PMID- 20662834 OWN - NLM STAT- MEDLINE DCOM- 20110110 LR - 20181201 IS - 1365-2133 (Electronic) IS - 0007-0963 (Linking) VI - 163 IP - 5 DP - 2010 Nov TI - Multiple genetic copy number alterations in oral squamous cell carcinoma: study of MYC, TP53, CCDN1, EGFR and ERBB2 status in primary and metastatic tumours. PG - 1028-35 LID - 10.1111/j.1365-2133.2010.09947.x [doi] AB - BACKGROUND: Oncogenesis in the oral cavity is believed to result from genetic alterations that cause a stepwise transformation of the mucosa to invasive carcinoma. In oral squamous cell carcinoma (OSCC) multiple cytogenetic abnormalities have been reported, but their practical significance remains uncertain. OBJECTIVE: To evaluate the usefulness of the assessment of CCND1, MYC, EGFR, ERBB2 and TP53 in OSCC and lymph node metastases. METHODS: Fifty-one consecutive samples of OSCC, nine lymph node biopsies showing metastatic spread from OSCC, 16 biopsies diagnosed as oral leucoplakia (OLK), 13 samples corresponding to oral lichen planus (OLP) and 14 samples from normal oral mucosa were included in the study. Clinical and histopathological characteristics were reviewed. The genetic and protein status of the CCND1, MYC, EGFR, ERBB2 oncogenes and the TP53 tumour suppressor gene were assessed by fluorescence in situ hybridization (FISH) and immunohistochemistry (IHC). The obtained results were compared with the clinical characteristics and the outcome of the OSCCs. RESULTS: TP53 gene losses and MYC, ERBB2, CCND1 and EGFR copy number gains and amplifications were detected in a higher proportion in OSCC and lymph node samples than in OLK and OLP samples (P < 0.005). Overexpression of p53, Myc, Cyclin D1, c-erbB-2 and epidermal growth factor receptor (EGFR) was more prevalent in malignant samples than benign samples (P < 0.05). Correlation between FISH and IHC results was demonstrated in MYC, EGFR and CCND1 studies. The presence of two or more genetic abnormalities in the studied loci was exclusively detected in primary and metastatic OSCC. CONCLUSIONS: In our series, genetic abnormalities in TP53, MYC, CCND1, ERBB2 and EGFR detected by FISH were absent in inflammatory lesions, infrequent in precursor lesions and common in tumoral lesions. Evaluation of the genetic status of TP53, MYC, CCND1, ERBB2 and EGFR may be an additional diagnostic tool in distinguishing benign from malignant oral lesions in histopathologically challenging cases. CI - (c) 2010 The Authors. BJD (c) 2010 British Association of Dermatologists. FAU - Martin-Ezquerra, G AU - Martin-Ezquerra G AD - Department of Medicina i Dermatologia, Universitat Autonoma de Barcelona, Hospital del Mar, Parc de Salut Mar, Passeig Maritim 25-29, 08003 Barcelona, Spain. gmartin@parcdesalutmar.cat FAU - Salgado, R AU - Salgado R FAU - Toll, A AU - Toll A FAU - Gilaberte, M AU - Gilaberte M FAU - Baro, T AU - Baro T FAU - Alameda Quitllet, F AU - Alameda Quitllet F FAU - Yebenes, M AU - Yebenes M FAU - Sole, F AU - Sole F FAU - Garcia-Muret, M AU - Garcia-Muret M FAU - Espinet, B AU - Espinet B FAU - Pujol, R M AU - Pujol RM LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Br J Dermatol JT - The British journal of dermatology JID - 0004041 RN - 0 (Biomarkers, Tumor) RN - 0 (CCND1 protein, human) RN - 0 (MYC protein, human) RN - 0 (Proto-Oncogene Proteins c-myc) RN - 136601-57-5 (Cyclin D1) RN - EC 2.7.10.1 (ERBB2 protein, human) RN - EC 2.7.10.1 (ErbB Receptors) RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Biomarkers, Tumor/genetics/metabolism MH - Biopsy MH - Carcinoma, Squamous Cell/*genetics MH - Cyclin D1/genetics/metabolism MH - ErbB Receptors/genetics/metabolism MH - Female MH - *Gene Dosage MH - Genes, p53/genetics MH - Humans MH - Lymph Nodes MH - Male MH - Middle Aged MH - Mouth Neoplasms/*genetics MH - Neoplasm Metastasis/genetics MH - Oncogenes/*genetics MH - Proto-Oncogene Proteins c-myc/genetics/metabolism MH - Receptor, ErbB-2/genetics/metabolism EDAT- 2010/07/29 06:00 MHDA- 2011/01/11 06:00 CRDT- 2010/07/29 06:00 PHST- 2010/07/29 06:00 [entrez] PHST- 2010/07/29 06:00 [pubmed] PHST- 2011/01/11 06:00 [medline] AID - BJD9947 [pii] AID - 10.1111/j.1365-2133.2010.09947.x [doi] PST - ppublish SO - Br J Dermatol. 2010 Nov;163(5):1028-35. doi: 10.1111/j.1365-2133.2010.09947.x.