| Entity | MESENCHYMAL BENIGN TUMORS as follows: |
| | |
| Entity | Lipoma |
| Disease | benign adipocyte tumor |
| Prognosis | good |
| Cytogenetics | various rearrangements involving 12q15 (translocations, inversions, deletions...); reciprocal translocations involve 12q15 with different partners such as chromosomes 1, 2, 3, 7, 10, 11, 13, 15, 17, 21, X; the most frequent anomaly is t(3;12)(q27-28;q15); cryptic rearrangements, such as paracentric inversions not detectable by conventional cytogenetics but detectable by FISH, have been described |
| Hybrid/Mutated Gene | for t(3;12): HMGIC-LPP (LPP: lipoma preferred partner; 3q27-28); a gene located in 13q, LHFP (lipoma HMGIC fusion partner) was found to be fused with HMGIC in one case of lipoma; one lipoma displayed fusion of HMGA2 exon 4 with a sequence from intron 4, indicating abnormal splicing; HMGA2-CMKOR1 in three cases with aberrations involving 2q35-37 and 12q13-15; HMGA2-NFIB in one lipoma; |
| Abnormal Protein | HMGIC-LPP; the three AT hook domains at the aminoterminal of HMGIC are fused to the LIM domain of LPP; another fusion protein due to the fusion of HMGIC with a putative gene located at 15q24 predicted to encode a protein with a serine/threonine-rich domain has also been described |
| Oncogenesis | the relevance of the exact role LPP in the HMGA2-LPP fusion is not established yet, but the transactivation functions of the LPP LIM domains is retained in the fusion protein and the fusion protein can function as a transcription factor; the truncation of HMGA2 by itself may have a role in the tumorigenesis |
| | |
| Entity | Uterine leiomyoma (uterine fibroids) |
| Disease | benign mesenchymal tumors |
| Prognosis | good |
| Cytogenetics | approximately 40% of uterine leiomyomas have structural chromosomal rearrangements, about 10% of which involve 12q15 (translocations, inversions, deletions...); the most frequent anomaly is t(12;14)(q15;q23-24) |
| |  |
| |
| Hybrid/Mutated Gene | in a majority of cases, there is no fusion gene: the breakpoint is located 10 kb up to 100 kb 5' to HMGIC; the recombinational repair gene RAD51B is a candidate to be the partner gene of HMGIC in t(12;14). In two cases (out of 81 primary tumors) exon 7 of RAD51B was fused in frame to either exon 2 or 3 of the HMGA2 gene; in one case with paracentric inversion, HMGIC exon 3 was fused to ALDH2 exon 13 (12q24.1); in one case (no cytogenetic analysis) HMGIC exon 3 was fused to COX6C 3' UTR (8q22-23); in one case, with apparently normal karyotype, exon 3 of HMGIC was fused to retrotransposon-like sequences RTVLH 3' LTRs; three fusion transcripts contained 3' cryptic exonic sequences present in intron 3 of the HMGA2 gene (breakpoints downstream of exons 3 or 4), suggesting that they are due to alternative splicing; one case displayed fusion of the first two exons of HMGA2 to the 3' portion of the CCNB1IP1/C14orf18/HEI10 gene |
| Abnormal Protein | HMGIC-ALDH2: ALDH2 contribution was only 10 amino acids; |
| Oncogenesis | HMGIC-ALDH2: it is suggested that the truncation of HMGIC, rather than fusion may be responsible for tumorigenesis; the 3' untranslated region may stabilize the HMGIC messenger RNA |
| | |
| Entity | Pleomorphic adenoma of the salivary gland (or mixed salivary gland tumor) |
| Disease | benign tumors from the major or minor salivary glands |
| Prognosis | good |
| Cytogenetics | approximately 12% of pleomorphic adenomas of salivary glands show abnormalities involving HMGIC in 12q15; the most frequent aberration is t(9;12)(p24.1;q15) |
| Hybrid/Mutated Gene | in t(9;12): HMGIC-NFIB fusion; another type of fusion HMGIC-FHIT (3p14.2) has also been described |
| | |
| Entity | Pulmonary chondroid hamartoma of the lung |
| Disease | benign mesenchymal tumors of the lung |
| Prognosis | good |
| Cytogenetics | various rearrangements involving 12q15 leading to HMGIC dysregulation; cryptic rearrangements such as paracentric inversions not detectable by conventional cytogenetics but detectable by FISH have been described |
| Hybrid/Mutated Gene | in two cases with apparently normal karyotypes, exon 3 of HMGIC was fused to retrotransposon-like sequences RTVLH 3' LTRs; in cases with t(3;12)(q27-28;q14-15) (see lipomas), a fusion of HMGA2-LPP was described; only 1/61 cases with normal karyotype displayed HMGA2-LPP fusion; three cases with rearrangements involving 12q14-15 and 13q12-14 lacked rearrangements of HMGA2-LHFP; |
| |  |
| |
| | |
| Entity | Endometrial polyps |
| Disease | uterine benign tumors |
| Prognosis | good |
| Cytogenetics | various rearrangements involving 12q15 leading to HMGIC dysregulation; cryptic rearrangements such as paracentric inversions not detectable by conventional cytogenetics but detectable by FISH have been described; in one case, HMGIC was amplified and overexpressed |
| | |
| Entity | Myofibroblastic inflammatory tumor |
| Disease | benign mesenchymal tumors |
| Prognosis | good |
| Cytogenetics | in one case, a complex rearrangement involving chromosomes 12 (in 12q15), 4 and 21 was described |
| Hybrid/Mutated Gene | an aberrant transcript was produced by the fusion of HMGIC exon 3 to an ectopic sequence originating from the third intron of HMGIC |
| | |
| Entity | Chondrolipoangioma |
| Disease | a rare benign type of mesenchyomas composed predominantly of cartilage and adipose tissue with vascular elements and myxoid elements |
| Cytogenetics | One case demonstrated t(12;15)(q13;q26). FISH analysis revealed rearrangement of chromosomes 2, 12 and 15 and HMGA2. |
| | |
| Entity | Chondromas |
| Disease | benign cartilage tumours |
| Cytogenetics | HMGA2 was expressed in 4/6 soft tissue chondromas (all with 12q-rearrangements cytogenetically), three cases showed truncated (exons 1-3) transcripts, one case displayed a t(3;12)(q27;q15) and RT-PCR demonstrated a HMGA2-LPP fusion transcript composed of HMGA2 exons 1-3 and LPP exons 9-11. |
| | |
| Entity | Hyaline vascular Castleman's disease |
| Cytogenetics | one case with der(6)t(6;12)(q23;q15)del(12)(q15) is described. |
| Hybrid/Mutated Gene | a combined immunologic-cytogenetic approach demonstrated HMGA2 rearrangement in follicular dendritic cells |
| | |
| Entity | Prolactinoma |
| Disease | prolactin-secreting pituary adenoma, non-metastasizing |
| Cytogenetics | trisomy 12 nonrandom finding in pituary adenomas |
| Hybrid/Mutated Gene | HMGA2 locus amplified in 7/8 prolactinomas |
| | |
| Entity | Aggressive angiomyxoma of the vulva |
| Disease | myxoid mesenchymal neoplasm |
| Prognosis | infiltrative neoplasm, locally destructive recurrences, no metastatic potential |
| Cytogenetics | one case displayed t(8;12)(p12;q15) |
| Hybrid/Mutated Gene | FISH demonstrated a breakpoint 3' of the gene, the tumour expressed HMGA2 |
| | |
| Entity | MALIGNANT TUMORS as follows: |
| | |
| Entity | Well-differentiated liposarcoma |
| Disease | malignant adipocyte tumor; peripheral or retroperitoneal location |
| Prognosis | rather good; borderline malignancy; locally aggressive, rarely metastasizes |
| Cytogenetics | supernumerary ring or giant marker chromosomes containing 12q14-15 amplification (surrounding MDM2); HMGIC is frequently amplified together with MDM2; rearrangement of HMGA2, in addition to amplification has been described |
| Hybrid/Mutated Gene | ectopic sequences from 12q14-15, 1q24, 11q14, and chromosome 2 was shown to be fused to HMGA2 exon 2 or 3 |
| | |
| Entity | Uterine leiomyosarcoma |
| Disease | malignant counterpart of uterine leiomyoma |
| Prognosis | poor |
| Cytogenetics | 12q13-15 region is recurrently amplified |
| Hybrid/Mutated Gene | HMGA2 amplified within this region |
| | |
| Entity | Osteosarcoma |
| Disease | malignant tumor |
| Hybrid/Mutated Gene | in one osteosarcoma cell line (OsA-Cl) the three DNA binding domains of HMGIC fused to the keratan sulfate protein glycan gene LUM (12q22-23); LUM was fused out of frame, and only 3 amino acids were fused to HMGIC; in addition, the rearranged gene was amplified |
| | |
| Entity | with myeloid metaplasia |
| Disease | rare chronic myeloproliferative disorder |
| Prognosis | variable |
| Cytogenetics | one case with t(4;12)(q32;q15) and one case with t(5;12)(p14;q15) |
| Hybrid/Mutated Gene | FISH analysis suggested breakpoint in HMGA2, RT-PCR revealed that HMGA2 is expressed in blood mononuclear cells from patients with this disease |
| | |
| Entity | Acute lymphoblastic leukaemia |
| Disease | Heterogenous disease that arises in precursor B or T cells |
| Cytogenetics | One case with a t(9;12)(p22;q14), frequent deletions at 12q14.3 |
| Hybrid/Mutated Gene | t(9;12): FISH analysis indicated a breakpoint in the 5' region of the gene, RT-PCR showed overexpression of HMGA2 lacking the carboxyterminal tail; deletions covering the 5' end of HMGA2 |
| | |
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