Anna Scattone, Gilda Caruso, Andrea Marzullo, Domenico Piscitelli, Mattia Gentile, Lucia Bonadonna, Giuseppe Balducci, Maria Cristina Digilio, Alessandro Jenkner, Francesca Diomedi Camassei, Renata Boldrini, Pietro Nazzaro, Lucio Pollice, Gabriella Serio
{"title":"Neoplastic disease and deletion 22q11.2: a multicentric study and report of two cases.","authors":"Anna Scattone, Gilda Caruso, Andrea Marzullo, Domenico Piscitelli, Mattia Gentile, Lucia Bonadonna, Giuseppe Balducci, Maria Cristina Digilio, Alessandro Jenkner, Francesca Diomedi Camassei, Renata Boldrini, Pietro Nazzaro, Lucio Pollice, Gabriella Serio","doi":"10.1080/pdp.22.4.323.341","DOIUrl":"https://doi.org/10.1080/pdp.22.4.323.341","url":null,"abstract":"<p><p>Deletion 22q11.2 is a chromosomal abnormality detected in young patients with clinical manifestations of the DiGeorge/velocardiofacial syndrome. Conotruncal heart defects are also associated with del22q11.2. An association of these cardiac malformations with neoplasias has been observed. Our series includes two cases of malignancies, a hepatoblastoma and a renal-cell carcinoma, arising in children with complex cardiac malformations. The aim of the study was to determine if the deletion at 22q11.2 was present and could be responsible for both pathological processes. Del22q11.2 was identified in both cases. Comparative genomic hybridization revealed terminal gains on chromosomes 1q and Xq and terminal loss on 1p in the hepatoblastoma, and gains in 1p, 12q, 16p, 20q, 22q, and whole chromosome 19 and loss of Xq in the renal-cell carcinoma. Our results confirm a common genetic basis for cardiac malformations, and del22q11.2 presents a risk factor for the development of pediatric tumours.</p>","PeriodicalId":82276,"journal":{"name":"Pediatric pathology & molecular medicine","volume":"22 4","pages":"323-41"},"PeriodicalIF":0.0,"publicationDate":"2003-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/pdp.22.4.323.341","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24138660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Leonid Zeitlin, Murray B Resnick, Fred Konikoff, Delphan Schuppan, Yoram Bujanover, Aaron Lerner, Amir Belson, Beatriz Lifschitz, Shimon Reif
{"title":"Divergent patterns of extracellular matrix protein expression in neonatal versus adult liver fibrosis.","authors":"Leonid Zeitlin, Murray B Resnick, Fred Konikoff, Delphan Schuppan, Yoram Bujanover, Aaron Lerner, Amir Belson, Beatriz Lifschitz, Shimon Reif","doi":"10.1080/pdp.22.4.349.362","DOIUrl":"https://doi.org/10.1080/pdp.22.4.349.362","url":null,"abstract":"<p><p>The extracellular matrix (ECM) expression is subject to distinct changes during ontogeny, and the natural course of liver fibrosis in neonates is thought to differ from that in adults. We compared the expression and distribution of main ECM components between neonatal and adult liver fibrosis. Liver biopsies from infants with neonatal cholestasis and fibrosis were compared to adult biopsies exhibiting an equivalent stage of fibrosis. All biopsies were examined by immunohistochemistry (indirect ABC method) for the ECM proteins, collagens I, III, IV, and VI, laminin, and fibronectin. Infants (aged 1-8 months) with neonatal hepatitis (n = 3), extrahepatic biliary atresia (EHBA) (n = 5), and normal histology (n = 2) were compared with 9 adults (aged 17-70 years) with chronic hepatitis (n = 3), primary biliary cirrhosis (PBC) (n = 4), and normal histology (n = 2). Collagens I, III, and IV and fibronectin were significantly increased in neonatal hepatitis with mild fibrosis (score < or = 4) compared to adults with an equivalent fibrosis stage. This increase was particularly notable in perisinusoidal spaces. Laminin expression was increased in portal and perisinusoidal spaces both in neonatal hepatitis and extrahepatic biliary atresia with mild fibrosis. In infants with moderate to severe fibrosis (score > or = 6), only collagen I was increased in comparison to adults, whereas collagen VI expression was identical in all groups, irrespective of the degree of fibrosis. Expression of matrix proteins was not different in infants and adults without fibrosis. The increased perisinusoidal deposition of certain ECM components in infants with active hepatitis and mild fibrosis may point to an underlying difference in the mechanism or stimulus of fibrogenesis in neonates as compared to adults.</p>","PeriodicalId":82276,"journal":{"name":"Pediatric pathology & molecular medicine","volume":"22 4","pages":"349-62"},"PeriodicalIF":0.0,"publicationDate":"2003-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/pdp.22.4.349.362","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24138079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Yolk sac tumor and testicular microlithiasis.","authors":"Ricardo Drut","doi":"10.1080/pdp.22.4.343.347","DOIUrl":"https://doi.org/10.1080/pdp.22.4.343.347","url":null,"abstract":"<p><p>Yolk sac tumor (YST) of prepubertal testis is a peculiar neoplasm with overall good prognosis. There are no known conditions associated with the development of this tumor. The case of a 2-year-old boy with testicular YST and presence of testicular microlithiasis (TM) in the adjacent-still-recognizable testicular tissue is reported. Concentrically laminated microliths were clearly extratubular structures. Ultrasound of the remaining testis revealed microlithiasis. Bilateral TM is being recognized with increasing frequency due to the extensive use of ultrasound. The exact meaning of its finding has not been definitively elucidated, but the association of TM with cryptorchidism, intratubular germ cell neoplasia and germ cell tumors either of the testis or mediastinum is on record. The combination of prepubertal YST and bilateral TM has not been reported previously. Finding of TM at this early age suggests a congenital deranged Sertoli cell function and/or an abnormal gonadal embryogenesis in its pathogenesis.</p>","PeriodicalId":82276,"journal":{"name":"Pediatric pathology & molecular medicine","volume":"22 4","pages":"343-7"},"PeriodicalIF":0.0,"publicationDate":"2003-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/pdp.22.4.343.347","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24138078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Juan Dumois, Audrey Jara, Herbert H Pomerance, Atif Ahmed, Enid Gilbert-Barness
{"title":"Clinico-pathologic conference: a 7-year-old girl with fever and lymphadenopathy.","authors":"Juan Dumois, Audrey Jara, Herbert H Pomerance, Atif Ahmed, Enid Gilbert-Barness","doi":"10.1080/pdp.22.4.285.301","DOIUrl":"https://doi.org/10.1080/pdp.22.4.285.301","url":null,"abstract":"Juan Dumois, MD, Audrey Jara, MD, and Herbert H. Pomerance, MD u Department of Pediatrics, University of South Florida College ofMedicine,Tampa, Florida, USA Atif Ahmed, MD u Department of Pediatric Pathology,University of SouthFlorida College of Medicine,Tampa, Florida, USA Enid Gilbert-Barness, MD u Departments of Pathology and Laboratory Medicine, Pediatrics, and Obstetrics and Gynecology, University of South Florida College of Medicine,Tampa, Florida, USA","PeriodicalId":82276,"journal":{"name":"Pediatric pathology & molecular medicine","volume":"22 4","pages":"285-301"},"PeriodicalIF":0.0,"publicationDate":"2003-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/pdp.22.4.285.301","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24138654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reproductive toxicity of the psoralens.","authors":"Moussa M Diawara, Paul J Kulkosky","doi":"10.1080/pdp.22.3.247.258","DOIUrl":"https://doi.org/10.1080/pdp.22.3.247.258","url":null,"abstract":"<p><p>The psoralens are naturally occurring secondary metabolites in plants, including many fruits and vegetables. Health risks have been associated with handling or ingesting psoralen-containing plants, and with the use of synthetic psoralens in photochemotherapy of skin disorders. Our research has demonstrated that administration of the psoralens bergapten (5-methoxypsoralen) and xanthotoxin (8-methoxypsoralen) in the diet of female rats reduced birthrates, number of implantation sites, pups, corpora lutea, full and empty uterine weight, and circulating estrogen levels in a dose-dependent manner. Psoralens induced mRNAs of the liver enzymes CYP1A1 and UGT1A6, suggesting that enhanced metabolism of estrogens by psoralen treatment may explain the reproductive toxicity and the observed reduction of ovarian follicular function and ovulation. Rats also avoided repeated consumption of a flavored solution associated with psoralen administration. The findings indicate that the psoralens constitute a novel group of ovarian toxicants. Further examination of the safety of their use in photochemotherapy and diet is warranted.</p>","PeriodicalId":82276,"journal":{"name":"Pediatric pathology & molecular medicine","volume":"22 3","pages":"247-58"},"PeriodicalIF":0.0,"publicationDate":"2003-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/pdp.22.3.247.258","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22384268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nandita Kakkar, R K Vasishta, Neelam Marwaha, R K Marwaha
{"title":"Pathology teach and tell: congenital myelodysplastic syndrome with extensive hepatic fibrosis.","authors":"Nandita Kakkar, R K Vasishta, Neelam Marwaha, R K Marwaha","doi":"10.1080/pdp.22.3.265.270","DOIUrl":"https://doi.org/10.1080/pdp.22.3.265.270","url":null,"abstract":"10 A4-month-oldmale child camewith cough, rapidbreathing, andan episode of seizure.This child was born to a third gravida by normal vaginal delivery.The earlier two siblings had died, one at day 3 of life, the other was a fresh stillbirth.The cause of death in both cases was not known.The index case had jaundice on day 3 of life and received phototherapy. On examination there was a severe pallor, res-","PeriodicalId":82276,"journal":{"name":"Pediatric pathology & molecular medicine","volume":"22 3","pages":"265-70"},"PeriodicalIF":0.0,"publicationDate":"2003-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/pdp.22.3.265.270","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22384273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zsombor Melegh, Ildikó Bálint, Erika Tóth, Erzsébet Csernák, Zoltán Szentirmay, Kálmán Nagy
{"title":"Detection of n-myc gene amplification in neuroblastoma by comparative, in situ,and real-time polymerase chain reaction.","authors":"Zsombor Melegh, Ildikó Bálint, Erika Tóth, Erzsébet Csernák, Zoltán Szentirmay, Kálmán Nagy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We have used semiquantitative comparative and real-time quantitative polymerase chain reactions (PCR) to detect n-myc gene-amplification in 20 frozen neuroblastoma biopsies and IMR 32 cell line to predict biological behavior of the tumors. Two primer pairs were used for the semiquantitative method to co-amplify a 520-bp fragment of the beta-globin gene--used as a single copy reference standard--and a 258-bp fragment of the n-myc gene. After 30 cycles the PCR products were electrophoresed through an agarose gel and were compared to each other with use of a gel-densitometer. Real-time quantitative analyses were performed in a LightCycler instrument. A single primer pair was used to amplify a 120-bp fragment of the n-myc oncogene and a LC640-labeled fluorescent probe pair to detect the product. Calibration curve, set up from a serial dilution including samples with 1, 2, 10, 13, 25-fold n-myc oncogene amplification, was used for quantitative analysis. The semiquantitative method did not show distinct difference between tumor groups with no amplification and less than 10-fold amplification, whereas quantitative LightCycler analysis was able to detect even 2-fold amplification. Differentiated neuroblastomas seldom show n-myc amplification. In spite of this, we have found two partly differentiated tumor samples that contained n-myc amplification. In these cases in situ PCRs were performed to examine the tumor heterogeneity. We used biotinated ATP labeling and the same primer pair as for the LightCycler analysis. In both cases differentiated cells did not show n-myc gene amplification, whereas considerable amplification was detected in the neuroblasts.</p>","PeriodicalId":82276,"journal":{"name":"Pediatric pathology & molecular medicine","volume":"22 3","pages":"213-22"},"PeriodicalIF":0.0,"publicationDate":"2003-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22383758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pathology teach and tell: pediatric gastrointestinal stromal tumor.","authors":"N J Sebire, A Ramsay, M Malone, R Risdon","doi":"10.1080/pdp.22.3.259.264","DOIUrl":"https://doi.org/10.1080/pdp.22.3.259.264","url":null,"abstract":"A14-year-old boy, with no signi¢cant past medical or family history, presented with a 3-month history of vomiting and epigastric discomfort. There was no dysphagia or hematemesis and no systemic symptoms were present. Review of systems was otherwise unremarkable. On physical exmination, he was a well-nourished adolescent with no stigmata of chronic disease but a ¢rm mass was palpable in the epigastrium. Gastroscopic examination demonstrated macroscopically normal mucosa overlying a smooth polypoid lesion with associated gastric wall distortion by a mass arising from the posterior stomach wall. Computerized tomography con¢rmed the presence of a soft tissue mass within the posterior inferior aspect of the gastric wall, which also appeared to extend into the surrounding transverse mesocolon. Modi¢ed partial gastrectomy was carried out that revealed an umbilicated polypoid nodule arising from the posterior gastric wall, 4 cm in maximum extent, with numerous further nodules present extending into the transverse mesocolon. Several nodules were adherent to transverse colon, a portion of which had been resected (Figure 1). The nodules showed a homogeneous soft, cream-yellow cut-surface throughout. The gastric mucosa was macroscopically unremarkable. Histological sections demonstrated a tumor, apparently originating within the muscularis propria of the stomach, composedpredominantly of interlacing fascicles of plump spindle cells with minimal cellular pleomorphism (Figure 2).The overlyingmucosawas not ulceratedbut showedmoderate nonspeci¢c gastritis.The tumor cells show strong positive immunostaining for CD117 in a membranous pattern (Figure 3) and also were focally positive for CD34.Tumor cells did not express desmin, smooth muscle actin, or S100 protein.","PeriodicalId":82276,"journal":{"name":"Pediatric pathology & molecular medicine","volume":"22 3","pages":"259-64"},"PeriodicalIF":0.0,"publicationDate":"2003-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/pdp.22.3.259.264","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22384272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pathology of the umbilical cord in adrenal fusion syndrome.","authors":"Ricardo Drut, Rosa Mónica Drut","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We report the placental findings of a newborn with multiple anomalies that include small and fused adrenal glands, meningomyelocele, lobar holoprosencephaly, cerebellar hypoplasia, short pancreas, and small spleen, fitting with the features of the so-called adrenal fusion syndrome. The placenta was small and presented a short, undercoiled and segmentally uncoiled umbilical cord with a short constriction in the middle of its length. We speculate that adrenal fusion syndrome and abnormal spleen lobulation and short pancreas may represent part of the same complex and probably related to the one including midline anomalies and defects of laterality formation in which horseshoe (fused) adrenal gland also may be found. Undercoiled umbilical cord might represent the placental component of this malformation complex. We also underline the value in identifying abnormalities of the umbilical cord to establish the cause of death.</p>","PeriodicalId":82276,"journal":{"name":"Pediatric pathology & molecular medicine","volume":"22 3","pages":"243-6"},"PeriodicalIF":0.0,"publicationDate":"2003-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22384274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The role of fibroblast transdifferentiation in lung epithelial cell proliferation, differentiation, and repair in vitro.","authors":"J S Torday, E Torres, V K Rehan","doi":"10.1080/pdp.22.3.189.207","DOIUrl":"https://doi.org/10.1080/pdp.22.3.189.207","url":null,"abstract":"<p><p>Parathyroid hormone-related protein (PTHrP) expression is necessary for differentiation of mesenchymal lipofibroblasts, which induce epithelial type II (TII) cell differentiation, both of which are necessary for alveolarization. PTHrP deficiency may be associated with bronchopulmonary dysplasia (BPD), characterized by truncation of alveolarization among preterm infants. This is supported by the baboon model of BPD (failure of alveolarization) that manifests PTHrP deficiency. We provide evidence that TII cell PTHrP expression is downregulated by alveolar overdistension, resulting in the transdifferentiation of lipofibroblasts to myofibroblasts, characterized by progressive loss of PTHrP receptor expression and triglyceride content, and sequential upregulation of alpha-smooth muscle actin (alphaSMA), typifying fibrosis. PTHrP reverses the downregulation of the PTHrP receptor and upregulation of alphaSMA, reverting myofibroblasts to a lipofibroblast genotype. When TII cells are co-cultured with lipofibroblasts, they proliferate and differentiate, expressing surfactant protein-B; in contrast, TII cells co-cultured with myofibroblasts fail to develop, mimicking the failed alveolarization associated with BPD. Treatment of myofibroblasts with 15-deoxy-Delta 12, 14 prostaglandinJ(2) (PGJ(2)) stimulates ADRP expression, reconstituting the lipofibroblast phenotype. PGJ(2)-treated myofibroblasts promote TII cell growth and surfactant protein-B expression, indicating that failed alveolarization due to transdifferentiation is reversible. We conclude that alveolar overdistension can cause fibroblast transdifferentiation, resulting in failed alveolarization.</p>","PeriodicalId":82276,"journal":{"name":"Pediatric pathology & molecular medicine","volume":"22 3","pages":"189-207"},"PeriodicalIF":0.0,"publicationDate":"2003-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/pdp.22.3.189.207","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22383755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}