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p16INK4A (CDKN2A) gene deletion is a frequent genetic event in synovial sarcomas
Manish M Subramaniam1, Rosa Noguera, Marta Piqueras
1Department of Pathology, Medical School, University of Valencia, Spain.
Abstract:
We assessed the frequency of genomic deletion of p16INK4A (CDKN2A) in synovial sarcomas (SSs) and its possible association with immunoexpression of p16 and cyclin D1 and the Ki-67 proliferation index using dual-color fluorescence in situ hybridization (FISH) on tissue microarray sections of 41 histologically and molecularly confirmed SSs. A heterozygous p16INK4A gene deletion was identified in 28 (74%) of 38 cases, with 25 (89%) of them showing abnormal p16 protein expression (20 negative and 5 heterogeneous). Of 25 cases, 19 (76%) exhibiting increased cyclin D1expression also demonstrated heterozygous p16INK4A deletion. No significant association was observed between p16INK4A deletion and Ki-67 proliferation index, tumor grade, or histologic subtype. Our results demonstrate that p16INK4A (CDKN2A) gene deletion is a frequent genetic event in SS.
Insights
Genomic deletion of the p16INK4A (CDKN2A) gene is common in synovial sarcomas (SSs), frequently correlating with abnormal p16 protein expression and increased cyclin D1 levels.
Area of Science:
- Oncology
- Genetics
- Molecular Biology
Background:
- Synovial sarcoma (SS) is a rare soft tissue sarcoma.
- The role of p16INK4A (CDKN2A) gene alterations in SS pathogenesis requires further investigation.
Purpose of the Study:
- To determine the frequency of p16INK4A (CDKN2A) genomic deletion in SS.
- To assess the association between p16INK4A deletion, p16 and cyclin D1 immunoexpression, and the Ki-67 proliferation index in SS.
Main Methods:
- Dual-color fluorescence in situ hybridization (FISH) was employed on tissue microarray sections.
- Analysis included 41 histologically and molecularly confirmed SS cases.
Main Results:
- Heterozygous p16INK4A deletion was found in 74% of SS cases.
- Abnormal p16 protein expression was observed in 89% of cases with p16INK4A deletion.
- Increased cyclin D1 expression was associated with p16INK4A deletion in 76% of relevant cases.
Conclusions:
- Genomic deletion of p16INK4A (CDKN2A) is a frequent genetic event in synovial sarcoma.
- p16INK4A deletion is linked to altered p16 protein levels and increased cyclin D1 expression in SS.
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