title: Genetic alterations in urinary bladder carcinosarcoma: evidence of a common clonal origin.
abstract: The cellular origin of carcinosarcoma of the bladder is unknown. We addressed this issue by using microsatellite analysis for loss of heterozygosity (LOH) in both the carcinomatous and sarcomatous components of 6 bladder tumors. We tested 40 microsatellite markers from 19 human chromosomes and compared the genetic alterations between the two separately isolated components. The potential relevance of the E-cadherin pathway was also evaluated by immunohistochemistry. All 6 cases revealed identical LOH on chromosomal arms 9p, 9q, 8p, and 8q, corresponding to relatively early events in bladder carcinogenesis. Discordant losses between two alleles in the remaining chromosomes, associated with progression, were seen in all tumors with a trend toward a higher incidence in the more advanced tumors (N1M1 and N1Mx). E-cadherin was strongly expressed in the carcinomatous components (5 of 6), whereas most of sarcomatous elements displayed absence of the protein product (4 of 6). These results indicate that both the carcinomatous and sarcomatous components of carcinosarcoma are derived from a common stem cell. Downregulation of E-cadherin may define one of the pathways responsible for conversion of epithelial cells to the sarcomatous phenotype.
authors.affiliation: James Buchanan Brady Urological Institute, Johns Hopkins University, Baltimore, MD, USA.
authors.forename: S
authors.initials: S
authors.lastname: Halachmi
authors.forename: A M
authors.initials: AM
authors.lastname: DeMarzo
authors.forename: N H
authors.initials: NH
authors.lastname: Chow
authors.forename: N
authors.initials: N
authors.lastname: Halachmi
authors.forename: A E
authors.initials: AE
authors.lastname: Smith
authors.forename: J F
authors.initials: JF
authors.lastname: Linn
authors.forename: O
authors.initials: O
authors.lastname: Nativ
authors.forename: J I
authors.initials: JI
authors.lastname: Epstein
authors.forename: M P
authors.initials: MP
authors.lastname: Schoenberg
authors.forename: D
authors.initials: D
authors.lastname: Sidransky
mesh_terms: D000368:Aged; D015820:Cadherins / Q000032:analysis*; D002294:Carcinoma, Squamous Cell / Q000235:genetics / Q000473:pathology; D002295:Carcinoma, Transitional Cell / Q000235:genetics / Q000473:pathology; D002296:Carcinosarcoma / Q000235:genetics* / Q000473:pathology; D002898:Chromosomes, Human, Pair 8; D002899:Chromosomes, Human, Pair 9; D005260:Female; D006801:Humans; D007124:Immunoenzyme Techniques; D019656:Loss of Heterozygosity; D008297:Male; D008875:Middle Aged; D014411:Neoplastic Stem Cells / Q000473:pathology; D001743:Urinary Bladder / Q000473:pathology*; D001749:Urinary Bladder Neoplasms / Q000235:genetics* / Q000473:pathology
chemical_list: D015820:Cadherins