Genetika 2014 Volume 46, Issue 2, Pages: 601-610
https://doi.org/10.2298/GENSR1402601D
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Incidence and clinical relevance of T(11;19) translocation in salivary gland mucoepidermoid carcinoma

Ilić-Dimitrijević Ivana (School of Dental Medicine, Clinic of Maxillofacial Surgery, Belgrade)
Löning Thomas (Institute of Haematopathology Hamburg, Hamburg, Germany)
Falk Marcus (Institute of Haematopathology Hamburg, Hamburg, Germany)
Konstantinović Vitomir S. ORCID iD icon (School of Dental Medicine, Clinic of Maxillofacial Surgery, Belgrade)
Vukadinović Miroslav (School of Dental Medicine, Clinic of Maxillofacial Surgery, Belgrade)
Tepavčević Zvezdana (School of Dental Medicine, Department of Pathology, Belgrade)
Tabaković Saša (Medical Faculty, Department of Dental Medicine, Kosovska Mitrovica)
Pejčić Nataša (School of Dental Medicine, Clinic of Maxillofacial Surgery, Belgrade)
Miličić Biljana ORCID iD icon (School of Dental Medicine, Department of Human Genetics, Belgrade)
Milašin Jelena ORCID iD icon (School of Dental Medicine, Department of Human Genetics, Belgrade)

Mucoepidermoid carcinoma (MEC) harbors a recurring t(11;19) translocation with an associated novel fusion oncogene-MECT1-MAML2. The CRTC1-MAML2oncogene disrupts normal cell-cycle and differentiation, contributing to tumor development. The objectives of this study were to establish the incidence of CRTC1-MAML2 fusion in Serbian patients and estimate its relevance as a genetic marker of MEC behavior. In this retrospective study, 20 cases of MEC of salivary glands were tested for the presence of CRTC1-MAML2 fusion using reverse transcriptase-polymerase chain reaction. Clinicopathological parameters and survival data were examined in relation to fusion status. The CRTC1-MAML2 fusion was detected in 40% of MECs and its presence was associated exclusively with low-intermediate grade tumor histology (P = 0.02) and favorable clinical outcome, with 100 % overall survival rate (P=0.046). The study has shown that the presence of the CRTC1-MAML2 fusion can serve as an additional diagnostic and prognostic marker for mucoepidermoid carcinomas.

Keywords: Salivary gland, Mucoepidermoid carcinoma, Chromosomal translocation (11,19), MECT1-MAML2, RT-PCR diagnostic