Anatomical Pathology, JDW Pathology Inc, Cape Town, South Africa
Division of Anatomical Pathology, University of Cape Town, Cape Town, South Africa.
J Clin Pathol. 2022 Jan;75(1):1-4. doi: 10.1136/jclinpath-2021-207751. Epub 2021 Nov 15.
and genes are located at 1q42.12 and 17q25.1, respectively, and encode identical H3.3 core histone proteins which form part of the histone hetero-octamer complex. Histones function by packaging DNA into small units, the nucleosome, and are highly susceptible to epigenetic post-translational modification. H3 K27 mutations have been shown to inhibit the polycomb repressive complex 2, which is normally involved in epigenetic gene silencing. Mutations in and are increasingly recognised in a variety of solid tumours. Point mutations in have been described in giant cell tumour of bone and paediatric-type diffuse high-grade gliomas. Mutations in have been described in chondroblastoma. Loss of trimethylation of H3 K27 is characteristic of most sporadic and radiation-associated malignant peripheral nerve sheath tumours. Immunohistochemistry with a variety of novel antibodies directed against specific mutations, as well as loss of H3K27me3 staining, may be useful in specific settings and in diagnostically challenging cases.
并且基因分别位于 1q42.12 和 17q25.1,编码相同的 H3.3 核心组蛋白,它们构成组蛋白异八聚体复合物的一部分。组蛋白通过将 DNA 包装成小单位(核小体)而起作用,并且极易受到表观遗传翻译后修饰的影响。已经表明 H3 K27 突变抑制多梳抑制复合物 2,该复合物通常参与表观遗传基因沉默。在各种实体瘤中越来越多地认识到 和 中的突变。在骨巨细胞瘤和小儿型弥漫性高级别神经胶质瘤中已经描述了 中的点突变。在软骨母细胞瘤中已经描述了 中的突变。H3 K27 的三甲基化缺失是大多数散发性和放射性相关的恶性周围神经鞘瘤的特征。用针对特定突变的各种新型抗体进行免疫组织化学染色以及 H3K27me3 染色缺失,可能在特定情况下和诊断具有挑战性的病例中有用。