1. Pediatric Soft Tissue Tumors With BCOR ITD Express EGFR but Not OLIG2
- Author
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Angelica Zin, Rita DeVito, Cláudia M. Salgado, Gianni Bisogno, Vittoria Donofrio, Irina Kletskaya, Rita Alaggio, Marta Garrido, and Miguel Reyes-Múgica
- Subjects
Male ,0301 basic medicine ,EGFR ,OLIG2 ,PMMTI ,Soft Tissue Neoplasms ,Internal tandem duplication ,Biology ,BCOR ,BCOR ITD ,URCS ,Immunophenotyping ,Pathology and Forensic Medicine ,03 medical and health sciences ,0302 clinical medicine ,Proto-Oncogene Proteins ,Biomarkers, Tumor ,Round cell ,medicine ,Humans ,In Situ Hybridization, Fluorescence ,Retrospective Studies ,Kidney ,Infant, Newborn ,Infant ,Soft tissue ,Sarcoma ,General Medicine ,Oligodendrocyte Transcription Factor 2 ,Immunohistochemistry ,Up-Regulation ,ErbB Receptors ,Repressor Proteins ,030104 developmental biology ,medicine.anatomical_structure ,Tandem Repeat Sequences ,Child, Preschool ,030220 oncology & carcinogenesis ,Pediatrics, Perinatology and Child Health ,Cancer research ,Female ,Clear cell ,Follow-Up Studies - Abstract
Introduction Somatic internal tandem duplication of 3’ of BCOR ( BCOR ITD) has been found in clear cell sarcomas of the kidney (CCSK), soft tissue undifferentiated round cell sarcomas/primitive myxoid mesenchymal tumors of infancy (URCS/PMMTI), and a subgroup of central nervous system high-grade neuroepithelial tumors (CNS-HGNET). BCOR ITD+ tumors share morphologic features. Expression of OLIG2 and epidermal growth factor receptor (EGFR) has been reported in CNS-HGNET with BCOR ITD. Here, we characterize OLIG2 and EGFR expression in URCS/PMMTI with BCOR ITD. Methods Paraffin blocks of 9 polymerase chain reaction-confirmed soft tissue BCOR ITD+ tumors (URCS/PMMTI) were immunophenotyped for OLIG2 and EGFR expression and scored semiquantitatively by percentage of positive cells and intensity of staining as negative, 1+, 2+, and 3+. Fluorescence in situ hybridization (FISH) for EGFR amplification was performed (amplification EGFR/CEP7 ratio ≥2.0). Results All 9 tumors showed membrane/cytoplasmic expression of EGFR, strong and diffuse (3+) in 8 cases; weak (+2) in 1. FISH detected no EGFR amplification. OLIG2 was negative in all. Conclusions EGFR is overexpressed in pediatric URCS/PMMTI with BCOR ITD and may be related to transcriptional upregulation of EGFR by BCOR ITD. OLIG2 negative staining differentiates URCS/PMMTI from CNS-HGNET. This finding may further support the possibility that these tumors have a different stem cell of origin.
- Published
- 2020
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