PMID- 32509076 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200611 IS - 1936-2625 (Electronic) IS - 1936-2625 (Linking) VI - 13 IP - 5 DP - 2020 TI - Semi-comprehensive analysis of gene amplification in thymic malignant tumors using multiplex ligation-dependent probe amplification and fluorescence in situ hybridization. PG - 1035-1044 AB - Research on the amplification of oncogenes in thymic malignant tumor is limited. In this study, we aimed to determine the gene amplification status of receptor tyrosine kinases and other cell regulator genes in thymic malignant tumors, with a view toward the future introduction of molecular targeted therapy. In addition, we examined the usefulness of multiplex, ligation-dependent probe amplification (MLPA) in the semi-comprehensive detection of these gene amplifications. The participants of this study were nine patients with thymic carcinoma and one patient with atypical carcinoid who underwent resection at our department from 1999 to 2016. Twenty-four oncogenes (MDM4, MYCN, ALK, PDGFRA, KIT, KDR, DHFR, EGFR, MET, SMO, BRAF, FGFR1, MYC, ABL1, RET, CCND1, CCND2, CDK4, MDM2, AURKB, ERBB2, TOP2A, AURKA, AR) were analyzed for amplification by MLPA. In cases where amplification by MLPA was suspected, confirmation was performed by fluorescence in situ hybridization (FISH). Immunostaining for detected oncoproteins and p53 were performed in cases with confirmed oncogene amplification. MYC (2/10, 20%) and MDM2 (1/10, 10%) amplifications were detected using MLPA and FISH. Immunostaining in both cases was positive. The MDM2-amplified tumor relapsed and spread rapidly after operation despite the use of post-operative chemo-radiotherapy. MYC amplification may be involved in the carcinogenesis of thymic malignant tumors. In addition, MDM2 amplification may be a concern in the increased malignancy. CI - IJCEP Copyright (c) 2020. FAU - Kakegawa, Seiichi AU - Kakegawa S AD - Department of Thoracic, Cardiovascular and General Surgery, Graduate School of Medical Science, Kanazawa University Ishikawa, Japan. FAU - Matsumoto, Isao AU - Matsumoto I AD - Department of Thoracic, Cardiovascular and General Surgery, Graduate School of Medical Science, Kanazawa University Ishikawa, Japan. FAU - Tamura, Masaya AU - Tamura M AD - Department of Thoracic, Cardiovascular and General Surgery, Graduate School of Medical Science, Kanazawa University Ishikawa, Japan. FAU - Takata, Munehisa AU - Takata M AD - Department of Thoracic, Cardiovascular and General Surgery, Graduate School of Medical Science, Kanazawa University Ishikawa, Japan. FAU - Yoshida, Shuhei AU - Yoshida S AD - Department of Thoracic, Cardiovascular and General Surgery, Graduate School of Medical Science, Kanazawa University Ishikawa, Japan. FAU - Saito, Daisuke AU - Saito D AD - Department of Thoracic, Cardiovascular and General Surgery, Graduate School of Medical Science, Kanazawa University Ishikawa, Japan. FAU - Tanaka, Yusuke AU - Tanaka Y AD - Department of Thoracic, Cardiovascular and General Surgery, Graduate School of Medical Science, Kanazawa University Ishikawa, Japan. FAU - Takemura, Hirofumi AU - Takemura H AD - Department of Thoracic, Cardiovascular and General Surgery, Graduate School of Medical Science, Kanazawa University Ishikawa, Japan. FAU - Ooi, Akishi AU - Ooi A AD - Department of Molecular and Cellular Pathology, Graduate School of Medical Science, Kanazawa University Ishikawa, Japan. LA - eng PT - Journal Article DEP - 20200501 PL - United States TA - Int J Clin Exp Pathol JT - International journal of clinical and experimental pathology JID - 101480565 PMC - PMC7270679 OTO - NOTNLM OT - MDM2 OT - MYC OT - Thymic carcinoma OT - fluorescence in situ hybridization OT - gene amplification OT - multiplex ligation-dependent probe amplification COIS- None. EDAT- 2020/06/09 06:00 MHDA- 2020/06/09 06:01 PMCR- 2020/05/01 CRDT- 2020/06/09 06:00 PHST- 2020/01/31 00:00 [received] PHST- 2020/03/27 00:00 [accepted] PHST- 2020/06/09 06:00 [entrez] PHST- 2020/06/09 06:00 [pubmed] PHST- 2020/06/09 06:01 [medline] PHST- 2020/05/01 00:00 [pmc-release] PST - epublish SO - Int J Clin Exp Pathol. 2020 May 1;13(5):1035-1044. eCollection 2020.