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

Identity

Phylum Urinary system:Kidney:Adult:Renal cell carcinoma:t(X; 1)(p11;q21)
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case in a non-papillay renal cell carcinoma, suggesting that t(X;1) is not restricted to the papillary subtype of RCC (unpublished).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 genetics and cytogenetics. 1986 ; 21 (2) : 165-169.
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    Cytogenetics of a renal cell carcinoma in a 17-month-old child. Evidence for Xp11.2 as a recurring breakpoint.
    Tomlinson GE, Nisen PD, Timmons CF, Schneider NR
    Cancer genetics and cytogenetics. 1991 ; 57 (1) : 11-17.
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    Translocation (X;1) in papillary renal cell carcinoma. A new cytogenetic subtype.
    Meloni AM, Dobbs RM, Pontes JE, Sandberg AA
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    PMID 8431910
     
    Distinct Xp11.2 breakpoints in two renal cell carcinomas exhibiting X;autosome translocations.
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    Genes, chromosomes & cancer. 1995 ; 14 (1) : 43-50.
    PMID 8527383
     
    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
    Proceedings of the National Academy of Sciences of the United States of America. 1996 ; 93 (26) : 15294-15298.
    PMID 8986805
     
    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
    The American journal of surgical pathology. 1997 ; 21 (6) : 621-635.
    PMID 9199639
     
    Cytogenetic classification of renal cell cancer.
    van den Berg E, Dijkhuizen T, Oosterhuis JW, Geurts van Kessel A, de Jong B, Strkel S
    Cancer genetics and cytogenetics. 1997 ; 95 (1) : 103-107.
    PMID 9140459
     
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    Contributor(s)

    Written03-1998Franois 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

    This paper is referenced by INIST as such :
    http://documents.irevues.inist.fr/bitstream/2042/37446/1/03-1998-tX1ID5009.pdf   [ Bibliographic record ]

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    indexed on : Sat Mar 9 12:39:39 CET 2013


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