Abstract:
:Inverted urothelial papilloma (IUP) is an uncommon neoplasm of the urinary bladder with distinct morphologic features. Studies regarding the role of human papillomavirus (HPV) in the etiology of IUP have provided conflicting evidence of HPV infection. In addition, little is known regarding the molecular alterations present in IUP or other urothelial neoplasms, which might demonstrate inverted growth pattern like low-grade or high-grade urothelial carcinoma (UCA). Here, we evaluated for the presence of common driving somatic mutations and HPV within a cohort of IUPs, (n = 7) noninvasive low-grade papillary UCAs with inverted growth pattern (n = 5), and noninvasive high-grade papillary UCAs with inverted growth pattern (n = 8). HPV was not detected in any case of IUP or inverted UCA by either in situ hybridization or by polymerase chain reaction. Next-generation sequencing identified recurrent mutations in HRAS (Q61R) in 3 of 5 IUPs, described for the first time in this neoplasm. Additional mutations of Ras pathway members were detected including HRAS, KRAS, and BRAF. The presence of Ras pathway member mutations at a relatively high rate suggests this pathway may contribute to pathogenesis of inverted urothelial neoplasms. In addition, we did not find any evidence supporting a role for HPV in the etiology of IUP.
journal_name
Hum Patholjournal_title
Human pathologyauthors
McDaniel AS,Zhai Y,Cho KR,Dhanasekaran SM,Montgomery JS,Palapattu G,Siddiqui J,Morgan T,Alva A,Weizer A,Lee CT,Chinnaiyan AM,Quist MJ,Grasso CS,Tomlins SA,Mehra Rdoi
10.1016/j.humpath.2014.06.003subject
Has Abstractpub_date
2014-09-01 00:00:00pages
1957-65issue
9eissn
0046-8177issn
1532-8392pii
S0046-8177(14)00240-8journal_volume
45pub_type
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