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Kuźbicki Ł, Brożyna AA. The markers auxiliary in differential diagnosis of early melanomas and benign nevi sharing some similar features potentially leading to misdiagnosis - a review of immunohistochemical studies. Cancer Invest 2022; 40:852-867. [PMID: 36214582 DOI: 10.1080/07357907.2022.2134415] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Abstract
Although most melanocytic skin lesions are correctly diagnosed, numerous studies have shown interobserver disagreement. This review analyzes 20 molecules as immunohistochemical markers for distinguishing dysplastic and/or Spitz nevi from early melanomas (in situ, Clark level I or II and/or Breslow thickness at most 1 mm). The detected presence and/or level of tested molecules was significantly different in early melanomas than in dysplastic and Spitz nevi for six and seven potential markers, respectively. The most promising results were obtained for 5-hydroxymethylcytosine, cyclooxygenase-2 and PReferentially expressed Antigen in MElanoma whose levels were different in dysplastic and Spitz nevi compared to early melanomas.
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Affiliation(s)
- Łukasz Kuźbicki
- Department of Human Biology, Institute of Biology, Faculty of Biological and Veterinary Sciences, Nicolaus Copernicus University in Toruń, Toruń, Poland
| | - Anna A Brożyna
- Department of Human Biology, Institute of Biology, Faculty of Biological and Veterinary Sciences, Nicolaus Copernicus University in Toruń, Toruń, Poland
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Cheng X, He Y, Bao W, Zhang Z, Chen L, Song G, Lan J, Xu F, Jia C, Dai T. Transcriptomic analysis of mRNA expression in giant congenital melanocytic nevi. Gene 2022; 850:146894. [PMID: 36174903 DOI: 10.1016/j.gene.2022.146894] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Revised: 09/09/2022] [Accepted: 09/12/2022] [Indexed: 11/25/2022]
Abstract
BACKGROUND AND OBJECTIVE GCMN is a sporadic disease with an incidence ranging from 1/20,000 to 1/500000. So far, several studies have found that GCMN is related to somatic mutations, but most of them have focused on known pathogenic genes, and transcriptome sequencing based on large datasets is relatively uncommon. At present, the use of next-generation sequencing technologies and bioinformatics platforms makes genomic information study more comprehensive and efficient. In this study, the transcriptome differences between GCMN lesions and surrounding normal skin tissues were investigated using high-throughput transcriptome sequencing, and hub genes and pathways related to pathogenesis were identified, providing a theoretical foundation for further research into the pathogenesis of GCMN. METHODS Pathological skin tissue and surrounding normal skin tissue from GCMN patients, namely the pathological group (PG) and the control group (CG), were obtained. 1. All specimens were stained with HE to ensure that the samples met the experimental requirements. 2. Ten pairs of specimens were selected for high-throughput transcriptome sequencing, and the differentially expressed genes (DEGs) between the PG and the CG were obtained. The DEGs were analyzed by clusterProfiler R software for Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathways. The function of the subnetwork was analyzed and the hub genes were identified by the STRING database and Cytoscape software. 3. The expression differences of hub genes PTGS2, EGF, and SOX10 in pathological skin tissues and normal skin tissues were verified by qRT-PCR and immunofluorescence staining. RESULTS 1. HE staining revealed a lot of melanocytes in the dermis and subcutaneous tissues. They were found around the hair follicles, sweat glands, sebaceous glands, and blood vessel walls, or in a specific pattern. 2. The screening threshold was set at p<0.01 and |log2fc|<1, and a total of 1163 DEGs were discovered between the PG and CG, with 519 genes up-regulated and 644 genes down-regulated in the pathological tissues. According to the GO functional analysis, 29 biological processes, 18 cell compositions, and 17 molecular functions were significantly enriched, with the majority of them being related to keratinocytes and the extracellular matrix. There were 779 nodes and 2359 interactions in the protein interaction network. Using the MCODE plug-in, the network was divided into 25 functional clusters. According to ClueGO results, Cluster5 was involved in melanin biosynthesis and melanocyte proliferation. Using 11 operation methods in the Cytohubba plug-in, PTGS2, EGF, and SOX10 in Cluster5 were chosen as hub genes. 3. qRT-PCR and immunofluorescent staining revealed that compared to normal skin tissue, the expression of SOX10 was significantly up-regulated, and the expression of PTGS2 and EGF was significantly down-regulated in pathological skin tissue(P<0.001). CONCLUSIONS In GCMN, keratinocytes and extracellular matrix may directly and indirectly affect melanocyte activity. PTGS2, EGF, and SOX10 are important genes and significantly differentially expressed in pathological and normal skin tissues. These findings may serve as a springboard for future research.
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Affiliation(s)
- Xialin Cheng
- Department of Burns and Plastic Surgery, Xiang'an Hospital of Xiamen University, Xiamen, China, 2000 East Xiang 'an Road, Xiang 'an District, Xiamen city, China.
| | - Yan He
- Department of Burns and Plastic Surgery, Xiang'an Hospital of Xiamen University, Xiamen, China, 2000 East Xiang 'an Road, Xiang 'an District, Xiamen city, China.
| | - Wu Bao
- Department of Burns and Plastic Surgery, Xiang'an Hospital of Xiamen University, Xiamen, China, 2000 East Xiang 'an Road, Xiang 'an District, Xiamen city, China.
| | - Zexin Zhang
- Department of Burns and Plastic Surgery, Xiang'an Hospital of Xiamen University, Xiamen, China, 2000 East Xiang 'an Road, Xiang 'an District, Xiamen city, China.
| | - Lingxi Chen
- Department of Burns and Plastic Surgery, Xiang'an Hospital of Xiamen University, Xiamen, China, 2000 East Xiang 'an Road, Xiang 'an District, Xiamen city, China.
| | - Ge Song
- Department of General Surgery, The First Affiliated Hospital of Henan University of Science and Technology 24 Jinghua Road, Jianxi District, Luoyang city, Henan Province.
| | - Junhong Lan
- Department of Burns and Plastic Surgery, Xiang'an Hospital of Xiamen University, Xiamen, China, 2000 East Xiang 'an Road, Xiang 'an District, Xiamen city, China.
| | - Fangfang Xu
- Department of Burns and Plastic Surgery, Xiang'an Hospital of Xiamen University, Xiamen, China, 2000 East Xiang 'an Road, Xiang 'an District, Xiamen city, China.
| | - Chiyu Jia
- Department of Burns and Plastic Surgery, Xiang'an Hospital of Xiamen University, Xiamen, China, 2000 East Xiang 'an Road, Xiang 'an District, Xiamen city, China.
| | - Tao Dai
- Department of Plastic Surgery, the Third Affiliated Hospital, Henan University of Science and Technology, Luoyang, China 36 Xiyuan Road, Jianxi District, Luoyang city, Henan Province.
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Kuźbicki Ł, Brożyna AA. The detectability of intraepidermal melanocytes ‐ a narrative review of immunohistochemical studies. J Cutan Pathol 2022; 49:1074-1089. [DOI: 10.1111/cup.14295] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2022] [Revised: 07/14/2022] [Accepted: 07/17/2022] [Indexed: 12/01/2022]
Affiliation(s)
- Łukasz Kuźbicki
- Department of Human Biology, Institute of Biology, Faculty of Biological and Veterinary Sciences Nicolaus Copernicus University in Toruń Toruń Poland
| | - Anna A. Brożyna
- Department of Human Biology, Institute of Biology, Faculty of Biological and Veterinary Sciences Nicolaus Copernicus University in Toruń Toruń Poland
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Expression of Cyclooxygenase-2 in Human Epithelial Skin Lesions: A Systematic Review of Immunohistochemical Studies. Appl Immunohistochem Mol Morphol 2020; 29:163-174. [PMID: 32889812 DOI: 10.1097/pai.0000000000000871] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2020] [Accepted: 07/27/2020] [Indexed: 01/17/2023]
Abstract
Permanent, elevated expression of cyclooxygenase-2 (COX-2) in keratinocytes of epidermis can stimulate its hyperplasia and constitute a factor promoting cancer development, as demonstrated in animal models. Intratumoral level and localization of COX-2 in epithelial lesions of human skin was examined immunohistochemically in 26 studies. In squamous cell carcinomas (SCCs), strong staining was observed with great compatibility. High COX-2 detectability throughout the entire tumor mass could be helpful in the finding of SCC cells. However, in basal cell carcinomas, and precancerous lesions, frequency and detection level of this protein, as well as the type and/or localization of stained cells within the tumor, varied among different research groups. The discrepancies may be due to the heterogeneity of each of these 2 groups of lesions. However, differences in COX-2 staining in normal skin indicate also possible methodological reasons. In general, COX-2 levels were significantly decreased in basal cell carcinomas compared with SCCs, which could be used in the differential diagnosis of these cancers. Reduced, although heterogenous, COX-2 expression in precancerous lesions may suggest its association with SCC development. These observations are consistent with data on the efficacy of preventive and therapeutic effects of nonsteroidal anti-inflammatory drugs that are COX-2 inhibitors.
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