Department of Pathology, Biological Sciences Institute, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.
Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.
J Mol Diagn. 2020 Dec;22(12):1393-1399. doi: 10.1016/j.jmoldx.2020.08.005. Epub 2020 Sep 20.
The molecular pathogenesis of mixed odontogenic tumors has not been established, and understanding their genetic basis could refine their classification and help define molecular markers for diagnostic purposes. Potentially pathogenic mutations in the component tissues of 28 cases of mixed odontogenic tumors were assessed. Laser capture microdissected tissue from 10 ameloblastic fibromas (AF), 4 ameloblastic fibrodentinomas (AFD), 6 ameloblastic fibro-odontomas (AFO), 3 ameloblastic fibrosarcomas (AFS), and 5 odontomas (OD) were screened by next-generation sequencing and results confirmed by TaqMan allele-specific quantitative PCR. BRAF p.V600E mutation in the mesenchymal component was shown in 4 of 10 AF (40%), 2 of 4 AFD (50%), 2 of 6 AFO (33%), and 2 of 3 AFS (67%), whereas all 5 OD were wild type for BRAF p.V600E. Mutation in the epithelial component was only observed in one AF and one AFO. One AFS contained an area of benign AF, and the mesenchymal component of both (AFS and AF) contained BRAF p.V600E, supporting the concept of malignant progression from a benign AF precursor. KDR, TP53, KIT, and PIK3CA single-nucleotide polymorphisms are reported. In conclusion, AF, AFD, AFO, and AFS show BRAF p.V600E in their mesenchymal component, unlike OD, which are BRAF wild type, suggesting that at least a subset of AF, AFD, and AFO are molecularly distinct from OD, and may represent distinct entities and be neoplastic.
混合牙源性肿瘤的分子发病机制尚未确定,了解其遗传基础可以完善其分类,并有助于确定用于诊断目的的分子标志物。评估了 28 例混合牙源性肿瘤成分组织中的潜在致病性突变。通过下一代测序对 10 例成釉细胞瘤纤维瘤(AF)、4 例成釉细胞瘤纤维牙瘤(AFD)、6 例成釉细胞瘤纤维-牙瘤(AFO)、3 例成釉细胞瘤纤维肉瘤(AFS)和 5 例牙瘤(OD)的激光捕获微切割组织进行了筛选,并通过 TaqMan 等位基因特异性定量 PCR 对结果进行了确认。在 10 例 AF 中有 4 例(40%)、4 例 AFD 中有 2 例(50%)、6 例 AFO 中有 2 例(33%)和 3 例 AFS 中有 2 例(67%)显示间充质成分中的 BRAF p.V600E 突变,而所有 5 例 OD 均为 BRAF p.V600E 野生型。上皮成分的突变仅在 1 例 AF 和 1 例 AFO 中观察到。1 例 AFS 包含良性 AF 的区域,且两者(AFS 和 AF)的间充质成分均含有 BRAF p.V600E,支持良性 AF 前体恶性进展的概念。报道了 KDR、TP53、KIT 和 PIK3CA 单核苷酸多态性。总之,AF、AFD、AFO 和 AFS 的间充质成分中存在 BRAF p.V600E,而 OD 则为 BRAF 野生型,这表明至少一部分 AF、AFD 和 AFO 在分子上与 OD 不同,可能代表不同的实体,是肿瘤性的。
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