Vargas M P, Zhuang Z, Wang C, Vortmeyer A, Linehan W M, Merino M J
Laboratory of Pathology and Surgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USA.
Hum Pathol. 1997 Apr;28(4):411-5. doi: 10.1016/s0046-8177(97)90028-9.
Pheochromocytomas and extra-adrenal paragangliomas are tumors of the paraganglia with similar histological characteristics. We examined 12 sporadic pheochromocytomas and 5 extra-adrenal paragangliomas for loss of heterozygosity (LOH) in chromosomes 1p and 3p using a microdissection technique. Chromosomes 1p34-36, 3p21 and the von Hippel-Lindau (VHL) gene locus (3p25) were analyzed. LOH of a selected region on chromosome 1p was detected in 5 of 11 (45%) informative pheochromocytoma cases and in 0 of 5 (0%) informative extra-adrenal paraganglioma cases. LOH of the chromosome 3p25 VHL gene locus was detected in 5 of 9 (45%) informative pheochromocytoma cases and in 0 of 3 (0%) informative extra-adrenal paraganglioma cases. LOH of 3p21 was detected in 2 of 4 (50%) informative extra-adrenal paraganglioma cases. The allelic deletions in chromosomes 1p and 3p appear to be separate events. In conclusion, significant deletions were found at 1p34-36 and 3p25 in sporadic pheochromocytomas but not in extra-adrenal paragangliomas. These findings suggest (1) that multiple genetic factors may be involved in pheochromocytoma tumorigenesis, and (2) extra-adrenal paragangliomas may have a different genetic mechanism of tumorigenesis compared with pheochromocytomas.
嗜铬细胞瘤和肾上腺外副神经节瘤是具有相似组织学特征的副神经节肿瘤。我们使用显微切割技术检测了12例散发性嗜铬细胞瘤和5例肾上腺外副神经节瘤1p和3p染色体上的杂合性缺失(LOH)。分析了1p34 - 36、3p21和von Hippel - Lindau(VHL)基因位点(3p25)。在11例信息充分的嗜铬细胞瘤病例中有5例(45%)检测到1p染色体选定区域的LOH,而在5例信息充分的肾上腺外副神经节瘤病例中未检测到(0%)。在9例信息充分的嗜铬细胞瘤病例中有5例(45%)检测到3p25 VHL基因位点的LOH,在3例信息充分的肾上腺外副神经节瘤病例中未检测到(0%)。在4例信息充分的肾上腺外副神经节瘤病例中有2例(50%)检测到3p21的LOH。1p和3p染色体上的等位基因缺失似乎是独立事件。总之,在散发性嗜铬细胞瘤中发现1p34 - 36和3p25有明显缺失,而肾上腺外副神经节瘤中未发现。这些发现表明:(1)多个遗传因素可能参与嗜铬细胞瘤的肿瘤发生;(2)与嗜铬细胞瘤相比,肾上腺外副神经节瘤可能有不同的肿瘤发生遗传机制。