RESUMEN
Risk stratification in Stage II and III colorectal cancer (CRC) patients is critical, as it allows patient selection for adjuvant chemotherapy. In view of the inadequacy of current clinicopathological features for risk-stratification, we undertook a systematic and comprehensive biomarker discovery effort to develop a risk-assessment signature in CRC patients. The biomarker discovery phase examined 853 CRC patients, and identified a gene signature for predicting recurrence-free survival (RFS). This signature was validated in a meta-analysis of 1212 patients from nine independent datasets, and its performance was compared against established prognostic signatures and consensus molecular subtypes (CMS). In addition, a risk-prediction model was trained (n = 142), and subsequently validated in an independent clinical cohort (n = 286). As a result, this mesenchymal-associated transcriptomic signature (MATS) identified high-risk CRC patients with poor RFS in the discovery (hazard ratio [HR]: 1.79), and nine validation cohorts (HR: 1.86). In multivariate analysis, MATS was the most significant predictor of RFS compared to established prognostic signatures and CMS subtypes. Intriguingly, MATS robustly identified CMS4-subtype in multiple CRC cohorts (AUC = 0.92-0.99). In the two clinical cohorts, MATS stratified low and high-risk groups with a 5-year RFS in the training (HR: 4.11) and validation cohorts (HR: 2.55), as well as predicted response to adjuvant therapy in Stage II and III CRC patients. We report a novel prognostic and predictive biomarker signature in CRC, which is superior to currently used approaches and have the potential for clinical translation in near future.
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Biomarcadores de Tumor/genética , Quimioterapia Adyuvante/métodos , Neoplasias Colorrectales/tratamiento farmacológico , Neoplasias Colorrectales/genética , Perfilación de la Expresión Génica/métodos , Mesodermo/química , Neoplasias Colorrectales/patología , Femenino , Regulación Neoplásica de la Expresión Génica/efectos de los fármacos , Humanos , Masculino , Inestabilidad de Microsatélites , Estadificación de Neoplasias , Cuidados Paliativos , Pronóstico , Análisis de Supervivencia , Resultado del TratamientoRESUMEN
Injury, surgery, and disease often disrupt tissues and it is the process of regeneration that aids the restoration of architecture and function. Regeneration can occur through multiple strategies including stem cell expansion, transdifferentiation, or proliferation of differentiated cells. We have identified a case of regeneration in Xenopus embryonic aggregates that restores a mucociliated epithelium from mesenchymal cells. Following disruption of embryonic tissue architecture and assembly of a compact mesenchymal aggregate, regeneration first restores an epithelium, transitioning from mesenchymal cells at the surface of the aggregate. Cells establish apico-basal polarity within 5 hours and a mucociliated epithelium within 24 hours. Regeneration coincides with nuclear translocation of the putative mechanotransducer YAP1 and a sharp increase in aggregate stiffness, and regeneration can be controlled by altering stiffness. We propose that regeneration of a mucociliated epithelium occurs in response to biophysical cues sensed by newly exposed cells on the surface of a disrupted mesenchymal tissue.
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Epidermis/química , Epidermis/fisiología , Xenopus laevis/embriología , Animales , Fenómenos Biomecánicos , Epidermis/embriología , Epitelio/química , Epitelio/embriología , Epitelio/fisiología , Mesodermo/química , Mesodermo/embriología , Mesodermo/fisiología , Regeneración , Xenopus laevis/fisiologíaRESUMEN
During embryogenesis, differentiation of pluripotent cells into somatic cell types depends both on signaling cues and intrinsic gene expression programs. While the molecular underpinnings of pluripotency are well mapped, much less is known on how mouse embryonic stem cells (mESCs) differentiate. Using RNA-Seq profiling during specification to the three germ layers, we showed that mESCs switched on condition-specific gene expression programs from the onset of the differentiation procedure and that primed pluripotency did not constitute an obligatory intermediate state. After inferring the gene network controlling mESC differentiation, we tested the role of the highly connected nodes by deleting them in a triple knock-in Sox1-Brachyury-Eomes mESC line reporting on ectoderm, mesoderm, and endoderm fates. This led to the identification of regulators of mESC differentiation that acted at several levels: Sp1 as a global break on differentiation, Nr5a2 controlling ectoderm specification, and notably Fos:Jun and Zfp354c as opposite switches between ectoderm and mesendoderm fate.
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Ectodermo/crecimiento & desarrollo , Perfilación de la Expresión Génica/métodos , Redes Reguladoras de Genes , Mesodermo/crecimiento & desarrollo , Células Madre Embrionarias de Ratones/citología , Animales , Diferenciación Celular , Células Cultivadas , Ectodermo/química , Desarrollo Embrionario , Proteínas Fetales/genética , Regulación del Desarrollo de la Expresión Génica , Técnicas de Inactivación de Genes , Mesodermo/química , Ratones , Células Madre Embrionarias de Ratones/química , Factores de Transcripción SOXB1/genética , Análisis de Secuencia de ARN , Proteínas de Dominio T Box/genéticaRESUMEN
BACKGROUND AND AIM OF THE STUDY: Calcific aortic valve disease (CAVD) is a progressive disease starting from mild valvular sclerosis and progressing to severe aortic stenosis (AS) with calcified valves. The origin of the calcification is proposed to be mesenchymal cells which have differentiated towards an osteoblastic phenotype. Podoplanin is a glycoprotein expressed in the endothelium of lymphatic vessels and in osteoblasts and osteocytes, mesenchymal cells, as well as in many carcinomas and aortic atherosclerotic lesions. In CAVD, its expression has been evaluated only as a marker of the lymphatic vasculature. MATERIALS AND METHODS: We determined podoplanin expression in human aortic valves in four patient groups: control (C, n=7), aortic regurgitation (AR, n=8), aortic regurgitation and fibrosis (ARâ¯+â¯f, n=15) and AS (n=49) by immunohistochemistry and quantitative real-time PCR (RT-PCR). RESULTS: Immunohistochemically, podoplanin expression was significantly increased in ARâ¯+â¯f and AS groups when compared with the control and AR groups and the level of expression positively correlated with the extent of calcification and vascularity. Podoplanin mRNA levels were 1.7-fold higher in the AS group as compared with the control group (P=.05). Podoplanin-positivity was present not only in lymphatic vessel endothelium but also in osteoblasts, osteocytes, chondrocytes, macrophages and extracellular matrix. The majority of the podoplanin-positivity was in spindle cells with a myofibroblastic phenotype, often associated with calcifications. Tricuspid valves had more calcification-associated podoplanin than bi/unicuspid valves (median 1.52 vs 1.16, P<.001). CONCLUSIONS: CAVD is characterized by an increased expression of podoplanin; this is associated with the differentiation of valvular interstitial cells into calcium-producing, myofibroblast-like cells. In addition, tricuspid valves express relatively more podoplanin than bi/unicuspid valves.
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Insuficiencia de la Válvula Aórtica/metabolismo , Válvula Aórtica/química , Válvula Aórtica/patología , Glicoproteínas de Membrana/análisis , Mesodermo/química , Adulto , Anciano , Válvula Aórtica/anomalías , Insuficiencia de la Válvula Aórtica/genética , Insuficiencia de la Válvula Aórtica/patología , Estenosis de la Válvula Aórtica/genética , Estenosis de la Válvula Aórtica/patología , Biomarcadores/análisis , Calcinosis/genética , Calcinosis/patología , Estudios de Casos y Controles , Femenino , Fibrosis , Humanos , Masculino , Glicoproteínas de Membrana/genética , Mesodermo/patología , Persona de Mediana Edad , Miofibroblastos/química , Miofibroblastos/patología , ARN Mensajero/genética , Regulación hacia ArribaRESUMEN
Somites are a pair of epithelial spheres beside a neural tube and are formed with an accurate periodicity during embryogenesis in vertebrates. It has been known that Hes7 is one of the core clock genes for somitogenesis, and its expression domain is restricted in the presomitic mesoderm (PSM). However, the molecular mechanism of how Hes7 transcription is regulated is not clear. Here, using transgenic mice and luciferase-based reporter assays and in vitro binding assays, we unravel the mechanism by which Hes7 is expressed exclusively in the PSM. We identified a Hes7 essential region residing -1.5 to -1.1 kb from the transcription start site of mouse Hes7, and this region was indispensable for PSM-specific Hes7 expression. We also present detailed analyses of cis-regulatory elements within the Hes7 essential region that directs Hes7 expression in the PSM. Hes7 expression in the PSM was up-regulated through the E-box, T-box, and RBPj-binding element in the Hes7 essential region, presumably through synergistic signaling involving mesogenin1, T-box6 (Tbx6), and Notch. Furthermore, we demonstrate that Tbx18, Ripply2, and Hes7 repress the activation of the Hes7 essential region by the aforementioned transcription factors. Our findings reveal that a unified transcriptional regulatory network involving a Hes7 essential region confers robust PSM-specific Hes7 gene expression.
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Factores de Transcripción con Motivo Hélice-Asa-Hélice Básico/química , Factores de Transcripción con Motivo Hélice-Asa-Hélice Básico/genética , Mesodermo/metabolismo , Receptor Notch1/metabolismo , Somitos/metabolismo , Proteínas de Dominio T Box/metabolismo , Factores de Transcripción/metabolismo , Animales , Secuencia de Bases , Factores de Transcripción con Motivo Hélice-Asa-Hélice Básico/metabolismo , Elementos E-Box , Regulación de la Expresión Génica , Regulación del Desarrollo de la Expresión Génica , Mesodermo/química , Mesodermo/embriología , Ratones , Receptor Notch1/genética , Proteínas Represoras/genética , Proteínas Represoras/metabolismo , Transducción de Señal , Somitos/embriología , Proteínas de Dominio T Box/genética , Factores de Transcripción/genéticaRESUMEN
RNA-Seq is a powerful tool in transcriptomic profiling of cells and tissues. We recently identified many more taste buds than previously appreciated in chickens using molecular markers to stain oral epithelial sheets of the palate, base of oral cavity, and posterior tongue. In this study, RNA-Seq was performed to understand the transcriptomic architecture of chicken gustatory tissues. Interestingly, taste sensation related genes and many more differentially expressed genes (DEGs) were found between the epithelium and mesenchyme in the base of oral cavity as compared to the palate and posterior tongue. Further RNA-Seq using specifically defined tissues of the base of oral cavity demonstrated that DEGs between gustatory (GE) and non-gustatory epithelium (NGE), and between GE and the underlying mesenchyme (GM) were enriched in multiple GO terms and KEGG pathways, including many biological processes. Well-known genes for taste sensation were highly expressed in the GE. Moreover, genes of signaling components important in organogenesis (Wnt, TGFß/ BMP, FGF, Notch, SHH, Erbb) were differentially expressed between GE and GM. Combined with other features of chicken taste buds, e.g., uniquely patterned array and short turnover cycle, our data suggest that chicken gustatory tissue provides an ideal system for multidisciplinary studies, including organogenesis and regenerative medicine.
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Pollos/genética , Organogénesis , Análisis de Secuencia de ARN/métodos , Papilas Gustativas/citología , Animales , Embrión de Pollo , Perfilación de la Expresión Génica/métodos , Mesodermo/química , Mesodermo/citología , Especificidad de Órganos , Hueso Paladar/química , Hueso Paladar/citología , Transducción de Señal , Papilas Gustativas/química , Papilas Gustativas/embriología , Lengua/química , Lengua/citologíaRESUMEN
Cutaneous mesenchymal "spindle cell" lesions arising in the vicinity of the breast represent a complex clinical and diagnostic scenario which may overlap histopathologically and immunohistochemically with mammary spindle cell proliferations, potentially impacting management and overall prognostication. In this review, we suggest a pattern-based approach to assist in the evaluation of these lesions. A comprehensive description of each entity is accompanied by a cutaneous and mammary differential diagnosis.
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Neoplasias de la Mama/patología , Proliferación Celular , Mesodermo/patología , Neoplasias Cutáneas/patología , Biomarcadores de Tumor/análisis , Biopsia , Neoplasias de la Mama/química , Neoplasias de la Mama/clasificación , Diagnóstico Diferencial , Femenino , Fibroblastos/química , Fibroblastos/patología , Humanos , Inmunohistoquímica , Mesodermo/química , Miocitos del Músculo Liso/química , Miocitos del Músculo Liso/patología , Valor Predictivo de las Pruebas , Neoplasias Cutáneas/química , Neoplasias Cutáneas/clasificaciónRESUMEN
The segregation of different cell types into distinct tissues is a fundamental process in metazoan development. Differences in cell adhesion and cortex tension are commonly thought to drive cell sorting by regulating tissue surface tension (TST). However, the role that differential TST plays in cell segregation within the developing embryo is as yet unclear. Here, we have analyzed the role of differential TST for germ layer progenitor cell segregation during zebrafish gastrulation. Contrary to previous observations that differential TST drives germ layer progenitor cell segregation in vitro, we show that germ layers display indistinguishable TST within the gastrulating embryo, arguing against differential TST driving germ layer progenitor cell segregation in vivo We further show that the osmolarity of the interstitial fluid (IF) is an important factor that influences germ layer TST in vivo, and that lower osmolarity of the IF compared with standard cell culture medium can explain why germ layers display differential TST in culture but not in vivo Finally, we show that directed migration of mesendoderm progenitors is required for germ layer progenitor cell segregation and germ layer formation.
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Tipificación del Cuerpo , Movimiento Celular , Líquido Extracelular/química , Gastrulación/fisiología , Células Madre/química , Células Madre/fisiología , Pez Cebra/embriología , Animales , Animales Modificados Genéticamente , Embrión no Mamífero , Mesodermo/química , Mesodermo/citología , Mesodermo/embriología , Concentración Osmolar , Células Madre/citología , Tensión SuperficialRESUMEN
Formation of the three embryonic germ layers is a fundamental developmental process that initiates differentiation. How the zebrafish pluripotency factor Pou5f3 (homologous to mammalian Oct4) drives lineage commitment is unclear. Here, we introduce fluorescence lifetime imaging microscopy and fluorescence correlation spectroscopy to assess the formation of Pou5f3 complexes with other transcription factors in real-time in gastrulating zebrafish embryos. We show, at single-cell resolution in vivo, that Pou5f3 complexes with Nanog to pattern mesendoderm differentiation at the blastula stage. Later, during gastrulation, Sox32 restricts Pou5f3-Nanog complexes to the ventrolateral mesendoderm by binding Pou5f3 or Nanog in prospective dorsal endoderm. In the ventrolateral endoderm, the Elabela / Aplnr pathway limits Sox32 levels, allowing the formation of Pou5f3-Nanog complexes and the activation of downstream BMP signaling. This quantitative model shows that a balance in the spatiotemporal distribution of Pou5f3-Nanog complexes, modulated by Sox32, regulates mesendoderm specification along the dorsoventral axis.
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Mesodermo/embriología , Proteína Homeótica Nanog/análisis , Factor 3 de Transcripción de Unión a Octámeros/análisis , Proteínas de Pez Cebra/análisis , Pez Cebra/embriología , Animales , Microscopía Intravital , Mesodermo/química , Microscopía Fluorescente , Unión Proteica , Análisis Espacio-Temporal , Espectrometría de FluorescenciaRESUMEN
Previously, we generated a preclinical mouse prostate tumor model based on PSA-Cre driven inactivation of Pten. In this model homogeneous hyperplastic prostates (4-5m) developed at older age (>10m) into tumors. Here, we describe the molecular and histological characterization of the tumors in order to better understand the processes that are associated with prostate tumorigenesis in this targeted mouse Pten knockout model. The morphologies of the tumors that developed were very heterogeneous. Different histopathological growth patterns could be identified, including intraductal carcinoma (IDC), adenocarcinoma and undifferentiated carcinoma, all strongly positive for the epithelial cell marker Cytokeratin (CK), and carcinosarcomas, which were negative for CK. IDC pattern was already detected in prostates of 7-8 month old mice, indicating that it could be a precursor stage. At more than 10 months IDC and carcinosarcoma were most frequently observed. Gene expression profiling discriminated essentially two molecular subtypes, denoted tumor class 1 (TC1) and tumor class 2 (TC2). TC1 tumors were characterized by high expression of epithelial markers like Cytokeratin 8 and E-Cadherin whereas TC2 tumors showed high expression of mesenchyme/stroma markers such as Snail and Fibronectin. These molecular subtypes corresponded with histological growth patterns: where TC1 tumors mainly represented adenocarcinoma/intraductal carcinoma, in TC2 tumors carcinosarcoma was the dominant growth pattern. Further molecular characterization of the prostate tumors revealed an increased expression of genes associated with the inflammatory response. Moreover, functional markers for senescence, proliferation, angiogenesis and apoptosis were higher expressed in tumors compared to hyperplasia. The highest expression of proliferation and angiogenesis markers was detected in TC2 tumors. Our data clearly showed that in the genetically well-defined PSA-Cre;Pten-loxP/loxP prostate tumor model, histopathological, molecular and biological heterogeneity occurred during later stages of tumor development.
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Carcinoma/genética , Fosfohidrolasa PTEN/deficiencia , Neoplasias de la Próstata/genética , Adenocarcinoma/química , Adenocarcinoma/genética , Adenocarcinoma/patología , Animales , Apoptosis/genética , Biomarcadores , Biomarcadores de Tumor , Cadherinas/análisis , Carcinoma/química , Carcinoma/patología , Carcinosarcoma/química , Carcinosarcoma/genética , Carcinosarcoma/patología , Senescencia Celular/genética , Progresión de la Enfermedad , Células Epiteliales/química , Perfilación de la Expresión Génica , Regulación Neoplásica de la Expresión Génica , Inflamación/genética , Queratinas/análisis , Masculino , Mesodermo/química , Ratones , Ratones Endogámicos , Ratones Noqueados , Proteínas de Neoplasias/análisis , Neovascularización Patológica/genética , Neovascularización Patológica/patología , Hiperplasia Prostática/genética , Hiperplasia Prostática/patología , Neoplasias de la Próstata/química , Neoplasias de la Próstata/clasificación , Neoplasias de la Próstata/patología , ARN Mensajero/biosíntesis , ARN Mensajero/genética , ARN Neoplásico/biosíntesis , ARN Neoplásico/genética , Células del Estroma/químicaRESUMEN
Human induced pluripotent stem (hiPS) cells are very attractive tools for modeling diseases and regenerative medicine. However, to achieve them, the efficient differentiation methods of hiPS cells into aimed cell type in vitro are necessary. Because mesoderm cells are useful in particular, we have developed the differentiation of mouse embryonic stem (mES) cells into mesoderm cells previously. In this time, these methods were improved for hiPS cells and now human mesoderm cells are able to be obtained efficiently. It is certain that the new methods are applicable to various studies and therapies.
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Técnicas de Cultivo de Célula/métodos , Técnicas de Reprogramación Celular/métodos , Reprogramación Celular , Células Madre Pluripotentes Inducidas/citología , Mesodermo/citología , Animales , Antígenos de Diferenciación/análisis , Diferenciación Celular , Linaje de la Célula , Condrogénesis , Ensayo de Unidades Formadoras de Colonias , Medios de Cultivo/farmacología , Fibroblastos/citología , Humanos , Mesodermo/química , Ratones , Osteogénesis , Receptor alfa de Factor de Crecimiento Derivado de Plaquetas/análisis , Receptor 2 de Factores de Crecimiento Endotelial Vascular/análisisRESUMEN
Phosphaturic mesenchymal tumour mixed connective tissue variant (PMTMCT) is a rare tumour occurring in bone and soft tissue that usually behaves in a benign manner. Elaboration of biologically active substances by this tumour gives rise to a paraneoplastic syndrome known as oncogenic osteomalacia, manifesting clinically as bone pain, generalized weakness and pathological fractures. Recognition of PMTMCT and its associated syndrome is important, as resection of the tumour in most instances results in prompt resolution of symptoms. Previously reported cases of this tumour have emphasized the consistent presence of certain histological features that are considered prerequisite for making the diagnosis of PMTMCT. We describe three cases of PMTMCT, of which two first presented with progressive symptoms of osteomalacia and one remained clinically silent aside from the symptom of a palpable lump. Our cases highlight the wide-ranging histological patterns displayed by these tumours, and draw attention to certain microscopic findings that until now have been given little if any mention. Tentacular growth pattern and satellite nodules appear to be common findings in PMTMCTs, and can make complete surgical excision of these tumours challenging. The ability of this otherwise histologically benign tumour to permeate vascular spaces has to our knowledge never been described previously. One tumour lacked the characteristic calcifying matrix of PMTMCT, suggesting that in some tumours this defining feature may be focal if not entirely absent. PMTMCT shares features with and can resemble a variety of bone and soft tissue neoplasms, requiring the surgical pathologist to be familiar with this entity.
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Mesodermo/patología , Neoplasias de Tejido Conjuntivo/patología , Neoplasias de los Tejidos Blandos/patología , Adulto , Biomarcadores de Tumor/análisis , Biopsia , Femenino , Humanos , Inmunohistoquímica , Masculino , Mesodermo/química , Persona de Mediana Edad , Neoplasias de Tejido Conjuntivo/química , Neoplasias de Tejido Conjuntivo/complicaciones , Neoplasias de Tejido Conjuntivo/cirugía , Osteomalacia , Síndromes Paraneoplásicos/etiología , Tomografía de Emisión de Positrones , Neoplasias de los Tejidos Blandos/química , Neoplasias de los Tejidos Blandos/complicaciones , Neoplasias de los Tejidos Blandos/cirugía , Factores de Tiempo , Tomografía Computarizada por Rayos X , Resultado del TratamientoRESUMEN
Sarcomas are a rare and heterogeneous group of neoplasms that can be a significant diagnostic challenge in routine practice. Recent advances in the understanding of molecular mechanisms underlying oncogenesis have led to an array of novel diagnostic tools. Here we review several sarcomas of the head and neck region, focusing on neoplasms with new molecular findings and highlighting novel diagnostic tools.
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Biopsia con Aguja , Neoplasias de Cabeza y Cuello/patología , Mesodermo/patología , Sarcoma/patología , Biomarcadores de Tumor/análisis , Neoplasias de Cabeza y Cuello/química , Neoplasias de Cabeza y Cuello/clasificación , Humanos , Inmunohistoquímica , Mesodermo/química , Valor Predictivo de las Pruebas , Pronóstico , Sarcoma/química , Sarcoma/clasificaciónRESUMEN
Phosphaturic mesenchymal tumors of the mixed connective tissue type (PMT) are very rare tumors of bone and soft tissues. Most patients with PMT have long-standing osteomalacia secondary to production of fibroblast growth factor 23 (FGF23), a hormone that inhibits phosphate reuptake within the renal proximal tubule. Previously, we have reported the detection of FGF23 mRNA in PMT by reverse transcription polymerase chain reaction (PCR); however, the low specificity and risk for nontumoral tissue contamination inherent in PCR-based methodology limit its clinical utility. We evaluated RNAscope as a semiquantitative method of in situ FGF23 mRNA detection in the diagnosis of PMT. Twenty-five PMTs (median 52 y, range 5 to 73 y) occurred in patients with tumor-induced osteomalacia (TIO), manifesting as masses (mean 3.9 cm, range 1.4 to 12 cm) in various bones and soft tissues. FGF23 mRNA was positive in 96% (22/23) informative cases of PMT: 16 cases scored 3+; 5 scored as 2+; 1 scored as 1+. Among these cases, FGF23 mRNA was detected in 3 malignant PMTs along with their metastases. Forty control cases included aneurysmal bone cyst (N=4), chondromyxoid fibroma (N=8), high-grade osteosarcomas (N=8), and (nonfamilial) tumoral calcinosis, as well as miscellaneous cartilage-forming tumors or osteoid-forming tumors and soft tissue tumors. All control cases were negative for FGF23 mRNA in the lesional cells. One aneurysmal bone cyst had rare FGF23 mRNA-expressing osteocytes clustered around remodeled bone. One ovarian serous carcinoma in a patient with disseminated disease, elevated serum FGF23, and TIO was negative for FGF23 mRNA in the neoplastic cells. We conclude that RNAscope is a highly sensitive and specific, semiquantitative in situ hybridization method of FGF23 mRNA detection applicable to formalin-fixed, paraffin-embedded tissues. Detection of FGF23 expression is a valuable diagnostic adjunct, especially in patients with occult TIO. Compared with reverse transcription PCR, this method preserves tissue morphology and reduces "false positives" related to detection of endogenous FGF23 mRNA expression by osteocytes.
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Biomarcadores de Tumor/genética , Compuestos Cromogénicos , Factores de Crecimiento de Fibroblastos/genética , Hibridación in Situ/métodos , Mesodermo/química , Neoplasias de Tejido Conjuntivo/genética , ARN Mensajero/genética , Adulto , Anciano , Biopsia , Preescolar , Reacciones Falso Positivas , Femenino , Factor-23 de Crecimiento de Fibroblastos , Humanos , Masculino , Mesodermo/patología , Persona de Mediana Edad , Neoplasias de Tejido Conjuntivo/patología , Osteomalacia , Síndromes Paraneoplásicos , Valor Predictivo de las Pruebas , Reproducibilidad de los Resultados , Reacción en Cadena de la Polimerasa de Transcriptasa InversaRESUMEN
BACKGROUND: The rare cutaneous solitary fibrous tumor was initially described in the thoracic cavity in relation to the pleura and subsequently been associated with other serous membranes. It has been described in other extraserosal locations including the skin. Knowledge of its existence along with fairly typical histological features and the immunohistochemical expression pattern with intense positivity for CD34 allow the increasing diagnosis of this condition, which suggests that these cases were not previously diagnosed as such. CLINICAL CASE: We report the case of a 43 year-old male with a painless nodule in the first left finger pad clinically suggestive of pyogenic granuloma or nodular melanoma, which was diagnosed by excisional biopsy and immunohistochemical study as a solitary fibrous tumor. DISCUSSION: Only 11 cases of cutaneous solitary fibrous tumor have been published in the following locations: head, cheek, thigh, chest, back and nose. Our work describes the first case of cutaneous solitary fibrous tumor in the hand. The solitary fibrous tumor derived from mesenchymal cells expresses CD34 and hence its presentation in any location. In our case it was in the hand. It explains the problems encountered in the clinical differential diagnosis with other tumors as nodular melanoma, pyogenic granuloma, giant cell tumor of tendon sheath, fibroma, benign peripheral nerve sheath tumors, etc. As we consider the histology, differential diagnosis should be made with other tumors that also express CD34. CONCLUSIONS: Solitary fibrous tumors derived from mesenchymal cells express CD34 and hence its presentation in any location. In our case it was in the finger pad.
Antecedentes: el tumor fibroso solitario es un tumor poco común. Anteriormente se suponía que afectaba sólo la cavidad torácica, en especial la pleura; posteriormente, se relacionó con otras membranas serosas y se observó en diversas localizaciones extraserosas, entre ellas la piel. El conocimiento de este tumor, junto con el aspecto histológico característico y el patrón de expresión inmunohistoquímica con intensa positividad para CD34 permiten que cada vez se diagnostique con mayor frecuencia. Caso clínico: se comunica el caso de un varón de 43 años de edad con un nódulo indoloro en el pulpejo del primer dedo izquierdo, que sugería clínicamente un melanoma nodular o granuloma piógeno. Mediante biopsia excisional y estudio inmunohistoquímico se diagnosticó como tumor fibroso solitario. Discusión: hasta la fecha se han publicado 11 casos de tumores fibrosos solitarios cutáneos, localizados en cabeza, mejilla, muslo, pecho, espalda y vestíbulo nasal. El caso que se comunica constituye la primera lesión de estas características que afecta la mano. El diagnóstico clínico diferencial del tumor fibroso solitario incluye otros tumores como: melanoma nodular, granuloma piógeno, tumor de células gigantes tenosinovial, fibroma y tumor de vaina de nervio periférico benigno. En cuanto a la histología, se planteó el diagnóstico diferencial con otras neoplasias que también expresan CD34. Conclusiones: el tumor fibroso solitario deriva de células mesenquimatosas y expresa CD34, lo que explica su aparición en cualquier localización, como en este caso, que fue en el pulpejo del quinto dedo.
Asunto(s)
Antígenos CD34/análisis , Antígenos de Neoplasias/análisis , Biomarcadores de Tumor/análisis , Hemangiopericitoma/patología , Tumores Fibrosos Solitarios/patología , Pulgar/patología , Adulto , Apigenina/análisis , Biopsia , Proteínas de Unión a Calmodulina/análisis , Diagnóstico Diferencial , Glucósidos/análisis , Granuloma Piogénico/diagnóstico , Hemangiopericitoma/química , Hemangiopericitoma/diagnóstico , Hemangiopericitoma/cirugía , Humanos , Masculino , Melanoma/diagnóstico , Mesodermo/química , Proteínas Proto-Oncogénicas c-bcl-2/análisis , Tumores Fibrosos Solitarios/química , Tumores Fibrosos Solitarios/diagnóstico , Tumores Fibrosos Solitarios/cirugía , Pulgar/cirugíaRESUMEN
BACKGROUND: Calcifying cyst odontogenic tumour (CCOT) is a rare benign cystic neoplasm of odontogenic origin. MMPs are responsible for extracellular matrix remodelling and, together their inhibitors and inducer, determinate the level of its turnover in pathological processes, leading to an auspicious microenvironment for tumour development. Thus, our goal was to evaluate matrix metalloproteinases (MMPs-2, -7, -9 and -14), their inhibitors (TIMPs-2, -3, -4 and RECK) and its inductor (EMMPRIN) expression in CCOT. MATERIALS AND METHODS: We used 18 cases of CCOT submitted to immunolocalization of the target proteins and analysed in both neoplastic odontogenic epithelial and stromal compartments. RESULTS: All molecules evaluated were expressed in both compartments in CCOT. In epithelial layer, immunostaining for MMPs, TIMPs, RECK and EMMPRIN was found in basal, suprabasal spindle and stellate cells surrounding ghost cells and ghost cells themselves, except for MMP-9 and TIMP-2 which were only expressed by ghost cells. In stromal compartment, extracellular matrix, mesenchymal (MC) and endothelial cells (EC) were positive for MMP-2, -7, TIMP-3 and -4, while MMP-9, TIMP-2 and RECK were positive only in MC and MMP-14 only in EC. Statistical significance difference was found between both compartments for MMP-9 (P < 0.001), RECK (P = 0.004) and EMMPRIN (P < 0.001), being more expressed in epithelium than in stroma. Positive correlation between both stromal EMMPRIN and RECK expression was found (R = 0.661, P = 0.003). CONCLUSIONS: We concluded that these proteins/enzymes are differentially expressed in both epithelium and stroma of CCOT, suggesting an imbalance between MMPs and their inducer/inhibitors may contribute on the tumour behaviour.
Asunto(s)
Basigina/análisis , Proteínas Ligadas a GPI/análisis , Metaloproteinasas de la Matriz/análisis , Tumores Odontogénicos/química , Inhibidores Tisulares de Metaloproteinasas/análisis , Adolescente , Adulto , Células Endoteliales/química , Células Endoteliales/enzimología , Epitelio/química , Epitelio/enzimología , Matriz Extracelular/química , Matriz Extracelular/enzimología , Femenino , Humanos , Masculino , Metaloproteinasa 14 de la Matriz/análisis , Metaloproteinasa 2 de la Matriz/análisis , Metaloproteinasa 7 de la Matriz/análisis , Metaloproteinasa 9 de la Matriz/análisis , Mesodermo/química , Mesodermo/enzimología , Persona de Mediana Edad , Proteínas de Neoplasias/análisis , Tumores Odontogénicos/enzimología , Inhibidor Tisular de Metaloproteinasa-2/análisis , Inhibidor Tisular de Metaloproteinasa-3/análisis , Microambiente Tumoral , Adulto Joven , Inhibidor Tisular de Metaloproteinasa-4RESUMEN
Fibrous hamartoma of infancy is a benign soft tissue tumor with a characteristic triphasic organoid histologic appearance. It typically occurs within the first 2 years of life. The usual anatomic locations include the upper extremities, axilla, and upper back. Diagnostic challenges occur when this tumor arises in older children, outside of the usual anatomic sites, or when unusual histologic features are encountered. This study reports 60 cases of fibrous hamartoma of infancy from institutional and consultation files. All had a triphasic organoid histologic pattern, but half also displayed an unusual pseudoangiomatous histologic pattern. The male to female ratio was 2.0 (40 boys, 20 girls), with a mean age of 1.5 years (range, 16 d to 8 y) at diagnosis. Tumor size ranged from 0.5 to 9 cm, with a mean of 3.7 cm. Sites included the trunk (40 cases), extremities (17 cases), and head and neck (3 cases). All cases had triphasic elements of mature fibrous tissue, mature adipose tissue, and immature mesenchymal tissue in varying proportions, with the additional pseudoangiomatous pattern in 32 cases. Immunohistochemical analysis demonstrated reactivity for smooth muscle actin and CD34 in the mature fibrous tissue, S100 protein in the mature adipose tissue, and variable CD34 reactivity in immature mesenchymal and pseudoangiomatous foci. Ki-67 proliferative activity was noted in the immature mesenchymal and pseudoangiomatous foci, and Bcl-2 reactivity was restricted to mesenchymal and pseudoangiomatous foci. Follow-up information in 12 cases revealed no evidence of recurrence in 10 patients and local recurrence in 2 patients, each at 3.5 years after primary excision. This study demonstrates an expanded age range (up to 8 y) and anatomic distribution (30 cases outside of the classic locations of the upper extremities, axilla, and upper back) of fibrous hamartoma of infancy. The pseudoangiomatous morphologic variation can lead to challenges in diagnosis and may reflect a maturational phenomenon from the immature mesenchymal component.
Asunto(s)
Hamartoma/patología , Neoplasias de los Tejidos Blandos/patología , Tejido Adiposo/química , Tejido Adiposo/patología , Adolescente , Factores de Edad , Biomarcadores de Tumor/análisis , Biopsia , Niño , Preescolar , Femenino , Fibrosis , Hamartoma/química , Humanos , Inmunohistoquímica , Lactante , Recién Nacido , Masculino , Mesodermo/química , Mesodermo/patología , Valor Predictivo de las Pruebas , Neoplasias de los Tejidos Blandos/química , Carga TumoralRESUMEN
Maternal malnutrition due to a low-protein diet is associated with functional disorders in adulthood, which may be related to embryonic development failures. The effects of gestational protein restriction on prostate morphogenesis in male offspring were investigated. Pregnant rat dams were divided into normoprotein (NP; fed a normal diet containing 17% protein) and hypoprotein (LP; fed a diet containing 6% protein) groups. On the day of birth (PND1), anogenital distance and bodyweight were measured in male pups. Seven males per experimental group (one male per litter) were killed, and the pelvic urethra was evaluated. LP offspring showed a significant reduction in bodyweight and anogenital distance on PND1. On three-dimensional reconstruction of the prostate, the number of prostatic buds was lower in LP than in NP males. Mesenchymal cells surrounding the buds were androgen-receptor positive, and the quantity and intensity of nucleus immunoreactivity was decreased in LP. The proliferation index was lower in LP than in NP prostatic buds. Immunoreactivity for α-actin in mesenchymal cells and that for epidermal growth factor receptor in epithelial cells was higher in NP than in LP. Our findings demonstrate that maternal protein restriction delays prostatic morphogenesis, probably because of considerable disruption in the epithelium-mesenchyme interaction.
Asunto(s)
Organogénesis/fisiología , Complicaciones del Embarazo , Próstata/embriología , Deficiencia de Proteína/complicaciones , Animales , Animales Recién Nacidos , Apoptosis , Proliferación Celular , Dieta con Restricción de Proteínas , Células Epiteliales/citología , Femenino , Masculino , Mesodermo/química , Mesodermo/embriología , Embarazo , Complicaciones del Embarazo/etiología , Próstata/citología , Ratas , Ratas Wistar , Receptores Androgénicos/análisisRESUMEN
Metallothioneins (MTs) constitute a family of cysteine-rich, low molecular weight proteins, which generally provide protection against metal toxicity and oxidative stress counteracting the cell damage caused by essential and non-essential heavy metals. Equally important is the physiological role of MTs in the homeostasis of essential metals, which are involved in a wide variety of cellular processes. The aim of this work was to investigate the expression and the territorial localization of Paracentrotus lividus MT (Pl-MT) mRNA during sea urchin development by Quantitative Polymerase Chain Reaction (QPCR) and Whole Mount In Situ Hybridization (WMISH), as well as the phylogenetic comparison with selected MT homologs present in different phyla. We found that Pl-MT mRNA is accumulated in unfertilized eggs and constitutively expressed during development, with very low levels of maternal mRNA at cleavage stages, followed by a significant rise during gastrulation with a peak at the prism stage. Pl-MT mRNA was expressed in the vegetative plate at mesenchyme blastula, later restricted to the endoderm of gastrula embryos and finally to the gut of plutei. Indirect immunofluorescence (IF) using a specific antibody for the endoderm marker Endo1 demonstrated a co-localization with the Pl-MT transcripts in the midgut and hindgut after the intestine differentiation occurs and when larval feeding begins. Our results show for the first time the constitutive temporal and tissue-specific expression of MT in P. lividus embryos, providing new information for studies on the mechanisms controlling basal and induced MT gene expression. The analysis of the phylogenetic relationship of Pl-MT with homologs from different phyla, ranging from yeast to vertebrates, suggests the evolutionary process of these proteins, which could have been selected not only on the basis of their ability to bind metals but also by their tissue-specificity.
Asunto(s)
Metalotioneína/genética , Paracentrotus/embriología , Paracentrotus/genética , ARN Mensajero/genética , Secuencia de Aminoácidos , Animales , Blastocisto/química , Biología Computacional , Cisteína/metabolismo , Desarrollo Embrionario , Endodermo/química , Endodermo/embriología , Técnica del Anticuerpo Fluorescente Indirecta , Gástrula/embriología , Regulación del Desarrollo de la Expresión Génica , Marcadores Genéticos , Hibridación in Situ , Mesodermo/química , Mesodermo/embriología , Metalotioneína/metabolismo , Datos de Secuencia Molecular , Especificidad de Órganos , Filogenia , Reacción en Cadena de la Polimerasa , ARN Mensajero/metabolismoRESUMEN
The design of novel biomaterials for regenerative medicine requires incorporation of well-defined physical and chemical properties that mimic the native extracellular matrix (ECM). Here, we report the synthesis and characterization of porous foams prepared by high internal phase emulsion (HIPE) templating using amphiphilic copolymers that act as surfactants during the HIPE process. We combine different copolymers exploiting oil-water interface confined phase separation to engineer the surface topology of foam pores with nanoscopic domains of cell inert and active chemistries mimicking native matrix. We further demonstrate how proteins and hMSCs adhere in a domain specific manner.