Immunohistochemistry or Molecular Analysis: Which Method Is Better for Subtyping Craniopharyngioma?
ENDOCRINE PATHOLOGY
Authors: Fukuhara, Noriaki; Iwata, Takeo; Inoshita, Naoko; Yoshimoto, Katsuhiko; Kitagawa, Masanobu; Fukuhara, Hirokazu; Tatsushima, Keita; Yamaguchi-Okada, Mitsuo; Takeshita, Akira; Ito, Junko; Takeuchi, Yasuhiro; Yamada, Shozo; Nishioka, Hiroshi
Abstract
Craniopharyngioma (CP) is mainly classified into two pathological subtypes: adamantinomatous (ACP) and papillary (PCP).CTNNB1(beta-catenin) mutations are detected in ACPs, and theBRAFV600E mutation is detected in PCPs. However, genetic analysis is not always possible in general medical practice. In this study, we investigated whether immunohistochemistry could replace genetic analysis as an aid in subtype diagnosis. Here, 38 CP patients who had undergone their first tumor resection were included. Among the 38 cases, 22 were morphologically diagnosed as ACP, 10 cases were diagnosed as PCP, and six cases were diagnosed as undetermined CP that were morphologically difficult to classify as either ACP or PCP. Results of immunohistochemistry and genetic analysis and clinical features were compared. Based on the immunohistochemistry, 26 (22 ACPs and four undetermined CPs) showed nuclear beta-catenin expression, 11 (nine PCPs and two undetermined CPs) exhibited positive BRAF V600E immunostaining, and one PCP showed membranous beta-catenin expression and negative BRAF V600E immunostaining. Among the 26 nuclear beta-catenin expression cases, 11 hadCTNNB1mutations; however, 15 cases had mutations of neitherCTNNB1norBRAFV600E. All 11 BRAF V600E immunopositive cases hadBRAFV600E mutations. When comparing clinical features, pediatric patients and those with tumor calcification and less solid components on MRI more commonly had nuclear beta-catenin expression tumors than BRAF V600E immunopositive tumors, reflecting the differences in clinical features between ACP and PCP. Accordingly, immunohistochemistry can replace genetic analysis as an aid to determine the subtype diagnosis of CP in general medical practice.
ERK1/2 Signaling Induces Upregulation of ANGPT2 and CXCR4 to Mediate Liver Metastasis in Colon Cancer
CANCER RESEARCH
Authors: Urosevic, Jelena; Teresa Blasco, Maria; Llorente, Alicia; Bellmunt, Anna; Berenguer-Llergo, Antoni; Guiu, Marc; Canellas, Adria; Fernandez, Esther; Burkov, Ivan; Clapes, Maria; Cartana, Mireia; Figueras-Puig, Cristina; Batlle, Eduard; Nebreda, Angel R.; Gomis, Roger R.
Abstract
Carcinoma development in colorectal cancer is driven by genetic alterations in numerous signaling pathways. Alterations in the RAS-ERK1/2 pathway are associated with the shortest overall survival for patients after diagnosis of colorectal cancer metastatic disease, yet how RAS-ERK signaling regulates colorectal cancer metastasis remains unknown. In this study, we used an unbiased screening approach based on selection of highly liver metastatic colorectal cancer cells in vivo to determine genes associated with metastasis. From this, an ERK1/2-controlled metastatic gene set (EMGS) was defined. EMGS was associated with increased recurrence and reduced survival in patients with colorectal cancer tumors. Higher levels of EMGS expression were detected in the colorectal cancer subsets consensus molecular subtype (CMS)1 and CMS4. ANGPT2 and CXCR4, two genes within the EMGS, were subjected to gain-of-function and loss-of-function studies in several colorectal cancer cell lines and then tested in clinical samples. The RAS-ERK1/2 axis controlled expression of the cytokine ANGPT2 and the cytokine receptor CXCR4 in colorectal cancer cells, which facilitated development of liver but not lung metastases, suggesting that ANGPT2 and CXCR4 are important for metastatic outgrowth in the liver. CXCR4 controlled the expression of cytokines IL10 and CXCL1, providing evidence for a causal role of IL10 in supporting liver colonization. In summary, these studies demonstrate that amplification of ERK1/2 signaling in KRAS-mutated colorectal cancer cells affects the cytokine milieu of the tumors, possibly affecting tumor-stroma interactions and favoring liver metastasis formation. Significance: These findings identify amplified ERK1/2 signaling in KRAS-mutated colorectal cancer cells as a driver of tumorstroma interactions that favor formation of metastases in the liver.