RecurrentKRASmutations in papillary renal neoplasm with reverse polarity
MODERN PATHOLOGY
Authors: Al-Obaidy, Khaleel I.; Eble, John N.; Nassiri, Mehdi; Cheng, Liang; Eldomery, Mohammad K.; Williamson, Sean R.; Sakr, Wael A.; Gupta, Nilesh; Hassan, Oudai; Idrees, Muhammad T.; Grignon, David J.
Abstract
We recently proposed that an epithelial renal tumor "papillary renal neoplasm with reverse polarity" represents a distinct entity. It constituted 4% of previously diagnosed papillary renal cell carcinoma at the participating institutions. Histologically, it is characterized by papillary or tubulopapillary architecture covered by a single layer of eosinophilic cells with finely granular cytoplasm and apically located nuclei. It is characteristically positive for GATA3 and L1CAM and lack vimentin and, to a lesser extent, alpha-methylacyl-CoA-racemase (AMACR/p504s) immunostaining. To investigate the molecular pathogenesis of these tumors, we performed targeted next-generation sequencing on ten previously reported papillary renal neoplasms with reverse polarity, followed by a targeted polymerase chain reaction analysis forKRASmutations in a control series of 30 type 1 and 2 papillary renal cell carcinomas.KRASmissense mutations were identified in eight of ten papillary renal neoplasms with reverse polarity. These mutations were clustered in exon 2-codon 12: c.35 G > T (n = 6) or c.34 G > C (n = 2) resulting in p.Gly12Val and p.Gly12Arg alterations, respectively. One of the wild-type tumors hadBRAFc.1798_1799delGTinsAG (p.Val600Arg) mutation. NoKRASmutations were identified in any of the 30 control tumors. In summary, this study supports our proposal that papillary renal neoplasm with reverse polarity is an entity distinct from papillary renal cell carcinoma and the only renal cell neoplasm to consistently harborKRASmutations.
Regulation of stem/progenitor cell maintenance by BMP5 in prostate homeostasis and cancer initiation
ELIFE
Authors: Tremblay, Mathieu; Viala, Sophie; Shafer, Maxwell E. R.; Graham-Paquin, Adda-Lee; Liu, Chloe; Bouchard, Maxime
Abstract
Tissue homeostasis relies on the fine regulation between stem and progenitor cell maintenance and lineage commitment. In the adult prostate, stem cells have been identified in both basal and luminal cell compartments. However, basal stem/progenitor cell homeostasis is still poorly understood. We show that basal stem/progenitor cell maintenance is regulated by a balance between BMP5 self-renewal signal and GATA3 dampening activity. Deleting Gata3 enhances adult prostate stem/progenitor cells self-renewal capacity in both organoid and allograft assays. This phenotype results from a local increase in BMP5 activity in basal cells as shown by the impaired self-renewal capacity of Bmp5-deficient stem/progenitor cells. Strikingly, Bmp5 gene inactivation or BMP signaling inhibition with a small molecule inhibitor are also sufficient to delay prostate and skin cancer initiation of Pten-deficient mice. Together, these results establish BMP5 as a key regulator of basal prostate stem cell homeostasis and identifies a potential therapeutic approach against Pten-deficient cancers.