Ng H K, Lau K M, Tse J Y, Lo K W, Wong J H, Poon W S, Huang D P
Department of Anatomical & Cellular Pathology, Chinese University of Hong Kong, Hong Kong.
Neurosurgery. 1995 Oct;37(4):764-73. doi: 10.1227/00006123-199510000-00022.
Monosomy of chromosome 22 or deletions of 22q have been described in meningiomas and astrocytic tumors, the incidence of which is increased in Type 2 neurofibromatosis. Recently, the gene for neurofibromatosis Type 2 (NF2) has been identified at Chromosome 22q12, and a tumor suppression role has been suggested. Because there have been only a few studies of the NF2 gene on central nervous system tumors other than vestibular schwannomas, we investigated the potential role of NF2 as a tumor suppressor gene in a group of sporadic meningiomas and astrocytomas. Forty-four tumors (26 meningiomas and 18 astrocytic tumors of different grades) were screened for NF2 mutations for the entire 17 exons by the polymerase chain reaction-single-strand conformation polymorphism method. In addition, 37 tumors and their respective constitutional deoxyribonucleic acid were analyzed for loss of heterozygosity of 22q alleles by four polymorphic microsatellite markers. Seven inactivating mutations were found in Exons 4, 5, 6, and 10 in 7 of 26 (27%) meningiomas, but none were found in astrocytic tumors. Altogether, 69% of meningiomas and 20% of astrocytic tumors revealed a loss of heterozygosity of 22q markers. All tumors with NF2 mutations showed concurrent loss of alleles on 22q, thus fulfilling Knudson's criteria for tumor suppressor genes in meningiomas. We conclude that inactivation of the NF2 gene is involved in the pathogenesis of a proportion of meningiomas but not in astrocytic tumors. Because many meningiomas and some astrocytic tumors had allelic loss of 22q but intact NF2, there is a possibility that other tumor suppressor genes exist on 22q and may be involved in the pathogenesis of central nervous system tumors.
22号染色体单体或22q缺失已在脑膜瘤和星形细胞瘤中被描述,在2型神经纤维瘤病中其发生率增加。最近,2型神经纤维瘤病(NF2)基因已在22q12染色体上被鉴定出来,并提示其具有肿瘤抑制作用。由于除前庭神经鞘瘤外,关于NF2基因在中枢神经系统肿瘤方面的研究较少,我们调查了NF2作为肿瘤抑制基因在一组散发性脑膜瘤和星形细胞瘤中的潜在作用。通过聚合酶链反应-单链构象多态性方法,对44个肿瘤(26个脑膜瘤和18个不同分级的星形细胞瘤)的整个17个外显子进行NF2突变筛查。此外,通过4个多态性微卫星标记分析37个肿瘤及其各自的基因组脱氧核糖核酸,以检测22q等位基因的杂合性缺失。在26个(27%)脑膜瘤中的7个中,外显子4、5、6和10中发现了7个失活突变,但在星形细胞瘤中未发现。总共,69%的脑膜瘤和20%的星形细胞瘤显示22q标记的杂合性缺失。所有具有NF2突变的肿瘤均显示22q上等位基因同时缺失,从而符合Knudson关于脑膜瘤中肿瘤抑制基因的标准。我们得出结论,NF2基因的失活参与了一部分脑膜瘤的发病机制,但不参与星形细胞瘤的发病机制。由于许多脑膜瘤和一些星形细胞瘤有22q等位基因缺失但NF2完整,有可能22q上存在其他肿瘤抑制基因,并且可能参与中枢神经系统肿瘤的发病机制。