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Kidney: t(X;1)(p11.2;q21.2) in renal cell carcinoma

Identity

t(X;1)(p11;q21) (G banding) - Courtesy Francois Desangles.

Classification

    renal cell carcinoma (RCC) are classified into two main clinico-pathologic entities (chromophobic/oncocytic entity excluded):
  • clear-cell RCC (also called non-papillary RCC, found in 80% of cases)
  • chromophilic RCC (also called papillary RCC, in 15-20% of cases)
  • Clinics and Pathology

    Disease renal cell carcinoma
    Phenotype / cell stem origin t(X;1) is found in papillary renal cell carcinoma (WHO classification)
    Epidemiology 12 reported cases, herein reviewed; mean age 16 yrs (range 1-30); sex ratio: 7M/5F (female cases are found, contrarily to what has previously been suspected)
    Pathology t(X;1) appears to delineate a distinct subgroup of chromophilic papillary renal cell carcinoma with clear cell features.
    Treatment radical nephrectomy
    Prognosis similar to that of others papillary renal cell carcinoma i. e. overall 5-yr survival rate around 85%.

    Cytogenetics

    Cytogenetics Molecular +7, +17
    Probes TFE3 and PRCC/TFE3
    Variants t(X;17)(p11.2;q25) and t(X;1)(p11.2; p34)

    Genes involved and Proteins

    Gene Name TFE3
    Location Xp11.2
    Protein transcription factor; binds to the immunoglobulin enhancer

    Gene Name PRCC
    Location 1q21.2
    Protein 491aa; widely expressed ; proline rich.

    Result of the chromosomal anomaly

    Hybrid Gene
    Description 5' TFE3 - 3' PRCC and 5' PRCC - 3' TFE3
    Detection positional cloning; screening in a tumor cDNA library and hybridization with TFE3
    Fusion Protein
    Description PRCC/TFE3 fusion protein includes the transcription activating, helix-loop-helix and leucine-zipper domains of TFE3; the TFE3/PRCC fusion protein (513 amino acids) is also expressed
      

    To be noted

    We have had a t(X;1) case in a non-papillay renal cell carcinoma, suggesting that t(X;1) is not restricted to the papillary subtype of RCC (unpublished).

    Bibliography

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    Cancer Genet Cytogenet. 1991 Nov;57(1):11-7.
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    Translocation (X;1) in papillary renal cell carcinoma. A new cytogenetic subtype
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    Distinct Xp11.2 breakpoints in two renal cell carcinomas exhibiting X;autosome translocations
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    Fusion of the transcription factor TFE3 gene to a novel gene, PRCC, in t(X;1)(p11;q21)-positive papillary renal cell carcinomas.
    Weterman MA, Wilbrink M, Geurts van Kessel A
    Proc Natl Acad Sci U S A. 1996 Dec 24;93(26):15294-8
    PMID 97140324
     
    Papillary (chromophil) renal cell carcinoma: histomorphologic characteristics and evaluation of conventional pathologic prognostic parameters in 62 cases
    Amin MB, Corless CL, Renshaw AA, Tickoo SK, Kubus J, Schultz DS
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    REVIEW articlesautomatic search in PubMed
    Last year publicationsautomatic search in PubMed

    Contributor(s)

    Written03-1998FranÁois Desangles

    Citation

    This paper should be referenced as such :
    Desangles F . Kidney: t(X;1)(p11.2;q21.2) in renal cell carcinoma. Atlas Genet Cytogenet Oncol Haematol. March 1998 .
    URL : http://AtlasGeneticsOncology.org/Tumors/tX1ID5009.html

    © Atlas of Genetics and Cytogenetics in Oncology and Haematology
    indexed on : Thu Apr 17 14:15:07 2008


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