Telocytes are the physiological counterpart of inflammatory fibroid polyps and PDGFRA-mutant GISTs

Riccardo Ricci, Alberto Biondi, Roberto Persiani, Maria Cristina Giustiniani, Marco Gessi, Fabio Maria Vecchio, Mauro Risio

Risultato della ricerca: Contributo in rivistaArticolo in rivistapeer review

6 Citazioni (Scopus)

Abstract

PDGFRA mutations in the gastrointestinal (GI) tract can cause GI stromal tumour (GIST) and inflammatory fibroid polyp (IFP). Hitherto no cell type has been identified as a physiological counterpart of the latter, while interstitial Cajal cells (ICC) are considered the precursor of the former. However, ICC hyperplasia (ICCH), which strongly supports the ICC role in GIST pathogenesis, has been identified in germline KIT-mutant settings but not in PDGFRA-mutant ones, challenging the precursor role of ICC for PDGFRA-driven GISTs. Telocytes are a recently described interstitial cell type, CD34+/PDGFRA+. Formerly considered fibroblasts, they are found in many organs, including the GI tract where they are thought to be involved in neurotransmission. Alongside IFPs and gastric GISTs, GI wall “fibrosis” has been reported in germline PDGFRA-mutants. Taking the opportunity offered by its presence in a germline PDGFRA-mutant individual, we demonstrate that this lesion is sustained by hyperplastic telocytes, constituting the PDGFRA-mutant counterpart of germline KIT mutation-associated ICCH. Moreover, our findings support a pathogenetic relationship between telocyte hyperplasia and both IFPs and PDGFRA-mutant GISTs. We propose the term “telocytoma” for defining IFP, as it conveys both the pathogenetic (neoplastic) and histotypic (“telocytary”) essence of this tumour, unlike IFP, which rather evokes an inflammatory-hyperplastic lesion.
Lingua originaleEnglish
pagine (da-a)4856-4862
Numero di pagine7
RivistaJournal of Cellular and Molecular Medicine
Volume22
DOI
Stato di pubblicazionePubblicato - 2018

Keywords

  • Cell Biology
  • Molecular Medicine
  • PDGFRA-mutant syndrome
  • gastrointestinal stromal tumour
  • inflammatory fibroid polyp
  • interstitial cell of Cajal
  • syndromic gastrointestinal stromal tumour
  • syndromic inflammatory fibroid polyp
  • telocyte
  • telocyte hyperplasia
  • telocytoma
  • tumour precursor

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