Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
12
pubmed:dateCreated
2009-11-30
pubmed:abstractText
Mucoepidermoid carcinoma is the most common primary malignancy of the salivary gland. We and others showed that CRTC1-MAML2 gene fusion was associated with favorable clinicopathological tumor features. Recently, a novel gene fusion, CRTC3-MAML2, was reported as a rare gene alteration in a case of mucoepidermoid carcinoma. However, its frequency and clinicopathological significance remains unclear. In all, 101 cases of mucoepidermoid carcinoma and 89 cases of non-mucoepidermoid carcinoma of the salivary gland were analyzed, and RNA was extracted from formalin-fixed, paraffin-embedded specimens. In the CRTC family, there have been three genes, CRTC1, CRTC2, and CRTC3. We developed reverse transcription-polymerase chain reaction (RT-PCR) assays for CRTC1-MAML2, CRTC2-MAML2, and CRTC3-MAML2 fusions. Clinicopathological data of the patients were obtained from their clinical records. Of 101 cases of mucoepidermoid carcinoma, 34 (34%) and 6 (6%) were positive for CRTC1-MAML2 and CRTC3-MAML2 fusion transcripts. However, in the 89 cases of non-mucoepidermoid carcinoma, neither transcript was noted. In the former cases, CRTC1-MAML2 and CRTC3-MAML2 fusions were mutually exclusive. The other fusion, CRTC2-MAML2, was not detected. We confirmed that the clinicopathological features of CRTC1-MAML2-positive mucoepidermoid carcinomas indicated an indolent course. CRTC3-MAML2-positive mucoepidermoid carcinomas also had clinicopathologically favorable features; all cases showed a less advanced clinical stage, negative nodal metastasis, no high-grade tumor histology, and no recurrence or tumor-related death after surgical resection of the tumor. It is interesting to note that patients with CRTC3-MAML2-positive tumors (mean 36 years of age) were significantly younger that those with the CRTC1-MAML2 fusion (55 years) and those with fusion-negative tumors (58 years). In conclusion, CRTC3-MAML2 fusion, which is mutually exclusive with CRTC1-MAML2 fusion and specific to mucoepidermoid carcinoma, may be detected more frequently than previously expected. Mucoepidermoid carcinomas possessing CRTC3-MAML2 fusion may be associated with favorable clinicopathological features and patients may be younger than those with CRTC1-MAML2 fusion or those with no detectable gene fusion.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
1530-0285
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
22
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1575-81
pubmed:dateRevised
2010-11-18
pubmed:meshHeading
pubmed-meshheading:19749740-Adult, pubmed-meshheading:19749740-Age Factors, pubmed-meshheading:19749740-Carcinoma, Mucoepidermoid, pubmed-meshheading:19749740-DNA-Binding Proteins, pubmed-meshheading:19749740-Disease-Free Survival, pubmed-meshheading:19749740-Female, pubmed-meshheading:19749740-Gene Expression Regulation, Neoplastic, pubmed-meshheading:19749740-Gene Fusion, pubmed-meshheading:19749740-Humans, pubmed-meshheading:19749740-Kaplan-Meier Estimate, pubmed-meshheading:19749740-Male, pubmed-meshheading:19749740-Middle Aged, pubmed-meshheading:19749740-Neoplasm Staging, pubmed-meshheading:19749740-Nuclear Proteins, pubmed-meshheading:19749740-RNA, Messenger, pubmed-meshheading:19749740-Reverse Transcriptase Polymerase Chain Reaction, pubmed-meshheading:19749740-Salivary Gland Neoplasms, pubmed-meshheading:19749740-Time Factors, pubmed-meshheading:19749740-Transcription Factors, pubmed-meshheading:19749740-Treatment Outcome, pubmed-meshheading:19749740-Young Adult
pubmed:year
2009
pubmed:articleTitle
Clinicopathological significance of the CRTC3-MAML2 fusion transcript in mucoepidermoid carcinoma.
pubmed:affiliation
Department of Pathology, Graduate School of Medical Sciences, Nagoya City University, Nagoya, Japan.
pubmed:publicationType
Journal Article