| Entity | Dermatofibrosarcoma Protuberans (DP), also called Darier Ferrand tumour or Darier-Hoffmann tumour. Giant cell fibrosarcoma (GCF) (juvenile form of DP). Bednar tumour (pigmented variant of DP) |
| Disease | Infiltrative skin tumours of intermediate malignancy |
| Prognosis | The prognosis is usually favourable. These tumours are locally aggressive and highly recurrent, but metastases or tumour-related deaths are extremely rare. |
| Cytogenetics | Dermatofibrosarcoma Protuberans, Giant Cell fibrosarcoma and Bednar tumours present specific cytogenetic features such as reciprocal translocations t(17;22)(q22;q13.1) ( Fig A) or, more often, supernumerary ring chromosomes derived from t(17;22) (B). As shown by FISH analysis, the ring chromosomes contain chromosome 22 centromere and low-level amplification of 22cen-q13.1 and 17q22-qter sequences. To note, in most cases, the derivative chromosome 17 is not present. In contrast, several copies of the derivative chromosome 22 are generally observed.in addition to two apparently normal chromosomes 17 |
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| Hybrid/Mutated Gene | Both rings and der(22) translocated chromosomes present a same molecular rearrangement that fuses the collagen type I alpha 1(COL1A1) and the platelet-derived growth factor B chain (PDGFB) genes (C). In all DP and GCF cases studied, the t(17;22)translocation results in chimerical COL1A1/PDGFB mRNA production, in which the PDGFB exon 1 is deleted and replaced by a variable segment of COL1A1 mRNA sequence. In the 32 cases tested the fusion mRNA was an in-frame fusion of one of the COL1A1 exons (varying from exon 7 to exon 47) to PDGFB exon 2 (D). |
| Abnormal Protein | COL1A1 and PDGFB are both encoded as pro-peptides, which are processed by proteolytic cleavage at N and C-terminus, to give mature proteins. Sequences analyses of the chimerical COL1A1/PDGFB fusion transcripts showed that the COL1A1/PDGFB putative proteins displayed a pro-peptide structure, which preserved the N-terminus COL1A1 pro-peptide containing the signal peptide and the N and C-terminus PDGFB maturation cleavage sites. The functional and structural properties of the COL1A1/PDGFB fusion protein were characterized by generating stable fibroblastic cell lines that expressed tumour-derived COL1A1/PDGFB chimerical genes. The diagram herein given presents the COL1A1/PDGFB chimerical protein encoded by the T94796 tumour-derived chimerical COL1A1/PDGFB cDNA sequence |
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| A chimerical COL1A1/PDGFB cDNA sequence fusing COL1A1 exon 29 to PDGFB exon 2 was isolated from the DP T94796 tumour and stably transfected in the Chinese hamster lung fibroblastic cell line PS200 (E). The T94796 COL1A1/PDGFB chimerical protein sequence retained the COL1A1 N-terminus processing site encoded by the COL1A1 exon 6 and the N and C-terminus PDGFB processing sites encoded by the PDGFB exons 3 and 6 respectively (F). Mutagenesis experiments and immunodetection with anti-PDGFBB and specific anti-COL1A1/PDGFB antibodies showed that COL1A1/PDGFB expressing cells produced 116 kD chimerical COL1A1/PDGFB precursors chains, which formed dimers and were processed to give active 30 kD PDGFB-like dimers (G). |
| Oncogenesis | Transfected cells lines expressing the chimerical T94796-COL1A1/PDGFB proteins became independent upon growth factors, including PDGFB, and induced tumours formation in nude mice. In addition, it was shown that the COL1A1/PDGFB stable clones cells contained activated PDGF b-receptors and that the conditioned media from COL1A1/PDGFB transfected cells were able to stimulate fibroblastic cells growth. Anti-PDGFBB antibodies neutralized this effect. These results strongly suggest that the COL1A1/PDGFB chimerical gene expression associated with DP, contributes to tumour formation through ectopic production of mature PDGFB and the formation of an autocrine loop. |
| | |
| Brittle bones--fragile molecules: disorders of collagen gene structure and expression. |
| Byers PH |
| Trends in genetics : TIG. 1990 ; 6 (9) : 293-300. |
| PMID 2238087 |
| |
| Biology of the platelet-derived growth factor. |
| Westermark B and Sorg C |
| Cytokines. 1993. |
| |
| Ring 22 chromosomes in dermatofibrosarcoma protuberans are low-level amplifiers of chromosome 17 and 22 sequences. |
| Pedeutour F, Simon MP, Minoletti F, Sozzi G, Pierotti MA, Hecht F, Turc-Carel C |
| Cancer research. 1995 ; 55 (11) : 2400-2403. |
| PMID 7757993 |
| |
| Soft tissue sarcomas in dermatology. |
| Fish FS |
| Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]. 1996 ; 22 (3) : 268-273. |
| PMID 8599739 |
| |
| Translocation, t(17;22)(q22;q13), in dermatofibrosarcoma protuberans: a new tumor-associated chromosome rearrangement. |
| Pedeutour F, Simon MP, Minoletti F, Barcelo G, Terrier-Lacombe MJ, Combemale P, Sozzi G, Ayraud N, Turc-Carel C |
| Cytogenetics and cell genetics. 1996 ; 72 (2-3) : 171-174. |
| PMID 8978765 |
| |
| The human type I collagen mutation database. |
| Dalgleish R |
| Nucleic acids research. 1997 ; 25 (1) : 181-187. |
| PMID 9016532 |
| |
| Deregulation of the platelet-derived growth factor B-chain gene via fusion with collagen gene COL1A1 in dermatofibrosarcoma protuberans and giant-cell fibroblastoma. |
| Simon MP, Pedeutour F, Sirvent N, Grosgeorge J, Minoletti F, Coindre JM, Terrier-Lacombe MJ, Mandahl N, Craver RD, Blin N, Sozzi G, Turc-Carel C, O'Brien KP, Kedra D, Fransson I, Guilbaud C, Dumanski JP |
| Nature genetics. 1997 ; 15 (1) : 95-98. |
| PMID 8988177 |
| |
| Transforming activity of the chimeric sequence formed by the fusion of collagen gene COL1A1 and the platelet derived growth factor b-chain gene in dermatofibrosarcoma protuberans. |
| Greco A, Fusetti L, Villa R, Sozzi G, Minoletti F, Mauri P, Pierotti MA |
| Oncogene. 1998 ; 17 (10) : 1313-1319. |
| PMID 9771975 |
| |
| Signal transduction via platelet-derived growth factor receptors. |
| Heldin CH, Ostman A, Rnnstrand L |
| Biochimica et biophysica acta. 1998 ; 1378 (1) : F79-113. |
| PMID 9739761 |
| |
| Fibrosarcomatous (high-grade) dermatofibrosarcoma protuberans: clinicopathologic and immunohistochemical study of a series of 41 cases with emphasis on prognostic significance. |
| Mentzel T, Beham A, Katenkamp D, Dei Tos AP, Fletcher CD |
| The American journal of surgical pathology. 1998 ; 22 (5) : 576-587. |
| PMID 9591728 |
| |
| COL1A1-PDGFB fusion in a ring chromosome 4 found in a dermatofibrosarcoma protuberans. |
| Navarro M, Simon MP, Migeon C, Turc-Carel C, Pedeutour F |
| Genes, chromosomes & cancer. 1998 ; 23 (3) : 263-266. |
| PMID 9790508 |
| |
| Various regions within the alpha-helical domain of the COL1A1 gene are fused to the second exon of the PDGFB gene in dermatofibrosarcomas and giant-cell fibroblastomas. |
| O'Brien KP, Seroussi E, Dal Cin P, Sciot R, Mandahl N, Fletcher JA, Turc-Carel C, Dumanski JP |
| Genes, chromosomes & cancer. 1998 ; 23 (2) : 187-193. |
| PMID 9739023 |
| |
| The dermatofibrosarcoma protuberans-associated collagen type Ialpha1/platelet-derived growth factor (PDGF) B-chain fusion gene generates a transforming protein that is processed to functional PDGF-BB. |
| Shimizu A, O'Brien KP, Sjblom T, Pietras K, Buchdunger E, Collins VP, Heldin CH, Dumanski JP, Ostman A |
| Cancer research. 1999 ; 59 (15) : 3719-3723. |
| PMID 10446987 |
| |
| Detection of COL1A1-PDGFB fusion transcripts in dermatofibrosarcoma protuberans by reverse transcription-polymerase chain reaction using archival formalin-fixed, paraffin-embedded tissues. |
| Wang J, Hisaoka M, Shimajiri S, Morimitsu Y, Hashimoto H |
| Diagnostic molecular pathology : the American journal of surgical pathology, part B. 1999 ; 8 (3) : 113-119. |
| PMID 10565681 |
| |
| Supernumerary ring chromosome in a Bednar tumor (pigmented dermatofibrosarcoma protuberans) is composed of interspersed sequences from chromosomes 17 and 22: a fluorescence in situ hybridization and comparative genomic hybridization analysis. |
| Nishio J, Iwasaki H, Ishiguro M, Ohjimi Y, Yo S, Isayama T, Naito M, Kikuchi M |
| Genes, chromosomes & cancer. 2001 ; 30 (3) : 305-309. |
| PMID 11170290 |
| |
| Structural and functional analysis of a chimeric protein COL1A1-PDGFB generated by the translocation t(17;22)(q22;q13.1) in Dermatofibrosarcoma protuberans (DP). |
| Simon MP, Navarro M, Roux D, Pouyssgur J |
| Oncogene. 2001 ; 20 (23) : 2965-2975. |
| PMID 11420709 |
| |