IGF2 overexpression in solitary fibrous tumours is independent of anatomical location and is related to loss of imprinting Journal Article


Authors: Hajdu, M.; Singer, S.; Maki, R. G.; Schwartz, G. K.; Keohan, M. L.; Antonescu, C. R.
Article Title: IGF2 overexpression in solitary fibrous tumours is independent of anatomical location and is related to loss of imprinting
Abstract: Solitary fibrous tumour (SFT) is a mesenchymal neoplasm composed of CD34-positive fibroblastic cells. The pathogenesis driving this neoplasm remains unclear, with no recurrent genetic aberrations described to date. Previous reports suggest a role for IGF2 over-expression in the pathogenesis of these tumours, implicated in triggering hypoglycaemia in some patients. The expression profiling of 23 SFTs was investigated using an Affymetrix U133A platform. The transcriptional signature was compared to a set of 34 soft tissue sarcomas spanning seven subtypes. Potential candidate genes were then further investigated for activating mutations or loss of imprinting (LOI). SFT had a distinct expression signature and clustered in a tight genomic cluster, separate from all other sarcoma subtypes. A number of over-expressed receptor tyrosine kinase (RTK) genes were identified in SFT, including DDR1, ERBB2 and FGFR1; however, no mutations were identified by cDNA sequencing. Over-expression of IGF2 was uniformly detected in SFT, regardless of anatomical location, and was related to LOI. In contrast, IGF1 and JUN over-expression was seen in pleural, but not meningeal, locations. SFT shows a distinctive expression signature, with over-expression of DDR1, ERBB2 and FGFR1. Despite of lack of activating mutations in these RTKs, therapy with specific inhibitors targeting these kinases might be considered in advanced/metastatic cases. Our results confirm LOI in several tumours expressing high levels of IGF2, which may explain the observed paraneoplastic hypoglycaemia. Copyright © 2010 Pathological Society of Great Britain and Ireland. Published by John Wiley & Sons, Ltd.
Keywords: signal transduction; adult; clinical article; controlled study; protein expression; aged; middle aged; mutation; proto-oncogene proteins; pathogenesis; cluster analysis; gene expression profiling; epidermal growth factor receptor 2; neoplasm proteins; tyrosine kinase receptor; soft tissue sarcoma; genomics; hypoglycemia; receptor, erbb-2; receptor protein-tyrosine kinases; expression profiling; solitary fibrous tumor; genomic imprinting; fibroblast growth factor receptor 1; somatomedin b; solitary fibrous tumors; igf2; insulin-like growth factor ii; ddr1; solitary fibrous tumour; molecular imprinting
Journal Title: Journal of Pathology
Volume: 221
Issue: 3
ISSN: 0022-3417
Publisher: Wiley Blackwell  
Date Published: 2010-07-01
Start Page: 300
End Page: 307
Language: English
DOI: 10.1002/path.2715
PUBMED: 20527023
PROVIDER: scopus
PMCID: PMC3264680
DOI/URL:
Notes: --- - "Cited By (since 1996): 2" - "Export Date: 20 April 2011" - "CODEN: JPTLA" - "Source: Scopus"
Altmetric
Citation Impact
BMJ Impact Analytics
MSK Authors
  1. Gary Schwartz
    385 Schwartz
  2. Cristina R Antonescu
    897 Antonescu
  3. Robert Maki
    239 Maki
  4. Mary Louise Keohan
    125 Keohan
  5. Samuel Singer
    337 Singer
  6. Mihai Hajdu
    4 Hajdu