Lapthanasupkul Puangwan, Laosuk Tuntikorn, Ruangvejvorachai Preecha, Aittiwarapoj Anchisa, Kitkumthorn Nakarin
Department of Oral and Maxillofacial Pathology, Faculty of Dentistry, Mahidol University, Bangkok, Thailand.
Department of Biochemistry, Faculty of Science, Chulalongkorn University, Bangkok, Thailand.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2021 Nov;132(5):e180-e185. doi: 10.1016/j.oooo.2020.06.002. Epub 2020 Jun 10.
BRAF V600E mutation has recently been reported in a high proportion of ameloblastomas. This study was conducted to investigate the frequency of this mutation in ameloblastoma and unicystic ameloblastoma. The correlation between clinicopathologic data and BRAF V600E mutation was also analyzed.
A total of 51 archival samples of ameloblastomas and 22 cases of unicystic ameloblastomas were examined for BRAF V600E mutation by using anti-BRAF V600E (clone VE1) immunohistochemistry.
Positivity for anti-BRAF V600E antibody was detected in 72.5% (37 of 51) of ameloblastomas, but the mutation showed no significant correlation with the clinicopathologic parameters. With regard to unicystic ameloblastoma, 95.5% (21) of the 22 cases exhibited positive immunostaining for BRAF V600E, whereas only 1 case showed the mural subtype of wild-type BRAF.
A high frequency of BRAF V600E mutation was detected in a group of Thai patients with ameloblastomas, suggesting the future use of BRAF-targeted therapy in patients with BRAF-mutated ameloblastoma. However, no significant association between BRAF V600E mutation and the clinicopathologic characteristics of ameloblastomas was found in our study.
最近有报道称,在高比例的成釉细胞瘤中存在BRAF V600E突变。本研究旨在调查成釉细胞瘤和单囊性成釉细胞瘤中该突变的频率。同时分析临床病理数据与BRAF V600E突变之间的相关性。
使用抗BRAF V600E(克隆号VE1)免疫组织化学方法,对51例成釉细胞瘤存档样本和22例单囊性成釉细胞瘤病例进行BRAF V600E突变检测。
在51例成釉细胞瘤中,72.5%(37/51)检测到抗BRAF V600E抗体阳性,但该突变与临床病理参数无显著相关性。对于单囊性成釉细胞瘤,22例中有95.5%(21例)BRAF V600E免疫染色呈阳性,而只有1例显示为野生型BRAF的壁型亚型。
在一组泰国成釉细胞瘤患者中检测到高频率的BRAF V600E突变,提示未来可对BRAF突变的成釉细胞瘤患者使用BRAF靶向治疗。然而,在本研究中未发现BRAF V600E突变与成釉细胞瘤的临床病理特征之间存在显著关联。