PMID- 17239935 OWN - NLM STAT- MEDLINE DCOM- 20070404 LR - 20070216 IS - 0046-8177 (Print) IS - 0046-8177 (Linking) VI - 38 IP - 3 DP - 2007 Mar TI - An assessment of chromosomal alterations detected by fluorescence in situ hybridization and p16 expression in sporadic and primary sclerosing cholangitis-associated cholangiocarcinomas. PG - 491-9 AB - The objective of this study was to assess and compare the chromosome abnormalities present in sporadic and primary sclerosing cholangitis (PSC)-associated cholangiocarcinomas (CCAs) and biliary dysplasias. Histologic sections from 22 patients with CCA (16 sporadic and 6 PSC associated), 5 of whom had associated dysplasia, and 2 PSC patients with biliary dysplasia alone were assessed for chromosomal alterations with fluorescence in situ hybridization (FISH). FISH involved the use of a multiprobe set consisting of centromere-specific probes for chromosomes 3, 7, and 17 and a locus-specific probe for 9p21. The number of signals for each of these probes was enumerated in 50 nonoverlapping interphase nuclei, and the percentage of nuclei containing 0, 1, 2, and 3 or more signals was recorded for each probe. p16 expression was assessed using immunohistochemistry. Gain of at least 1 chromosome was identified in 19 of 22 (86%) invasive tumors and in 4 of 7 (57%) biliary dysplasias. Gain of 2 or more chromosomes (polysomy) was observed in 17 of 22 (77%) invasive tumors and in 3 of 7 (43%) biliary dysplasias. Homozygous loss of 9p21 was identified in 11 of 22 (50%) invasive tumors and in 3 of 7 (43%) biliary dysplasias. The patterns of chromosomal abnormalities detected by FISH in PSC-associated and sporadic CCAs were similar. Nine of 13 (69%) invasive tumors and 2 of 5 (40%) biliary dysplasias with complete loss of p16 expression by immunohistochemistry showed allelic loss of 9p21 by FISH. Polysomy and homozygous 9p21 deletion are common in both sporadic and PSC-associated CCAs and are frequently detectable in PSC-associated biliary dysplasia. FAU - DeHaan, Ryan D AU - DeHaan RD AD - Department of Laboratory Medicine and Pathology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA. FAU - Kipp, Benjamin R AU - Kipp BR FAU - Smyrk, Thomas C AU - Smyrk TC FAU - Abraham, Susan C AU - Abraham SC FAU - Roberts, Lewis R AU - Roberts LR FAU - Halling, Kevin C AU - Halling KC LA - eng PT - Journal Article DEP - 20070119 PL - United States TA - Hum Pathol JT - Human pathology JID - 9421547 RN - 0 (Cyclin-Dependent Kinase Inhibitor p16) SB - IM MH - Adult MH - Aged MH - Bile Ducts, Intrahepatic/pathology MH - Cholangiocarcinoma/*complications/genetics MH - Cholangitis, Sclerosing/*complications/genetics MH - *Chromosome Aberrations MH - Cyclin-Dependent Kinase Inhibitor p16/*biosynthesis MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Male MH - Middle Aged EDAT- 2007/01/24 09:00 MHDA- 2007/04/05 09:00 CRDT- 2007/01/24 09:00 PHST- 2006/07/13 00:00 [received] PHST- 2006/09/05 00:00 [revised] PHST- 2006/09/06 00:00 [accepted] PHST- 2007/01/24 09:00 [pubmed] PHST- 2007/04/05 09:00 [medline] PHST- 2007/01/24 09:00 [entrez] AID - S0046-8177(06)00572-7 [pii] AID - 10.1016/j.humpath.2006.09.004 [doi] PST - ppublish SO - Hum Pathol. 2007 Mar;38(3):491-9. doi: 10.1016/j.humpath.2006.09.004. Epub 2007 Jan 19.