Zusammenfassung
Hintergrund
Juvenile Angiofibrome erscheinen histologisch gutartig, wachsen aber lokal aggressiv. Sie treten überwiegend bei männlichen Adoleszenten auf. Als einzige genetische Veränderung sind bisher β-Catenin-Mutationen bei diesem Tumor bekannt.
Material und Methoden
Angiofibromgewebe von 7 Patienten wurde mittels der vergleichenden genomischen Hybridisierung (CGH) auf quantitative Genomveränderungen hin analysiert.
Ergebnisse
In 6 von 7 untersuchten Angiofibromen konnten mit der CGH auf 18 verschiedenen Chromsomen Alterationen nachgewiesen werden. Zugewinne von chromosomalen Abschnitten zeigten sich gehäuft auf den Chromosomen 4q, 6q und 8q. In 4 von 7 Fällen zeigte sich ein vollständiger Verlust des Y-Chromosoms.
Fazit
Die CGH ist zur Analyse chromosomaler Veränderungen bei Angiofibromen geeignet. Mögliche Zielsequenzen für weitere Genomuntersuchungen, v. a. zum Verlust des Y-Chromosoms, konnten lokalisiert werden.
Abstract
Introduction
Despite their benign histological appearance, juvenile angiofibromas, which occur mainly in adolescent males, have a locally aggressive growth pattern. β-catenin-mutations represent their only known genetic abnormality.
Material and methods
Angiofibroma tissue from seven patients was available for comparative genomic hybridization (CGH).
Results
In six out of the seven angiofibromas, CGH detected various abnormalities on 18 different chromosomes. Frequent chromosomal gains were observed on chromosomes 4q, 6q, and 8q. In four out of seven angiofibromas a complete loss of the chromosome Y was detected.
Conclusions
CGH is a suitable method for the examination of angiofibromas for genetic alterations. Considering the sex distribution of this neoplasm, the frequent loss of chromosome Y is of particular interest.
Literatur
Abraham SC, Montgomery EA, Giardiello FM, Wu TT (2001) Frequent β-catenin mutations in juvenile nasopharyngeal angiofibromas. Am J Pathol 158: 1073–1078
Arakaki DT, Sparks RS (1963) Microtechnique for culturing leukocytes from whole blood. Cytogen 2: 57–60
Beham A, Beham-Schmid C, Regauer S, Aubock L, Stammberger H (2000) Nasopharyngeal angiofibroma: true neoplasm or vascular malformation? Adv Anat Pathol 7: 36–46
Beham A, Fletcher CD, Kainz J, Schmid C, Humer U (1993) Nasopharyngeal angiofibroma: an immunhistochemical study of 32 cases. Virchows Arch A Pathol Anat Histiopathol 423: 281–285
Beham A, Kainz J, Stammberger H, Aubock L, Beham-Schmid C (1997) Immunhistochemical and electron microscopical charakterization of stromal cells in nasopharyngeal angiofibromas. Eur Arch Otorhinolaryngol 254: 196–199
Beham A, Regauer S, Beham-Schmid C, Kainz J, Stammberger H (1998) Expression of CD 34-antigen in nasopharyngeal angiofibroma. Int J Pediatr Otorhinolaryngol 44: 245–250
Blanco P, Sargent CA, Boucher CA, Mitchell M, Affara NA (2000) Conservation of PCDHX in mammals; expression of human X/Y genes predominantly in brain. Mamm Genome 11: 906–914
Bockmühl U, Küchler I, Petersen I (2000) Verbesserte Prognoseeinschätzung bei Kopf-Hals-Karzinomen durch neue genetische Marker. HNO 48: 451–456
Brown CJ, Goss SJ, Lubahn DB et al. (1989) Androgen receptor locus on the human X chromsome: regional localization to Xq11–12 and description of a DNA polymorphism. Am J Hum Genet 44: 264–269
Claesson W (1994) Platelet-derived growth factor receptor signals. J Biol Chem 269: 32023–32026
Coutinho CM, Bassini AS, Gutierrez LG, Butugan O, Kowalski PL, Brentani MM, Nagai MA (1999) Genetic alterations in Ki-ras and Ha-ras genes in juvenile nasopharyngeal angiofibromas and head and neck cancer. Sao Paulo Med J 117: 113–120
Dhawan P, Richmond A (2002) Role of CXCL1 in tumorigenesis of melanoma. J Leukoc Biol 72: 9-18
Dillard DG, Cohen C, Muller D et al. (2000) Immunolocalization of activated transforming growth factor beta 1 in juvenile nasopharyngeal angiofibroma. Arch Otolaryngol Head Neck Surg 126: 723–725
Farag MM, Ghanimah SE, Ragaie A, Saleem TH (1987) Hormonal receptors in juvenile nasopharyngeal angiofibroma. Laryngoscope 97: 208–211
Ferouz AS, Mohr RM, Paul P (1995) Juvenile nasopharyngeal angiofibroma and familial adenomatous polyposis: an association? Otolaryngol Head Neck Surg 113: 435–439
Giardiello FM, Hamilton SR, Krush AJ et al. (1993) Nasopharyngeal angiofibroma in patients with familial adenomatous polyposis. Gastroenterology 105: 1550–1552
Guertl B, Beham A, Zechner R, Stammberger H, Hoefler G (2000) Nasopharyngeal angiofibroma: an APC-gene-associated tumor? Hum Pathol 31: 1411–1413
Hwang HC, Mills SE, Patterson K, Gown AM (1998) Expression of androgen receptors in nasopharyngeal angiofibroma: an immunhistochemical study of 24 cases. Mod Pathol 11: 1122–1126
Kallionemi A, Kallionemi OP, Sudar D et al. (1992) Comparative genomic hybridisation for molecular cytogenetic analysis of solid tumors. Science 285: 818–821
Koga T, Iwasaki H, Ishiguro M, Matsuzaki A, Kikuchi M (2002) Frequent genomic imbalances in chromsomes 17, 19, and 22q in peripheral nerve sheath tumours detected by comparative genomic hybridisation analysis. J Pathol 197: 98–107
Kondo M, Osada H, Uchida K et al. (1998) Molecular cloning of human TAK1 and its mutational analysis in human lung cancer. Int J Cancer 75: 559–563
Kunz M, Hartmann A. (2002) Angiogenese-Antiangiogenese. Bedeutung für Tumorwachstum und Metastasierung. Hautarzt 53: 373–384
Loukinova E, Chen Z, Van Waes C, Dong G (2001) Expression of proangiogenic chemokine Gro 1 in low and high metastatic variants of Pam murine squamous cell carcinoma is differentially regulated by IL-1alpha, EGF and TGF-beta1 through NF-kappaB dependent and independent mechanisms. Int J Cancer 94: 637–644
Missiaglia E, Moore PS, Williamson J et al. (2002) Sex chromosome anomalies in pancreatic endocrine tumors. Int J Cancer 98: 532–538
Mumm S, Molini B, Terrell J, Srivastava A, Schlessinger D (1997) Evolutionary features of the 4-Mb Xq21.3 XY homology region revealed by a map at 60-kb resolution. Genome Res 7: 307–314
Robinson S, Cohen M, Prayson R et al. (2001) Constitutive expression of growth-related oncogene and its receptor in oligodendrogliomas. Neurosurg 48: 864–867
Robinson S, Franic LA (2001) Chemokine GRO1 and the spatial and temporal regulation of oligodendrocyte precursor proliferation. Dev Neurosci 23: 338–345
Schick B, Brunner C, Praetorius M, Plinkert PK, Urbschat S (2002) First evidence of genetic imbalances in angiofibromas. Laryngoscope 112: 397–401
Schick B, Kahle G (2000) Radiological findings in angiofibroma. Acta Radiol Radiolgical 41: 585–593
Schick B, Kind M, Schwarzkopf G, Weber R, Draf W (1997) Das frühkindliche Angiofibrom in ungewöhnlicher Lokalisation HNO 45: 1022–1028
Schick B, Plinkert PK, Prescher A (2002) Die vaskuläre Komponente: Gedanken zur Entstehung des Angiofibroms. Laryngorhinootologie 81: 280–284
Toida M, Balazs M, Mori T et al. (2001) Analysis of genetic alterations in salivary gland tumors by comparative genomic hybridisation. Cancer Genet Cytogenet 127: 34–37
Danksagung
Die Autoren danken Frau Ulrike Bechtel für die technische Assistenz bei den vergleichenden genomischen Hybridisierungen.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Brunner, C., Urbschat, S., Jung, V. et al. Chromosomale Alterationen beim juvenilen Angiofibrom. HNO 51, 981–985 (2003). https://doi.org/10.1007/s00106-003-0857-3
Issue Date:
DOI: https://doi.org/10.1007/s00106-003-0857-3