PMID- 30632192 OWN - NLM STAT- MEDLINE DCOM- 20190624 LR - 20211204 IS - 1600-0560 (Electronic) IS - 0303-6987 (Linking) VI - 46 IP - 4 DP - 2019 Apr TI - Differential expression of phospho-S6 in hair follicle tumors: Evidence of mammalian target of rapamycin pathway activation. PG - 256-260 LID - 10.1111/cup.13411 [doi] AB - BACKGROUND: The role of the mammalian target of rapamycin (mTOR) in hair follicle tumorigenesis is unclear. mTOR controls cell growth and can be activated through ribosomal S6 kinase. Herein, we sought to evaluate the expression of phospho-S6 in six different benign and malignant follicular tumor types. METHODS: 76 cases were selected (17 fibrofolliculomas, 20 trichoepitheliomas, 10 tricholemmomas, 19 pilomatricomas, 1 malignant proliferating tricholemmal tumor, 8 tricholemmal carcinomas, and 1 trichoblastic carcinoma) and collected over 16 years. Immunohistochemistry with monoclonal antibody for phospho-S6 was performed and analyzed semi-quantitatively; statistical analysis using the chi(2) test was performed, with P < 0.05 considered significant. RESULTS: All malignant neoplasms in our series (8/8 [100%] cases of tricholemmal carcinoma, 1/1 [100%] trichoblastic carcinoma, and 1/1 [100%] malignant proliferating tricholemmal tumor) showed a strong and diffuse pattern of staining for phospho-S6 involving 70% to 90% of tumor cells. By contrast, a minority of benign tumors were positive for phospho-S6 and most stained in a patchy pattern including 12/17 (71%) fibrofolliculomas, 9/20 (45%) trichoepitheliomas and 1/10 (10%) tricholemmomas, involving 30% to 50%, 5% to 20%, and 40% to 50% of tumor cells, respectively. Most pilomatricomas (17/19 [89%]) exhibited a stronger, but distinctive staining pattern, staining mostly the basaloid cells with a multifocal distribution, involving 70% to 90% of tumor cells. CONCLUSIONS: Phospho-S6 is differentially expressed among benign and malignant hair follicle tumors (P = 0.0044). While malignant tumors show diffuse expression, only a small subset of benign neoplasms were positive, primarily in a patchy distribution. CI - (c) 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Sardina, Luis A AU - Sardina LA AUID- ORCID: 0000-0002-4420-6997 AD - Robert J. Tomsich Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio. FAU - Rubin, Brian AU - Rubin B AD - Robert J. Tomsich Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio. FAU - Jour, George AU - Jour G AUID- ORCID: 0000-0001-8916-8966 AD - Departments of Pathology and Dermatology, New York Langone Medical Center, New York, New York. FAU - Piliang, Melissa AU - Piliang M AD - Robert J. Tomsich Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio. AD - Department of Dermatology, Cleveland Clinic, Cleveland, Ohio. FAU - Elston, Carly AU - Elston C AD - Robert J. Tomsich Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio. AD - Department of Dermatology, Cleveland Clinic, Cleveland, Ohio. FAU - Bergfeld, Wilma F AU - Bergfeld WF AD - Robert J. Tomsich Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio. AD - Department of Dermatology, Cleveland Clinic, Cleveland, Ohio. LA - eng PT - Journal Article DEP - 20190210 PL - United States TA - J Cutan Pathol JT - Journal of cutaneous pathology JID - 0425124 RN - 0 (Biomarkers, Tumor) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (Ribosomal Protein S6 Kinases) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Biomarkers, Tumor/*analysis MH - Child MH - Child, Preschool MH - Female MH - Hair Diseases/*diagnosis/metabolism/pathology MH - Hair Follicle/metabolism/*pathology MH - Humans MH - Infant MH - Male MH - Middle Aged MH - Ribosomal Protein S6 Kinases/*analysis MH - Skin Neoplasms/*diagnosis/metabolism/pathology MH - TOR Serine-Threonine Kinases/metabolism MH - Young Adult OTO - NOTNLM OT - hair follicle tumors OT - mTOR pathway OT - phospho-S6 EDAT- 2019/01/12 06:00 MHDA- 2019/06/25 06:00 CRDT- 2019/01/12 06:00 PHST- 2018/03/06 00:00 [received] PHST- 2018/12/13 00:00 [revised] PHST- 2018/12/23 00:00 [accepted] PHST- 2019/01/12 06:00 [pubmed] PHST- 2019/06/25 06:00 [medline] PHST- 2019/01/12 06:00 [entrez] AID - 10.1111/cup.13411 [doi] PST - ppublish SO - J Cutan Pathol. 2019 Apr;46(4):256-260. doi: 10.1111/cup.13411. Epub 2019 Feb 10.