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Published on: March 17, 2023
Molecular mechanisms underlying the MiT translocation subgroup of renal cell carcinomas
K Medendorp1, J J M van Groningen, M Schepens
1Department of Human Genetics, Nijmegen Centre for Molecular Life Sciences, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Abstract:
Renal cell carcinomas (RCCs) represent a heterogeneous group of neoplasms, which differ in histological, pathologic and clinical characteristics. The tumors originate from different locations within the nephron and are accompanied by different recurrent (cyto)genetic anomalies. Recently, a novel subgroup of RCCs has been defined, i.e., the MiT translocation subgroup of RCCs. These tumors originate from the proximal tubule of the nephron, exhibit pleomorphic histological features including clear cell morphologies and papillary structures, and are found predominantly in children and young adults. In addition, these tumors are characterized by the occurrence of recurrent chromosomal translocations, which result in disruption and fusion of either the TFE3 or TFEB genes, both members of the MiT family of basic helix-loop-helix/leucine-zipper transcription factor genes. Hence the name MiT translocation subgroup of RCCs. In this review several features of this RCC subgroup will be discussed, including the molecular mechanisms that may underlie their development.
Insights
The MiT translocation subgroup of renal cell carcinomas (RCCs), predominantly in young patients, involves TFE3 or TFEB gene fusions. This review explores their unique features and molecular development.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Renal cell carcinomas (RCCs) are diverse neoplasms with varying origins and genetic anomalies.
- A distinct subgroup, the MiT translocation RCCs, originates from the proximal tubule and affects younger individuals.
- These tumors exhibit pleomorphic histology and are associated with specific chromosomal translocations.
Purpose of the Study:
- To review the defining characteristics of the MiT translocation subgroup of RCCs.
- To discuss the molecular mechanisms underlying the development of these tumors.
- To highlight the genetic anomalies involving TFE3 and TFEB genes.
Main Methods:
- Review of existing literature on MiT translocation RCCs.
- Analysis of histological and pathological features.
- Examination of cytogenetic and molecular data, focusing on TFE3/TFEB gene fusions.
Main Results:
- MiT translocation RCCs are characterized by TFE3 or TFEB gene fusions.
- These tumors predominantly occur in children and young adults.
- Histological features can be pleomorphic, including clear cell and papillary morphologies.
Conclusions:
- MiT translocation RCCs represent a unique entity within renal cell carcinomas.
- Chromosomal translocations leading to TFE3/TFEB gene disruption are key drivers.
- Further research into molecular mechanisms is crucial for understanding and treating this RCC subtype.
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