Overin Seröz Adenokarsinomları ve Seröz Borderline Tümörlerinde RAS/RAF/MEK/MAPK Yolağındaki Moleküler Değişikliklerin Araştırılması

Amaç: Overin yüksek dereceli seröz adenokarsinomları, seröz borderline tümörleri ve benign lezyonlarında RAS/RAF/MEK/MAPK yolağında değişikbasamaklarda olduğu bildirilen moleküller; MAP Kinaz (p38), c-Fos, c-Jun ve c-Myc’in immünhistokimyasal olarak araştırılması amaçlanmıştır.Gereç ve Yöntem: On iki seröz borderline tümör, 41 yüksek dereceli seröz karsinom ve seröz papiller kistadenofibrom, seröz kistadenomlardan oluşan19 olgu ile birlikte, toplam 72 olgu üzerinde p38, c-Myc, c-Jun ve c-Fos immünhistokimyasal boyamaları yapılmıştır.Bulgular: c-Fos ile bordeline ve benign lezyonlarda olguların tamamında yaygın ve şiddetli boyanma izlenirken, seröz adenokarsinomların yalnızca16’sında fokal ve hafif boyanma izlenmiştir (p

Investigation of Molecular Changes in RAS/RAF/MEK/MAPK Pathway in Serous Adenocarcinomas and Serous Borderline Tumors of Ovary

Objectives: To investigate MAP Kinase (p38), c-Fos, c-Jun and c-Myc; in RAS/RAF/MEK/MAPK pathway by immunohistochemically in high grade serous adenocarcinomas, serous borderline tumors and benign lesions of the ovary. Materials and Methods: Twelve serous borderline tumors, 41 high-grade serous carcinomas and 19 cases of serous papillary cystadenofibromas, serous cystadenomas; p38, c-Myc, c-Jun and c-Fos immunohistochemical staining were performed. Results: In borderline and benign lesions, diffuse and severe staining was observed in all cases with c-Fos, whereas focal and mild staining was observed in only 16 of the serous adenocarcinomas (p

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  • 1. ShihIe M, Kurman RJ. Ovarian tumorigenesis: a proposed model based on morphological and molecular genetic analysis. Am J Pathol. 2004;164:1511- 1518.
  • 2. Kurman RJ, Carcangiu ML, Herrington S, Young RH eds 4. IARC; Lyon, France: 2014. WHO classification of tumours of female reproductive organs
  • 3. Kurman RJ, ShihIe M. The Dualistic Model of Ovarian Carcinogenesis; Revisited, Revised, and Expanded. Am J Pathol. 2016;186: 733-747.
  • 4. Singer G, Oldt R, Cohen Y, et al. Mutations in BRAF and KRAS characterize the development of low-grade ovarian serous carcinoma. J Nat Cancer Inst. 2003;95:484-486.
  • 5. Kuo KT, Guan B, Feng Y, et al. Analysis of DNA copy number alterations in ovarian serous tumors identifies new molecular genetic changes in lowgrade and high-grade carcinomas. Cancer Res. 2009;69:4036-4042.
  • 6. Pohl G, Ho CL, Kurman RJ, et al. Inactivation of the mitogen-activated protein kinase pathway as a potential target-based therapy in ovarian serous tumors with KRAS or BRAF mutations. Cancer Res. 2005;65:1994- 2000.
  • 7. Kurman RJ, Vang R, Junge J, et al. Papillary tubal hyperplasia: the putative precursor of ovarian atypical proliferative (borderline) serous tumors, noninvasive implants, and endosalpingiosis. Am J Surg Pathol. 2011;35:1605-1614.
  • 8. Jones S, Wang TL, Kurman RJ, et al. Low-grade serous carcinomas of the ovary contain very few point mutations. J Pathol. 2012;226:413-420.
  • 9. Howitt BE, Hanamornroongruang S, Lin DI, et al. Evidence for a dualistic model of high-grade serous carcinoma: BRCA mutation status, histology, and tubal intraepithelial carcinoma. Am J Surg Pathol. 2015;39:287-293.
  • 10. Patch AM, Christie EL, Etemadmoghadam D, et al. Whole-genome characterization of chemoresistant ovarian cancer. Nature 2015;521:489- 494.
  • 11. Piek JM, van Diest PJ, Zweemer RP, et al. Dysplastic changes in prophylactically removed Fallopian tubes of women predisposed to developing ovarian cancer. J Pathol. 2001;195:451-456.
  • 12. Finch A, Beiner M, Lubinski J, et al. Hereditary Ovarian Cancer Clinical Study Group Salpingo-oophorectomy and the risk of ovarian, fallopian tube, and peritoneal cancers in women with a BRCA1 or BRCA2 Mutation. JAMA. 2006;296:185-192.
  • 13. Medeiros F, Muto MG, Lee Y, et al. The tubal fimbria is a preferred site for early adenocarcinoma in women with familial ovarian cancer syndrome. Am J Surg Pathol. 2006;30:230-236.
  • 14. Platanias LC. Map kinase signaling pathways and hematologic malignancies. Blood. 2003;101:4667-4679.
  • 15. Cuadrado A, Nebreda AR. Mechanisms and functions of p38 MAPK signalling. Biochem J. 2010,429:403-417.
  • 16. Stachowiak MK, Sar M. Stimulation of adrenal medullary cells in vivo and in vitro induces expression of c-FOS protooncogene. Oncogene. 1990;5:69-73.
  • 17. Franchi A. Immunohistochemical detection of c-FOS and c-JUN expression in cartilaginous tumours of the skelaton. Virchows Arch. 1998;432:515-519.
  • 18. Cavigelli M, Dolfi F. Induction of c-FOS expression through JNK-mediated TCF/Elk-1 phosphorylation. EMBO J. 1995;14:5957-5964.
  • 19. Mok SC, Bell DA, Knapp RC, et al. Mutation of K-ras protooncogene in human ovarian epithelial tumors of borderline malignancy. Cancer Res. 1993;53:1489-1492.
  • 20. Chung-Liang Ho. Mutations of BRAF and KRAS Precede the Development of Ovarian Serous Borderline Tumors. Cancer Research. 2004;64.:6915-6918.
  • 21. Chen L, Mayer JA, Krisko TI, et al. Inhibition of the p38 kinase suppresses the proliferation of human ER negative breast cancer cells. Cancer Res. 2009;69:853-861.
  • 22. Halawani D, Mondeh R, Stanton LA et al. p38 MAP kinasesignaling is necessary for rat chondrosarcoma cell proliferation. Oncogene. 2004;23:3726-3731.
  • 23. Recio JA, Merlino G. Hepatocyte growth factor/scatter factor activates proliferation in melanoma cells through p38 MAPK, ATF-2 and cyclin D1. Oncogene. 2002;21:1000-1008.
  • 24. Hari K. Koul, Mintu Pal, Sweaty Koul. Role of p38 MAP Kinase Signal Transduction in Solid Tumors. Genes & Cancer. 2013;4:342-359.
  • 25. Oliveira-Ferrer L, Ro K, Haustein V, et al. c-FOS suppresses ovarian cancer progression by changing adhesion. British Journal of Cancer. 2014;110:753- 763.
  • 26. Silverberg SG, Sasano H. Immunolocalization of c-myc oncoprotein in mucinous anda serous adenocarcinomas of the ovary; Hum Pathol. 1992;23:491-495.
  • 27. Jing S, Xin C, Mingo MH Y, et al. miR-137 mediates the functional link between c-Myc and EZH2 that regulates cisplatin resistance in ovarian cancer. Oncogene. 2019;38:564-580.
  • 28. Nagarajae AB, Josepha P, Kovalenkob O, et al. Evaluating class III anti arrhythmic agents as novel MYC targeting drugs in ovarian cancer. Gynecol Oncol. 2018;151:525-532.
Ankara Üniversitesi Tıp Fakültesi Mecmuası-Cover
  • Başlangıç: 1947
  • Yayıncı: Erkan Mor
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