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Tytuł pozycji:

Whole-exome Sequencing of Epstein-Barr Virus-associated Pulmonary Carcinoma With Low Lymphocytic Infiltration Shows Molecular Features Similar to Those of Classic Pulmonary Lymphoepithelioma-like Carcinoma: Evidence to Support Grouping Together as One Disease Entity.

Tytuł:
Whole-exome Sequencing of Epstein-Barr Virus-associated Pulmonary Carcinoma With Low Lymphocytic Infiltration Shows Molecular Features Similar to Those of Classic Pulmonary Lymphoepithelioma-like Carcinoma: Evidence to Support Grouping Together as One Disease Entity.
Autorzy:
Yeh YC; Department of Pathology and Laboratory Medicine, Taipei Veterans General Hospital.; School of Medicine.; Institute of Biomedical Informatics.
Ho HL; Department of Pathology and Laboratory Medicine, Taipei Veterans General Hospital.; Department of Biotechnology and Laboratory Science in Medicine.
Lin CI; Department of Pathology, Taipei Hospital, Ministry of Health and Welfare, Taipei, Taiwan.
Chou TY; Department of Pathology and Laboratory Medicine, Taipei Veterans General Hospital.; Institute of Clinical Medicine, National Yang Ming Chiao Tung University.
Wang YC; Institute of Biomedical Informatics.
Źródło:
The American journal of surgical pathology [Am J Surg Pathol] 2021 Nov 01; Vol. 45 (11), pp. 1476-1486.
Typ publikacji:
Comparative Study; Journal Article; Research Support, Non-U.S. Gov't
Język:
English
Imprint Name(s):
Publication: <2015- > : Philadelphia, PA : Wolters Kluwer Health, Inc.
Original Publication: New York, Masson.
MeSH Terms:
Exome Sequencing*
Biomarkers, Tumor/*genetics
Carcinoma, Non-Small-Cell Lung/*genetics
Carcinoma, Squamous Cell/*genetics
Epstein-Barr Virus Infections/*virology
Herpesvirus 4, Human/*pathogenicity
Lung Neoplasms/*genetics
Lymphocytes, Tumor-Infiltrating/*immunology
Aged ; Carcinoma, Non-Small-Cell Lung/immunology ; Carcinoma, Non-Small-Cell Lung/pathology ; Carcinoma, Non-Small-Cell Lung/virology ; Carcinoma, Squamous Cell/immunology ; Carcinoma, Squamous Cell/pathology ; Carcinoma, Squamous Cell/virology ; DNA Copy Number Variations ; DNA Mutational Analysis ; Female ; Gene Dosage ; Humans ; Lung Neoplasms/immunology ; Lung Neoplasms/pathology ; Lung Neoplasms/virology ; Middle Aged ; Mutation ; Predictive Value of Tests ; Terminology as Topic
References:
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Substance Nomenclature:
0 (Biomarkers, Tumor)
Entry Date(s):
Date Created: 20210430 Date Completed: 20211025 Latest Revision: 20230922
Update Code:
20240104
DOI:
10.1097/PAS.0000000000001722
PMID:
33927156
Czasopismo naukowe
Pulmonary lymphoepithelioma-like carcinoma (LELC) is a distinct type of Epstein-Barr virus (EBV)-associated non-small cell carcinoma characterized by a syncytial growth pattern with heavy lymphocytic infiltration. We recently identified a group of non-small cell carcinomas, which are also associated with EBV but lack significant lymphocytic infiltration. These EBV-associated pulmonary carcinomas with low lymphocytic infiltration morphologically resemble nonkeratinizing squamous cell carcinoma, but their patient characteristics are more similar to those of LELC, including female sex and nonsmoking status. To clarify the relationships between these disease entities, in this study, we explored the molecular characteristics of the EBV-associated carcinomas with low lymphocytic infiltration using whole-exome sequencing and compared their molecular profiles with those of classic LELC and pulmonary squamous cell carcinoma. We demonstrate that the molecular characteristics of EBV-associated carcinomas with low lymphocytic infiltration are highly similar to those of classic LELC. Both show low tumor mutational burden, lack of commonly mutated driver genes in other types of non-small cell lung cancer, similar mutational signature involving APOBEC-related mutations, and enrichment of CD274 (programmed death-ligand 1) amplification. These molecular characteristics are very different from those of pulmonary squamous cell carcinoma. The unique patient demographics and molecular characteristics shared by EBV-associated carcinomas with low lymphocytic infiltration and classic LELC suggest that these tumors represent one single disease entity defined by EBV association. This study supports the proposal for the usage of the term "EBV-associated pulmonary carcinoma" to encompass the entire morphologic spectrum of this distinct EBV-associated disease entity.
Competing Interests: Conflicts of Interest and Sources of Funding: Supported by the Ministry of Science and Technology, Taiwan (MOST 109-2320-B-075-004-MY3) and Taipei Veterans General Hospital, Taiwan (V109C-110). The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.
(Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.)

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