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Detection of KIAA1549-BRAF fusion transcripts in formalin-fixed paraffin-embedded pediatric low-grade gliomas

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机构: [a]Department of Medical Oncology, Dana Farber Cancer Institute, 450 Brookline Ave., Boston, MA 02215, United States [b]Department of Cancer Biology, Dana-Farber Cancer Institute, Boston, MA, United States [c]Department of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, MA, United States [d]Centers for Molecular Oncologic Pathology, Dana-Farber Cancer Institute, Boston, MA, United States [e]Cancer Genome Discovery, Dana-Farber Cancer Institute, Boston, MA, United States [f]Department of Pathology and Laboratory Medicine, Children's Memorial Hospital, Chicago, IL, United States [g]Division of NeuroOncology, Children's Memorial Hospital, Chicago, IL, United States [h]Department of Pediatric Oncology and Pathology, Children's Cancer Hospital, Cairo, Egypt [i]Division of Pediatric Neurosurgery, Acibadem University Medical Center, Istanbul, Turkey [j]Department of Pathology, Acibadem University Medical Center, Istanbul, Turkey [k]Department of Pathology, Brigham and Women's Hospital, Boston, MA, United States [l]Division of Neuropathology, Brigham and Women's Hospital, Boston, MA, United States [m]Department of Pathology, Children's Hospital Boston, Boston, MA, United States [n]Department of Pediatrics, Children's Hospital Boston, Boston, MA, United States [o]Tiantan Hospital, Beijing, China [p]Departments of Pathology and Laboratory Medicine, Oncology and Clinical Neurosciences, University of Calgary, Calgary, AB, Canada
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Alterations of BRAF are the most common known genetic aberrations in pediatric gliomas. They frequently are found in pilocytic astrocytomas, where genomic duplications involving BRAF and the poorly characterized gene KIAA1549 create fusion proteins with constitutive B-Raf kinase activity. BRAF V600E point mutations are less common and generally occur in nonpilocytic tumors. The development of BRAF inhibitors as drugs has created an urgent need for robust clinical assays to identify activating lesions in BRAF. KIAA1549-BRAF fusion transcripts have been detected in frozen tissue, however, methods for FFPE tissue have not been reported. We developed a panel of FFPE-compatible quantitative RT-PCR assays for the most common KIAA1549-BRAF fusion transcripts. Application of these assays to a collection of 51 low-grade pediatric gliomas showed 97% sensitivity and 91% specificity compared with fluorescence in situ hybridization or array comparative genomic hybridization. In parallel, we assayed samples for the presence of the BRAF V600E mutation by PCR pyrosequencing. The data further support previous observations that these two alterations of the BRAF, KIAA1549 fusions and V600E point mutations, are associated primarily with pilocytic astrocytomas and nonpilocytic gliomas, respectively. These results show that fusion transcripts and mutations can be detected reliably in standard FFPE specimens and may be useful for incorporation into future studies of pediatric gliomas in basic science or clinical trials. Copyright © 2011 American Society for Investigative Pathology and the Association for Molecular Pathology.

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出版当年[2010]版:
大类 | 2 区 医学
小类 | 2 区 病理学
最新[2023]版:
大类 | 3 区 医学
小类 | 2 区 病理学
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