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Review Article| Volume 25, ISSUE 2, P363-378, June 2005

Translocation Carcinomas of the Kidney

      A subset of renal carcinomas that most commonly affect young patients has been characterized by various translocations that involve chromosome Xp11.2; all result in gene fusions that involve the TFE3 transcription factor gene. In the past few years, several different Xp11.2-translocation carcinomas have been identified and characterized at the morphologic and molecular levels. These include a distinctive renal carcinoma that bears a translocation with the identical breakpoints and identical resulting ASPL–TFE3 gene fusion as alveolar soft part sarcoma (ASPS), a rare pediatric soft tissue neoplasm of uncertain histogenesis. These Xp11.2 translocation carcinomas are now accepted as a distinctive entity in the 2004 World Health Organization's renal tumor classification [
      • Argani P.
      • Ladanyi M.
      Renal carcinomas associated with Xp11.2 translocations/TFE3 gene fusions.
      ].
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      References

        • Argani P.
        • Ladanyi M.
        Renal carcinomas associated with Xp11.2 translocations/TFE3 gene fusions.
        in: Eble J.N. Sauter G. Epstein J. Pathology and genetics of tumors of the urinary system & male genital organs. IARC, Lyon (France)2003: 37-38
        • Sidhar S.K.
        • Clark J.
        • Gill S.
        • et al.
        The t(X;1) (p11.2;q21.2) translocation in papillary renal cell carcinoma fuses a novel gene PRCC to the TFE3 transcription factor gene.
        Hum Mol Genet. 1996; 5: 1333-1338
        • Weterman M.A.J.
        • Wilbrink M.
        • Geurts van Kessel A.
        Fusion of the transcription factor TFE3 gene to a novel gene, PRCC, in t(X;1)(p11.2;q21)-positive papillary renal cell carcinomas.
        Proc Natl Acad Sci USA. 1996; 93: 294-298
        • Clark J.
        • Lu Y.-J.
        • Sidhar S.K.
        • et al.
        Fusion of splicing factor genes PSF and NonO (p54nrb) to the TFE3 gene in papillary renal cell carcinoma.
        Oncogene. 1997; 15: 2233-2239
        • Argani P.
        • Lui M.Y.
        • Couturier J.
        • et al.
        Cloning of a novel CLTC-TFE3 gene fusion in pediatric renal adenocarcinoma with t(X;17)(p11.2;q23).
        Oncogene. 2003; 22: 5374-5378
        • Hernandez-Marti M.J.
        • Orellana-Alonso C.
        • Badia-Garrabou L.
        • et al.
        Renal adenocarcinoma in an 8-year-old child, with a t(X;17)(p11.2;q25).
        Cancer Genet Cytogenet. 1995; 83: 82-83
        • Carcao M.D.
        • Taylor G.P.
        • Greenberg M.L.
        • et al.
        Renal cell carcinoma in children. A different disorder from its adult counterpart?.
        Med Pediatr Oncol. 1998; 31: 153-158
        • Heimann P.
        • Devalck C.
        • Debusscher C.
        • et al.
        Alveolar soft-part sarcoma. Further evidence by FISH for the involvement of chromosome band 17q25.
        Genes Chromosomes Cancer. 1998; 23: 194-197
        • Tomlinson G.E.
        • Nisen P.D.
        • Timmons C.F.
        • et al.
        Cytogenetics of a renal cell carcinoma in a 17-month-old child. Evidence for Xp11.2 as a recurring breakpoint.
        Cancer Genet Cytogenet. 1991; 57: 11-17
        • Ladanyi M.
        • Lui M.Y.
        • Antonescu C.R.
        • et al.
        The der(17)t(X;17)(p11;q25) of human alveolar soft part sarcoma fuses the TFE3 transcription factor gene to ASPL, a novel gene at 17q25.
        Oncogene. 2001; 20: 48-57
        • Argani P.
        • Antonescu C.R.
        • Illei P.B.
        • et al.
        Primary renal neoplasms with the ASPL-TFE3 gene fusion of alveolar soft part sarcoma. A distinctive tumor entity previously included among renal cell carcinomas of children and adolescents.
        Am J Pathol. 2001; 159: 179-192
        • Heimann P.
        • El Housni H.
        • Ogur G.
        • et al.
        Fusion of a novel gene, RCC17, to the TFE3 gene in t(X;17)(p11.2;q25.3)-bearing papillary renal cell carcinomas.
        Cancer Res. 2001; 61: 4130-4135
        • Chian-Garcia C.A.
        • Torres-Cabala C.A.
        • Eyler R.
        • et al.
        Renal cell carcinoma in children and young adults: a clinicopathologic and immunohistochemical study of 14 cases.
        Mod Pathol. 2003; 16 ([abstract]): 145A
        • Bruder E.
        • Passera O.
        • Harms D.
        • et al.
        Morphologic and molecular characterization of renal cell carcinoma in children and young adults.
        Am J Surg Pathol. 2004; 28: 1117-1132
        • Altinok G.
        • Kattar M.M.
        • Mohamed A.
        • et al.
        Papillary renal cell carcinoma with t(X;1) and clinicopathologic associations.
        Mod Pathol. 2004; 17 ([abstract]): 265
        • Renshaw A.A.
        • Granter S.R.
        • Fletcher J.A.
        • et al.
        Renal cell carcinomas in children and young adults: increased incidence of papillary architecture and unique subtypes.
        Am J Surg Pathol. 1999; 23: 795-802
        • Argani P.
        • Antonescu C.R.
        • Couturier J.
        • et al.
        PRCC-TFE3 renal carcinomas. Morphologic, immunohistochemical, ultrastructural, and molecular analysis of an entity associated with the t(X;1)(p11.2;q21).
        Am J Surg Pathol. 2002; 26: 1553-1566
        • Meloni A.M.
        • Dobbs R.M.
        • Pontes J.E.
        • et al.
        Translocation (X;1) in papillary renal cell carcinoma. A new cytogenetic subtype.
        Cancer Genet Cytogenet. 1993; 65: 1-6
        • Perot C.
        • Bougaran J.
        • Boccon-Gibod L.
        • et al.
        Two new cases of papillary renal cell carcinoma with t(X;1)(p11;q21) in females.
        Cancer Genet Cytogenet. 1999; 110: 54-56
        • Argani P.
        • Lal P.
        • Hutchinson B.
        • et al.
        Aberrant nuclear immunoreactivity for TFE3 in neoplasms with TFE3 gene fusions: a sensitive and specific immunohistochemical assay.
        Am J Surg Pathol. 2003; 27: 750-761
        • Skalsky Y.M.
        • Ajuh P.M.
        • Parker C.
        • et al.
        PRCC, the commonest TFE3 fusion partner in papillary renal carcinoma is associated with pre-mRNA splicing factors.
        Oncogene. 2001; 20: 178-187
        • Smith C.J.
        • Pearse B.M.
        Clathrin: anatomy of a coat protein.
        Trends Cell Biol. 1999; 9: 335-338
        • Kirchhausen T.
        Clathrin.
        Annu Rev Biochem. 2000; 69: 699-727
        • Weterman M.A.J.
        • von Groningen J.J.M.
        • Jansen A.
        • et al.
        Nuclear localization and transactivating capacities of the papillary renal cell carcinoma-associated TFE3 and PRCC (fusion) proteins.
        Oncogene. 2000; 19: 69-74
        • Weterman M.A.J.
        • van Groningen J.J.
        • Tertoolen L.
        • et al.
        Impairment of MAD2B-PRCC interaction in mitotic checkpoint defective t(X;1)-positive renal cell carcinomas.
        Proc Natl Acad Sci USA. 2001; 98: 808-813
        • Lae M.
        • Argani P.
        • Olshen A.B.
        • et al.
        Global gene expression profiles of renal carcinomas with Xp11 translocations (TFE3 gene fusions) suggest a closer relationship to alveolar soft part sarcoma than to adult type renal cell carcinomas.
        Mod Pathol. 2004; 17 ([abstract]): 163A
        • Dijkhuizen T.
        • van den Berg E.
        • Storkel S.
        • et al.
        Two cases of renal cell carcinoma, clear cell type, revealing at(6;11)(p21;q13).
        Cancer Genet Cytogenet. 1996; 91 ([abstract]): 141
        • Argani P.
        • Hawkins A.
        • Griffin C.A.
        • et al.
        A distinctive pediatric renal neoplasm characterized by epithelioid morphology, basement membrane production, focal HMB45 immunoreactivity, and t(6; 11)(p21.1; q12) chromosome translocation.
        Am J Pathol. 2001; 158: 2089-2096
        • Yeh Y.
        • Vargas S.
        • Fletcher J.A.
        • et al.
        Distinctive chromosomal translocations in pediatric renal cell carcinoma.
        Mod Pathol. 2002; 15 ([abstract]): 7P
        • Davis I.J.
        • His B.-L.
        • Arroyo J.D.
        • et al.
        Cloning of a novel Alpha-TFEB fusion in renal tumors harboring the t(6;11)(p21;q12) chromosome translocation.
        Proc Natl Acad Sci USA. 2003; 100: 6051-6056
        • Kuiper R.P.
        • Schepens M.
        • Thijssen J.
        • et al.
        Upregulation of the transcription factor TFEB in t(6;11)(p21;q13)-positive renal cell carcinomas due to promoter substitution.
        Hum Mol Genet. 2003; 12: 1661-1669
      1. Argani P, Laé M, Hutchinson B, et al. Renal carcinomas with the t(6;11)(p21;q12). Clinicopathologic features and demonstration of the specific Alpha-TFEB gene fusion by immunohistochemistry, RT-PCR, and DNA-PCR. Am J Surg Pathol 2005;29:230–40.

        • Chang K.L.
        • Folpe A.L.
        Diagnostic utility of microphthalmia transcription factor in malignant melanoma and other tumors.
        Adv Anat Pathol. 2001; 8: 273-275
        • Hemesath T.J.
        • Steingrimsson E.
        • McGill G.
        • et al.
        Microphthalmia, a critical factor in melanocytic development, defines a discrete transcription factor family.
        Genes Dev. 1994; 8: 2770-2780
        • Argani P.
        • Ladanyi M.
        Distinctive neoplasms characterized by specific chromosome translocations comprise a significant proportion of pediatric renal cell carcinomas.
        Pathology. 2003; 35: 492-498
        • Verastegui C.
        • Bertolotto C.
        • Bille K.
        • et al.
        TFE3, a transcription factor homologous to microphthalmia, is a potential transcriptional activator of tyrosinase and Tyrpl genes.
        Mol Endocrinol. 2000; 14: 449-456
        • Widlund H.R.
        • Fisher D.E.
        Microphthalmia-associated transcription factor: a critical regulator of pigment cell development and survival.
        Oncogene. 2003; 22: 3035-3041
        • Steingrimsson E.
        • Tessarollo L.
        • Pathak B.
        • et al.
        Mitf and Tfe3, two members of the Mitf-Tfe family of transcription factors, have important but functionally redundant roles in osteoclast development.
        Proc Natl Acad Sci USA. 2002; 99: 4477-4482