PMID- 22627626 OWN - NLM STAT- MEDLINE DCOM- 20120924 LR - 20220812 IS - 1309-5730 (Electronic) IS - 1018-5615 (Linking) VI - 28 IP - 2 DP - 2012 TI - Evidence of ambiguous differentiation and mTOR pathway dysregulation in subependymal giant cell astrocytoma. PG - 95-103 LID - 10.5146/tjpath.2012.01107 [doi] AB - OBJECTIVE: The exact cell of origin of subependymal giant cell astrocytoma is debated but most currently consider the tumor in the astrocytic category. Mutations and subsequent biallelic inactivation of TSC1 encoding hamartin, or TSC2 encoding tuberin appear to be the underlying genetic aberrations. Inactivation leads to loss of proteins that inhibit mammalian target of rapamycin (mTOR ) disrupting tightly regulated cell functions. MATERIAL AND METHOD: We analyzed the expression of tuberin and hamartin along with an array of neuroepithelial markers in 9 subependymal giant cell astrocytomas. In addition, RPS6 and 4EBP1 regulatory proteins that are downstream in the mTOR pathway were also evaluated. RESULTS: While hamartin and tuberin expression levels were relatively decreased compared to control tissue, this was not of particular practical use to detect the mutated gene since low levels of positivity could be detected throughout the central nervous system. As expected, the levels of RPS6 and 4EBP1 were increased, further confirming the activation of the mTOR pathway. GFAP was positive in 5 cases, while Synaptophysin positivity was found in all tumors. CD34 (a marker often observed in well differentiated glio-neuronal tumors), Olig2 (a nuclear marker present in most gliomas), IDH1 and IDH2 were entirely negative in all tumor cells. Ki67 (MIB-1) showed a low proliferation rate ranging from 2% to 8%. CONCLUSION: Staining with neuroepithelial markers supports the suggestion of ambiguous differentiation. Subependymal giant cell astrocytomas do not appear to have the typical expression profiles of astrocytic tumors, under which they have been classified. FAU - Barrows, Brad D AU - Barrows BD AD - Department of Pathology, University of California San Francisco, San Francisco, USA. FAU - Rutkowski, Martin J AU - Rutkowski MJ FAU - Gultekin, Sakir Humayun AU - Gultekin SH FAU - Parsa, Andrew T AU - Parsa AT FAU - Tihan, Tarik AU - Tihan T LA - eng PT - Journal Article PL - Turkey TA - Turk Patoloji Derg JT - Turk patoloji dergisi JID - 9440471 RN - 0 (Adaptor Proteins, Signal Transducing) RN - 0 (Antigens, CD34) RN - 0 (Basic Helix-Loop-Helix Transcription Factors) RN - 0 (Biomarkers, Tumor) RN - 0 (Cell Cycle Proteins) RN - 0 (EIF4EBP1 protein, human) RN - 0 (Ki-67 Antigen) RN - 0 (Nerve Tissue Proteins) RN - 0 (OLIG2 protein, human) RN - 0 (Oligodendrocyte Transcription Factor 2) RN - 0 (Phosphoproteins) RN - 0 (Ribosomal Protein S6) RN - 0 (SYP protein, human) RN - 0 (Synaptophysin) RN - 0 (TSC1 protein, human) RN - 0 (TSC2 protein, human) RN - 0 (Tuberous Sclerosis Complex 1 Protein) RN - 0 (Tuberous Sclerosis Complex 2 Protein) RN - 0 (Tumor Suppressor Proteins) RN - 0 (Vesicular Transport Proteins) RN - EC 1.1.1.41 (IDH2 protein, human) RN - EC 1.1.1.41 (Isocitrate Dehydrogenase) RN - EC 1.1.1.42. (IDH1 protein, human) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Adaptor Proteins, Signal Transducing/analysis MH - Adolescent MH - Adult MH - Antigens, CD34/analysis MH - Astrocytoma/*chemistry/classification/genetics/*pathology MH - Basic Helix-Loop-Helix Transcription Factors/analysis MH - Biomarkers, Tumor/*analysis/genetics MH - Brain Neoplasms/*chemistry/classification/genetics/*pathology MH - Cell Cycle Proteins MH - *Cell Differentiation MH - Child MH - Child, Preschool MH - DNA Mutational Analysis MH - Female MH - Humans MH - Immunohistochemistry MH - Infant MH - Isocitrate Dehydrogenase/genetics MH - Ki-67 Antigen/analysis MH - Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Mutation MH - Nerve Tissue Proteins/analysis MH - Oligodendrocyte Transcription Factor 2 MH - Phosphoproteins/analysis MH - Phosphorylation MH - Ribosomal Protein S6/analysis MH - Signal Transduction MH - Synaptophysin MH - TOR Serine-Threonine Kinases/*analysis MH - Tuberous Sclerosis Complex 1 Protein MH - Tuberous Sclerosis Complex 2 Protein MH - Tumor Suppressor Proteins/analysis/genetics MH - Vesicular Transport Proteins/analysis EDAT- 2012/05/26 06:00 MHDA- 2012/09/25 06:00 CRDT- 2012/05/26 06:00 PHST- 2012/05/26 06:00 [entrez] PHST- 2012/05/26 06:00 [pubmed] PHST- 2012/09/25 06:00 [medline] AID - 10.5146/tjpath.2012.01107 [doi] PST - ppublish SO - Turk Patoloji Derg. 2012;28(2):95-103. doi: 10.5146/tjpath.2012.01107.