ALK and EGFR expression by immunohistochemistry are associated with Merkel cell polyomavirus status in Merkel cell carcinoma

Autor: Virve Koljonen, Tuukka Veija, Tom Böhling, Mia Kero
Přispěvatelé: Department of Pathology, Medicum, University of Helsinki, HUSLAB, Clinicum, Plastiikkakirurgian yksikkö, Department of Surgery, Tom Böhling / Principal Investigator
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Male
0301 basic medicine
Skin Neoplasms
Merkel cell polyomavirus
Gene mutation
Metastasis
0302 clinical medicine
Merkel cell carcinoma
hemic and lymphatic diseases
antibody
Medicine
Anaplastic Lymphoma Kinase
Tissue microarray
biology
EZH2
food and beverages
General Medicine
Middle Aged
3. Good health
ErbB Receptors
030220 oncology & carcinogenesis
immunohistochemistry
Immunohistochemistry
Female
Oncovirus
circulatory and respiratory physiology
Histology
Pathology and Forensic Medicine
03 medical and health sciences
Biomarkers
Tumor

Humans
Enhancer of Zeste Homolog 2 Protein
protein expression
Aged
Polyomavirus Infections
business.industry
medicine.disease
biology.organism_classification
sensitivity
mutations
infection
Carcinoma
Merkel Cell

Tumor Virus Infections
030104 developmental biology
Cancer research
3111 Biomedicine
business
Popis: Aims Merkel cell carcinoma, a rare cutaneous neuroendocrine tumour of the skin, can be categorised into two groups according to Merkel cell polyomavirus (MCV) presence. MCV-negative tumours are more aggressive and frequently associated with gene mutations. Some of the genes are potential therapeutic targets. We have previously reported EGFR mutations in six of 27 MCC tumours and overexpression of ALK and EZH2 at mRNA level in MCC tumours. In this study, we sought to determine expression of ALK, EGFR and EZH2 in MCC samples and assess their correlation to MCV status and clinical parameters. Methods and results Tissue microarrays were utilised and stained with primary antibodies. Staining data were statistically compared to patient sex, tumour location and development of metastasis and MCC-specific death; 112 tumours and their corresponding patient data were included. We found strong expression of ALK in 51% and strong expression of EZH2 in 76% of the tumours. There was evident correlation of ALK expression with MCV-positivity. Expression of EGFR was infrequent, presenting only in seven MCV-negative tumours. None of the proteins associated with development of metastasis or MCC specific death. Conclusions ALK and EZH2 expression are frequent in MCC and ALK expression correlates to MCV positivity. EGFR positive tumours might respond to EGFR inhibiting treatment.
Databáze: OpenAIRE