Department of Pathology, Ghent University Hospital, Ghent, Belgium.
Cancer Research Institute Ghent (CRIG), Ghent University Hospital, Ghent University, Ghent, Belgium.
J Clin Pathol. 2024 May 17;77(6):378-382. doi: 10.1136/jcp-2023-209047.
Paired-like homeobox 2B () is a gene essential in the development of the autonomic nervous system. mutations are associated with neurocristopathies-Hirschsprung disease (HSCR) and congenital central hypoventilation syndrome (CCHS)-and peripheral neuroblastic tumours. PHOXB2 plays an important role in the diagnostics of these conditions.Genotyping of a pathogenic variant is required to establish a diagnosis of CCHS. In HSCR patients, PHOX2B immunohistochemical staining has proven to be a valuable tool in identifying this disease. Furthermore, is a predisposition gene for neuroblastoma, in which PHOX2B immunohistochemical staining can be used as a highly sensitive and specific diagnostic marker. The utility of PHOX2B immunohistochemistry in pheochromocytoma and paraganglioma has also been studied but yields conflicting results.In this review, an overview is given of , its associated diseases and the usefulness of PHOX2B immunohistochemistry as a diagnostic tool.
配对盒基因 2B () 是自主神经系统发育所必需的基因。 突变与神经嵴病变——先天性巨结肠(HSCR)和先天性中枢性通气不足综合征(CCHS)——以及外周神经母细胞瘤有关。PHOXB2 在这些疾病的诊断中起着重要作用。需要对 致病性变异进行基因分型,以确立 CCHS 的诊断。在 HSCR 患者中,PHOX2B 免疫组织化学染色已被证明是识别这种疾病的有用工具。此外, 是神经母细胞瘤的易感性基因,PHOX2B 免疫组织化学染色可用作高度敏感和特异的诊断标志物。PHOX2B 免疫组织化学在嗜铬细胞瘤和副神经节瘤中的应用也有研究,但结果存在矛盾。在这篇综述中,概述了 ,及其相关疾病,以及 PHOX2B 免疫组织化学作为一种诊断工具的用途。