PMID- 26170010 OWN - NLM STAT- MEDLINE DCOM- 20151116 LR - 20191210 IS - 1532-8392 (Electronic) IS - 0046-8177 (Linking) VI - 46 IP - 9 DP - 2015 Sep TI - Gain of hTERC: a genetic marker of malignancy in oral potentially malignant lesions. PG - 1275-81 LID - S0046-8177(15)00187-2 [pii] LID - 10.1016/j.humpath.2015.05.013 [doi] AB - Oral squamous cell carcinoma (OSCC) is the most common oral cancer, and major efforts is being made to identify molecular markers capable to differentiate oral potentially malignant lesions (OPMLs) with indolent course from lesions with aggressive behavior. We undertook a study to evaluate if gain of the human telomerase RNA component (hTERC) gene in OPMLs could indicate lesions at high risk of developing OSCC. The study was performed on 30 OPMLs with long-term follow-up using a dual-color interphase fluorescence in situ hybridization (FISH) for hTERC status. Progression to malignancy was observed in 9 of 10 cases harboring hTERC gain and in 1 of 20 cases retaining a normal copy number of hTERC (P < .0001). Combining morphological grading and FISH analysis, all the cases with high-grade squamous intraepithelial lesion or carcinoma in situ harboring hTERC amplification progressed to OSCC, whereas none of the low-grade squamous intraepithelial lesions without hTERC gain progressed. Intermediate situations occurred. The data suggest that precise morphological evaluation together with FISH assessment for hTERC gain might pave the way to stratify OPMLs into high-risk and low-risk categories and could be helpful in selecting the most appropriate treatment. CI - Copyright (c) 2015 Elsevier Inc. All rights reserved. FAU - Dorji, Tshering AU - Dorji T AD - Pathology and Laboratory Medicine Centro Diagnostico Italiano, Milan Italy 20147. FAU - Monti, Valentina AU - Monti V AD - Section of Anatomic Pathology of the Department of Biomedical and Neuromotor Sciences, of the University of Bologna, Bologna Italy. FAU - Fellegara, Giovanni AU - Fellegara G AD - Pathology and Laboratory Medicine Centro Diagnostico Italiano, Milan Italy 20147. FAU - Gabba, Silvia AU - Gabba S AD - Pathology and Laboratory Medicine Centro Diagnostico Italiano, Milan Italy 20147. FAU - Grazioli, Vittorio AU - Grazioli V AD - Pathology and Laboratory Medicine Centro Diagnostico Italiano, Milan Italy 20147. FAU - Repetti, Elena AU - Repetti E AD - Pathology and Laboratory Medicine Centro Diagnostico Italiano, Milan Italy 20147. FAU - Marcialis, Chiara AU - Marcialis C AD - Pathology and Laboratory Medicine Centro Diagnostico Italiano, Milan Italy 20147. FAU - Peluso, Sergio AU - Peluso S AD - Section of Anatomic Pathology of the Department of Biomedical and Neuromotor Sciences, of the University of Bologna, Bologna Italy. FAU - Di Ruzza, Davide AU - Di Ruzza D AD - Section of Anatomic Pathology of the Department of Biomedical and Neuromotor Sciences, of the University of Bologna, Bologna Italy. FAU - Neri, Fabrizio AU - Neri F AD - Opertative Unit of Maxillo-facial Surgery, Bellaria Hospital, Bologna, Italy. FAU - Foschini, Maria P AU - Foschini MP AD - Section of Anatomic Pathology of the Department of Biomedical and Neuromotor Sciences, of the University of Bologna, Bologna Italy. Electronic address: mariapia.foschini@unibo.it. LA - eng PT - Evaluation Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150530 PL - United States TA - Hum Pathol JT - Human pathology JID - 9421547 RN - 0 (Biomarkers, Tumor) RN - 0 (telomerase RNA) RN - 63231-63-0 (RNA) RN - EC 2.7.7.49 (Telomerase) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Biomarkers, Tumor/*genetics MH - Carcinoma in Situ/enzymology/*genetics/mortality/pathology MH - Carcinoma, Squamous Cell/enzymology/*genetics/mortality/pathology MH - Disease Progression MH - Female MH - *Gene Amplification MH - Head and Neck Neoplasms/enzymology/*genetics/mortality/pathology MH - Humans MH - *In Situ Hybridization, Fluorescence MH - Kaplan-Meier Estimate MH - Male MH - Middle Aged MH - Mouth Neoplasms/enzymology/*genetics/mortality/pathology MH - Neoplasm Grading MH - Precancerous Conditions/enzymology/*genetics/mortality/pathology MH - Predictive Value of Tests MH - RNA/*genetics MH - Risk Assessment MH - Risk Factors MH - Squamous Cell Carcinoma of Head and Neck MH - Telomerase/*genetics MH - Time Factors OTO - NOTNLM OT - 3q26 OT - FISH OT - Genetic marker OT - Human telomerase RNA component (hTERC) OT - Oral potentially malignant lesions (OPMLs) OT - Oral squamous cell carcinoma (OSCC) EDAT- 2015/07/15 06:00 MHDA- 2015/11/17 06:00 CRDT- 2015/07/15 06:00 PHST- 2015/02/06 00:00 [received] PHST- 2015/05/06 00:00 [revised] PHST- 2015/05/09 00:00 [accepted] PHST- 2015/07/15 06:00 [entrez] PHST- 2015/07/15 06:00 [pubmed] PHST- 2015/11/17 06:00 [medline] AID - S0046-8177(15)00187-2 [pii] AID - 10.1016/j.humpath.2015.05.013 [doi] PST - ppublish SO - Hum Pathol. 2015 Sep;46(9):1275-81. doi: 10.1016/j.humpath.2015.05.013. Epub 2015 May 30.