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Query: EC:2.6.1.2 (
alanine aminotransferase
)
26,722
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
Recent technical improvements in both mass spectrometry and protein extraction have made it possible to use formalin-fixed, paraffin-embedded (FFPE) tissues for proteome analysis. In this study, comparable proteome analysis of FFPE tissues revealed multiple candidate marker molecules for differentiating atypical lipomatous tumor/well-differentiated
liposarcoma
(
ALT
/WDL) from lipoma. A total of 181 unique proteins were identified for
ALT
/WDL. Of the identified proteins, coiled-coil domain-containing protein 180 (CCDC180) and leucine-rich repeat-containing protein 4 (LRRC4) were studied as candidate markers of
ALT
/WDL. CCDC180 and LRRC4 immunohistochemistry clearly stained tumor cells of
ALT
/WDL and dedifferentiated
liposarcoma
and could differentiate them from lipoma with high accuracy. Cell biological methods were used to further examine the expression of the candidate marker molecules in
liposarcoma
cells. In
liposarcoma
cells, knockdown of CCDC180 and LRRC4 inhibited cell proliferation. CCDC180 inhibited cell migration, invasion, and apoptosis resistance in WDL cells. Adipogenic differentiation suppressed the expression of CCDC180 and LRRC4 in WDL cells. These results indicated that LRRC4 and CCDC180 are novel immunohistochemical markers for differentiating
ALT
/WDLs. Their expression was associated with adipocyte differentiation and contributed to malignant potentials of WDL cells. Proteome analysis using a standard stock of FFPE tissues can reveal novel biomarkers for various diseases, which contributes to the progress of molecular pathology.
...
PMID:Identification of Coiled-Coil Domain-Containing Protein 180 and Leucine-Rich Repeat-Containing Protein 4 as Potential Immunohistochemical Markers for Liposarcoma Based on Proteomic Analysis Using Formalin-Fixed, Paraffin-Embedded Tissue. 3079 May 60
Atypical lipomatous tumor/well-differentiated
liposarcoma
(
ALT
/WDL) and spindle cell lipoma are lipomatous tumors with distinct clinical, molecular, and prognostic features. Although histological and immunophenotypic features can overlap between
ALT
/WDL and spindle cell lipoma, the oncogenesis and clinical behavior are markedly different. In borderline cases, molecular analysis for
MDM2
or
CDK4
amplification can aid in distinguishing
ALT
/WDL from spindle cell lipoma. Although dedifferentiated
liposarcoma
has been reported to harbor both
MDM2
amplification and loss of the
RB1
region, we are not aware of a reported
RB1
loss in well-differentiated
ALT
/WDL. In this article, we present a 69-year-old woman with a lipomatous tumor in the gluteal region that histologically, immunohistochemically, and molecularly mimicked spindle cell lipoma (with positive immunohistochemical staining for CD34 and loss of the
RB1
gene region), yet harbored amplification of
MDM2
and
CDK4
confirmed by fluorescence in situ hybridization, supporting classification as
ALT
/WDL. This case strengthens the argument that in atypical clinical contexts, molecular studies for
MDM2/CDK4
should be considered in tumors resembling spindle cell lipoma.
...
PMID:Atypical Lipomatous Tumor/Well-Differentiated Liposarcoma With Features Mimicking Spindle Cell Lipoma. 3167 72
Atypical and malignant lipomatous tumors are infrequent in the pediatric population. Within this uncommon cohort, the morphologically and genetically related spectrum of atypical lipomatous tumor/well-differentiated
liposarcoma
/dedifferentiated
liposarcoma
(
ALT
/WDL/DDLS) is markedly rare. Their shared characteristic molecular aberration is a genomic amplicon of a region of chromosome 12q, including the oncogenes
MDM2
and
CDK4
. We present an unusual case of a pediatric patient with an
ALT
, with recurrence after 2 years in the form of a bone-forming mass, radiologically and pathologically mimicking parosteal osteosarcoma, a tumor also molecularly characterized by amplification of
MDM2
and
CDK4
. However, with ample histologic sampling, a single focus of lipogenic differentiation was identified, thus representing the first near complete low-grade osteosarcomatous dedififferentation reported within
ALT
/WDL/DDLS and the first ever in pediatric patient. The case serves a reminder of a diagnosis differential and pitfalls within
MDM2
-amplified tumors.
...
PMID:Low-grade Osteosarcomatous Dedifferentiation of an Atypical Lipomatous Tumor in a Pediatric Patient. 3173 57
Atypical lipomatous tumor/well-differentiated
liposarcoma
(
ALT
/WDL) is an indolent, locally aggressive mesenchymal neoplasm, most often confined to the lower extremities and retroperitoneum and rarely identified in the orbit. Diagnosis of
ALT
/WDL can be challenging due to its frequent morphologic overlap with benign adipose lesions and other more aggressive
liposarcoma
subtypes, including myxoid
liposarcoma
. We describe a 26-year-old female with a history of hereditary retinoblastoma and external-beam radiotherapy to the orbit, who developed orbital
liposarcoma
. Although initial morphologic assessment raised the consideration of myxoid
liposarcoma
, subsequent fluorescein in situ hybridization studies demonstrated
MDM2
and
DDIT3
coamplification without
DDIT3
rearrangement, supporting the diagnosis of
ALT
/WDL with myxoid stroma. The literature review of previously reported orbital myxoid liposarcomas revealed a morphologic overlap of documented tumors with
ALT
/WDL, dedifferentiated
liposarcoma
, and pleomorphic
liposarcoma
with myxoid stroma as well as an absence of immunohistochemical and molecular genetic data supportive of the diagnosis of myxoid
liposarcoma
. This case emphasizes the potential overlap of
ALT
/WDL with myxoid
liposarcoma
and the increasing importance of molecular genetic studies in the diagnosis, prognosis, and management of orbital
liposarcoma
.
...
PMID:Atypical Lipomatous Tumor/Well-Differentiated Liposarcoma with Myxoid Stroma in a Hereditary Retinoblastoma Survivor. 3225 14
Hibernoma is a rare benign adipocytic tumor composed of a proliferation of brown and white fat cells varying in their proportions. The tumor may also contain fat cells resembling lipoblasts, which makes it difficult to distinguish it from atypical lipomatous tumor/well differentiated
liposarcoma
(
ALT
/WDLS). Although nuclear expressions of murine double minute 2 (MDM2) and cyclin-dependent kinase 4 (CDK4) are widely used as immunohistochemical surrogate markers for
ALT
/WDLS, the utility of these proteins in distinguishing between hibernoma and
ALT
/WDLS still remains to be elucidated. We evaluated immunohistochemical expressions of MDM2 and CDK4 in 10 hibernomas expressing uncoupling protein-1 (UCP-1), a mitochondrial protein transporter consistently expressed in brown fat cells, and lacking MDM2 gene amplification, which was analyzed by fluorescence in situ hybridization (FISH). In contrast to the data previously obtained, nuclear expression of MDM2 was observed in 100% (10/10 cases) of the hibernomas irrespective of the proportion of brown fat cells, whereas no cases were positive for CDK4. The tumors also showed almost concurrent expression of p53 (in 9/10 cases) and ubiquitin-specific-processing protease 7 (USP7) (in 10/10 cases), which deubiquitinates and stabilizes MDM2, potentially resulting in its nuclear expression without MDM2 gene amplification. MDM2 expression may thus be a diagnostic pitfall for hibernoma particularly in differentiating it from
ALT
/WDLS.
...
PMID:Nuclear expression of MDM2 in hibernoma: a potential diagnostic pitfall. 3281 35
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