Loss of BRM expression is a frequently observed event in poorly differentiated clear cell renal cell carcinoma
doi: 10.1111/his.12334
pmid: 24471421
Loss of BRM expression is a frequently observed event in poorly differentiated clear cell renal cell carcinoma
AimsThe aim of this study was to examine the status of Brahma (BRM), a key SWI/SNF complex subunit, in clear cell renal cell carcinomas (RCCs), and to analyse the histopathology, immunophenotype, molecular features and prognosis of the BRM‐negative cases.Methods and resultsWe identified 19 cases of grade 4 tumours lacking BRM expression among 625 clear cell RCCs. All 19 cases exhibited features of poor differentiation: 13 showed pure poorly differentiated morphology, while six were composite tumours with an admixed typical low‐grade component. Besides negative BRM expression, the immunophenotype of these cases was similar to clear cell RCC. VHL gene mutations were identified in nine of the 19 patients (47%). Chromosome 3p deletion was detected in 11 of 13 poorly differentiated RCCs and both areas of five of five composite tumours. All poorly differentiated tumour areas showed polysomy of chromosome 3. No losses or gains of chromosome 3 were observed in low‐grade tumour areas of five of five composite RCCs.ConclusionsWe have shown that loss of BRM expression is a common feature among poorly differentiated tumours in clear cell RCCs. We hypothesize that loss of BRM expression is involved in tumor de‐differentiation in clear cell RCCs and may play an important role during tumour progression.
- Nanjing University China (People's Republic of)
- Nanjing University China (People's Republic of)
- Indiana University School of Medicine United States
- Indiana University United States
Adult, Male, Middle Aged, Prognosis, Kidney Neoplasms, Mutation, Humans, Female, Carcinoma, Renal Cell, Aged, Transcription Factors
Adult, Male, Middle Aged, Prognosis, Kidney Neoplasms, Mutation, Humans, Female, Carcinoma, Renal Cell, Aged, Transcription Factors
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