E. Nogueira et al., ACTIVATION OF TRK GENES IN EWINGS-SARCOMA - TRK A RECEPTOR EXPRESSIONLINKED TO NEURAL DIFFERENTIATION, Diagnostic molecular pathology, 6(1), 1997, pp. 10-16
Trk receptors have been identified by immunohistochemical methods in p
rimitive neuroectodermal tumor (PNET)/Ewing's sarcoma (ES). However, t
he presence of different members of the Trk family of receptors in PNE
T/ES has not been specified. We have examined whether Trk A, B, and C
receptors are specifically expressed in ES both with and without featu
res of neural differentiation. Ten ES tumors (five primary tumors of b
one and five extraosseous tumors transplanted into nude mice) were inv
estigated for expression of Trk receptors by immunohistochemistry and
reverse transcription-polymerase chain reaction. One primary ES and th
e five grafted ES tumors exhibited signs of neural differentiation; th
e remaining four primaries were undifferentiated ES. Other tumor types
were analyzed as controls; they included three neuroblastomas (NB), t
wo Lymphomas, and single cases of pheochromocytoma (PHEO), schwannoma
(SCHW), osteosarcoma, and carcinoma of breast, colon, and kidney. Trk
receptors were detected in paraffin-embedded tumor tissue sections by
means of a pan-Trk polyclonal antibody raised against the 14 carboxyte
rminal residues of gp140(trk), and trk A, B, and C transcripts were sp
ecifically detected by polymerase chain reaction-based amplification o
n cDNAs derived from tumor RNA with MuLV reverse transcriptase. Reacti
vity to the pan-Trk antibody was exhibited by six ES tumors, the three
NBs, and the single PHEO and SCHW cases; immunoreactivity was restric
ted to differentiated tumors, in the case of ES. Tumor types positive
for immunostaining were also distinguished by containing transcripts o
f TRK genes. However, the trk A, B, and C expression pattern of ES dif
fered from that of NBs, PHEO, and SCHW. Transcripts of trk A, B, and C
were detected in seven, four, and one case of ES, respectively, and i
n five, two, and five cases of NE, PHEO, and SCHW, respectively. Inter
estingly, all differentiated ES tumors contained trk A transcripts. Tu
mors of neuroectodermal phenotype and/or derivation were thus characte
rized by a distinct consensus expression pattern: trk A(+)/B-/C- for d
ifferentiated ES and trk A(+)/B-/C+ for NB-PHEO-SCHW. These results in
dicate that the TRK gene family is frequently activated in ES; they al
so suggest that Trk A receptor is a feature of ES with neural differen
tiation, whereas Trk B and C receptors seem to be present in undiffere
ntiated ES.