞形态和黏液样背景,伴有精致的毛细血管通道。肾透明细胞肉瘤、婴儿原始黏液间叶性肿瘤和中枢神经系统高级别神经上皮肿瘤中 改变均与多梳组真有趣新基因 (RING) 手指同源物泛素样折叠区分域中的 内串联重复有关。在未分化的小圆细胞肉瘤中已发现导致 融合的易位。已经证实,一些具有侵袭性临床病程的高级别子宫内膜间质肉瘤和骨化性纤维黏液瘤亚组存在 融合。BCOR 免疫组化是一种具有诊断效用的既定标志物。