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Published on: September 8, 2021
IMP-3 expression in melanocytic lesions
Limin Yu1, Haodong Xu, Matthew J Wasco
1Department of Pathology, Dermatopathology Division, University of Michigan, M3260, Medical Sciences 1, 1301 Catherine Street, Ann Arbor, MI 48109-0602, USA.
Background:
Insulin-like growth factor-II mRNA-binding protein 3 (IMP-3 ), a member of the insulin-like growth factor mRNA-binding protein family, is expressed in several human malignancies, including melanomas. However, the expression of IMP-3 has not been explored in melanoma in situ, various histologic subtypes of invasive melanomas and atypical Spitz tumors.
Methods:
IMP-3 immunostain was performed in 157 melanocytic lesions.
Results:
Nearly all benign (8/8), dysplastic (8/8) and Spitz nevi (8/9) were negative for IMP-3. Focal IMP-3 positivity was observed in 5/12 melanoma in situ and 4/15 superficial melanomas (Breslow depth
Conclusion:
A malignant circumstance, such as non-desmoplastic melanoma or atypical Spitz tumor, can be inferred when IMP-3 is expressed, suggesting potential diagnostic value of IMP-3 in melanocytic lesions.
Insights
Insulin-like growth factor-II mRNA-binding protein 3 (IMP-3) is often positive in malignant melanomas and atypical Spitz tumors, but negative in benign nevi. This suggests IMP-3 may help diagnose melanoma and atypical Spitz tumors.
Area of Science:
- Oncology
- Dermatopathology
- Molecular Biology
Background:
- Insulin-like growth factor-II mRNA-binding protein 3 (IMP-3) is implicated in various human cancers.
- IMP-3 expression is known in melanomas but not fully characterized across all subtypes, including melanoma in situ and atypical Spitz tumors.
Purpose of the Study:
- To investigate the expression patterns of IMP-3 in a spectrum of melanocytic lesions.
- To determine the diagnostic utility of IMP-3 in differentiating malignant melanomas and atypical Spitz tumors from benign nevi.
Main Methods:
- IMP-3 immunostaining was performed on 157 melanocytic lesions.
- Statistical analysis was used to compare IMP-3 expression between different lesion types.
Main Results:
- IMP-3 was largely negative in benign, dysplastic, and Spitz nevi.
- Focal IMP-3 positivity was noted in melanoma in situ and superficial melanomas.
- Strong IMP-3 staining was observed in deep melanomas, metastatic melanomas, and atypical Spitz tumors, with significant differences compared to benign lesions.
Conclusions:
- IMP-3 expression is significantly associated with malignant melanomas (non-desmoplastic) and atypical Spitz tumors.
- IMP-3 shows potential as a diagnostic marker for identifying malignant melanocytic lesions.
- Further investigation into IMP-3's role in melanoma diagnosis is warranted.
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