PMID- 25482929 OWN - NLM STAT- MEDLINE DCOM- 20151130 LR - 20201113 IS - 1555-8576 (Electronic) IS - 1538-4047 (Print) IS - 1538-4047 (Linking) VI - 16 IP - 2 DP - 2015 TI - PTCH 1 staining of pancreatic neuroendocrine tumor (PNET) samples from patients with and without multiple endocrine neoplasia (MEN-1) syndrome reveals a potential therapeutic target. PG - 219-24 LID - 10.4161/15384047.2014.987574 [doi] AB - Pancreatic neuroendocrine tumors (PNETs) are rare, indolent tumors that may occur sporadically or develop in association with well-recognized hereditary syndromes, particularly multiple endocrine neoplasia type 1 (MEN-1). We previously demonstrated that the hedgehog (HH) signaling pathway was aberrantly up-regulated in a mouse model that phenocopies the human MEN-1 syndrome, Men1l/l;RipCre, and that inhibition of this pathway suppresses MEN-1 tumor cell proliferation. We hypothesized that the HH signaling pathway is similarly upregulated in human PNETs. We performed immunohistochemical (IHC) staining for PTCH1 in human fresh and archival PNET specimens to examine whether human sporadic and MEN-1-associated PNETs revealed similar abnormalities as in our mouse model and correlated the results with clinical and demographic factors of the study cohort. PTCH1 staining was positive in 12 of 22 PNET patients (55%). Four of 5 MEN-1 patients stained for PTCH1 (p = 0.32 as compared with sporadic disease patients). Nine of 16 patients with metastatic disease stained for PTCH1 as compared with zero of 3 with localized disease only (p = 0.21). No demographic or clinical features appeared to be predictive of PTCH 1 positivity and PTCH 1 positivity per se was not predictive of clinical outcome. PTCH1, a marker of HH pathway up regulation, is detectable in both primary and metastatic tumors in more than 50% of PNET patients. Although no clinical or demographic factors predict PTCH1 positivity and PTCH1 positivity does not predict clinical outcome, the frequency of expression alone indicates that perturbation of this pathway with agents such as Vismodegib, an inhibitor of Smoothened (SMO), should be examined in future clinical trials. FAU - Gurung, Buddha AU - Gurung B AD - a Abramson Family Cancer Research Center; Department of Cancer Biology ; University of Pennsylvania School of Medicine ; Philadelphia , PA USA. FAU - Hua, Xianxin AU - Hua X FAU - Runske, Melissa AU - Runske M FAU - Bennett, Bonita AU - Bennett B FAU - LiVolsi, Virginia AU - LiVolsi V FAU - Roses, Robert AU - Roses R FAU - Fraker, Douglas A AU - Fraker DA FAU - Metz, David C AU - Metz DC LA - eng GR - R01 CA178856/CA/NCI NIH HHS/United States GR - 1-RO1-CA-178856-01/CA/NCI NIH HHS/United States GR - UO1 CA 44974/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - Cancer Biol Ther JT - Cancer biology & therapy JID - 101137842 RN - 0 (PTCH1 protein, human) RN - 0 (Patched Receptors) RN - 0 (Patched-1 Receptor) RN - 0 (Ptch1 protein, mouse) RN - 0 (Receptors, Cell Surface) SB - IM MH - Adult MH - Cohort Studies MH - Combined Modality Therapy MH - Female MH - Humans MH - Immunohistochemistry MH - Male MH - Middle Aged MH - Multiple Endocrine Neoplasia/diagnosis/*metabolism/therapy MH - Neoplasm Grading MH - Neoplasm Metastasis MH - Neuroendocrine Tumors/diagnosis/*metabolism/therapy MH - Pancreatic Neoplasms/diagnosis/*metabolism/therapy MH - Patched Receptors MH - Patched-1 Receptor MH - Receptors, Cell Surface/*metabolism MH - Treatment Outcome MH - Tumor Burden PMC - PMC4623013 OTO - NOTNLM OT - ACTH, Adrenocorticotrophic hormone OT - BCNS, basal cell nevus syndrome OT - CgA, chromogranin A OT - HH, hedgehog OT - IHC, immunohistochemical OT - MEN-1 OT - MEN-1, multiple neuroendocrine tumor syndrome type 1 OT - NF-1, neurofibromatosis type 1 OT - PNET, pancreatic neuroendocrine tumor OT - PRRT, peptide radioreceptor therapy OT - PTCH 1, protein patched homolog 1 OT - SMO, smoothened OT - VHL, von Hippel Lan- dau OT - WHO, World Health Organization OT - hedgehog OT - neuroendocrine OT - pancreas EDAT- 2014/12/09 06:00 MHDA- 2015/12/15 06:00 PMCR- 2015/11/21 CRDT- 2014/12/09 06:00 PHST- 2014/12/09 06:00 [entrez] PHST- 2014/12/09 06:00 [pubmed] PHST- 2015/12/15 06:00 [medline] PHST- 2015/11/21 00:00 [pmc-release] AID - 987574 [pii] AID - 10.4161/15384047.2014.987574 [doi] PST - ppublish SO - Cancer Biol Ther. 2015;16(2):219-24. doi: 10.4161/15384047.2014.987574.