[Rhadboid tumours: hSNF/INI1 deficient cancers of early childhood with aggressive behaviour]

Bull Cancer. 2010 Jan;97(1):37-45. doi: 10.1684/bdc.2009.1024.
[Article in French]

Abstract

Rhabdoid tumours are rare aggressive tumours of infancy. The definition classically relies on a characteristic morphology and the inactivation of the hSNF5/INI1 tumour suppressor gene. This entity includes central nervous system tumours (ATRT), renal tumours (RTK) and soft-part tumours. Their rarity and morphological pleomorphism make the diagnosis often challenging. However, the recently introduced immunohistochemistry with anti-INI1 (anti-SMARCB1) antibody is a very useful diagnostic tool. Deletions at the 22q11.2 locus and mutations in hSNF5/INI1 sequence must be investigated in order to confirm the diagnosis and to give insights on a presumable germline mutation. Indeed, a predisposition may be found in up to 30% of cases. The treatment is based on aggressive chemotherapy, surgery and irradiation. The prognosis remains poor and the survival rate is below 30%, whatever the anatomic location. Understanding the role of hSNF5/INI1 within the SWI-SNF complex for the epigenetic regulation of transcription might drive the future targeted therapies.

MeSH terms

  • Central Nervous System Neoplasms / diagnosis
  • Central Nervous System Neoplasms / therapy
  • Chromosomal Proteins, Non-Histone / genetics*
  • Chromosomal Proteins, Non-Histone / metabolism
  • Chromosomes, Human, Pair 22 / genetics
  • DNA-Binding Proteins / genetics*
  • DNA-Binding Proteins / metabolism
  • Diagnosis, Differential
  • Gene Silencing*
  • Genes, Tumor Suppressor
  • Germ-Line Mutation
  • Humans
  • Infant
  • Kidney Neoplasms / diagnosis
  • Kidney Neoplasms / therapy
  • Liver Neoplasms / diagnosis
  • Liver Neoplasms / therapy
  • Neoplasm Proteins / genetics*
  • Neoplasm Proteins / metabolism
  • Rhabdoid Tumor / diagnosis
  • Rhabdoid Tumor / genetics*
  • Rhabdoid Tumor / metabolism
  • Rhabdoid Tumor / therapy
  • SMARCB1 Protein
  • Soft Tissue Neoplasms / diagnosis
  • Soft Tissue Neoplasms / therapy
  • Transcription Factors / genetics*
  • Transcription Factors / metabolism
  • Wilms Tumor / diagnosis
  • Wilms Tumor / therapy

Substances

  • Chromosomal Proteins, Non-Histone
  • DNA-Binding Proteins
  • Neoplasm Proteins
  • SMARCB1 Protein
  • SMARCB1 protein, human
  • Transcription Factors