HRAS mutations are frequent in inverted urothelial neoplasms.

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 Pathol

journal_title

Human pathology

authors

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 R

doi

10.1016/j.humpath.2014.06.003

subject

Has Abstract

pub_date

2014-09-01 00:00:00

pages

1957-65

issue

9

eissn

0046-8177

issn

1532-8392

pii

S0046-8177(14)00240-8

journal_volume

45

pub_type

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