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激光捕获微切割样本的靶向下一代测序和等位基因特异性定量 PCR 揭示混合牙源性肿瘤的分子差异。

Targeted Next-Generation Sequencing and Allele-Specific Quantitative PCR of Laser Capture Microdissected Samples Uncover Molecular Differences in Mixed Odontogenic Tumors.

机构信息

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.

出版信息

J Mol Diagn. 2020 Dec;22(12):1393-1399. doi: 10.1016/j.jmoldx.2020.08.005. Epub 2020 Sep 20.


DOI:10.1016/j.jmoldx.2020.08.005
PMID:32966885
Abstract

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.

摘要

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。

相似文献

[1]
Targeted Next-Generation Sequencing and Allele-Specific Quantitative PCR of Laser Capture Microdissected Samples Uncover Molecular Differences in Mixed Odontogenic Tumors.

J Mol Diagn. 2020-12

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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Clin Cancer Res. 2014-7-3

[9]
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J Vet Diagn Invest. 2019-1

[10]
Prevalence of BRAF p.V600E and Detection Methods in Benign Mixed and Malignant Odontogenic Tumors: A Systematic Review.

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引用本文的文献

[1]
Odontogenic Sarcomas: Clinicopathologic Analysis and Immunohistochemical Expression of BRAF and SOX9 in a Multicenter Series of 10 Cases.

Head Neck Pathol. 2025-8-8

[2]
New Insights into Ameloblastic Fibromas, Fibrodentinomas, and Fibro-Odontomas: Findings from an International Multicenter Study.

Head Neck Pathol. 2025-5-8

[3]
Reticular Myxoid Odontogenic Neoplasm with Novel STRN::ALK Fusion: Report of 2 Cases in 3-Year-Old Males.

Head Neck Pathol. 2024-3-25

[4]
Prevalence of BRAF p.V600E and Detection Methods in Benign Mixed and Malignant Odontogenic Tumors: A Systematic Review.

Head Neck Pathol. 2023-12

[5]
Clinicoradiopathologic Analysis of Odontomas: A Retrospective Study of 242 Cases.

Dent J (Basel). 2023-10-30

[6]
Molecular diagnostics in odontogenic tumors.

Pathologie (Heidelb). 2022-8

[7]
Mandibular Radiolucencies: A Differential Diagnosis of a Rare Tumor.

Diagnostics (Basel). 2022-7-7

[8]
Update of Key Clinical, Histological and Molecular Features of Malignant Bone Tumours Arising in the Craniofacial Skeleton.

Front Oncol. 2022-7-7

[9]
The World Health Organization Classification of Odontogenic Lesions: A Summary of the Changes of the 2022 (5th) Edition.

Turk Patoloji Derg. 2022

[10]
Update from the 5th Edition of the World Health Organization Classification of Head and Neck Tumors: Odontogenic and Maxillofacial Bone Tumours.

Head Neck Pathol. 2022-3

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