Open AccessAssociation between clinicopathologic characteristics and BRAF V600E expression in Chinese patients with Langerhans cell histiocytosis
Author(s) -
Huang Hui,
Lu Tao,
Sun Yuxin,
Li Shan,
Li Ji,
Xu Kai,
Feng Rui e,
Xu Zuo jun
Publication year - 2019
Publication title -
thoracic cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.823
H-Index - 28
eISSN - 1759-7714
pISSN - 1759-7706
DOI - 10.1111/1759-7714.13179
Subject(s) - medicine , langerhans cell histiocytosis , histiocytosis , mutation , gastroenterology , v600e , pathological , lung , retrospective cohort study , pathology , disease , gene , biochemistry , chemistry
Background The identification of V‐raf murine sarcoma viral oncogene homolog B1 (BRAF) V600E mutations has been recommended in patients with Langerhans cell histiocytosis (LCH) with difficult diagnosis and failure of first‐line treatment. The reported frequencies of BRAF V600E mutations vary in Chinese patients with LCH. Methods We conducted a retrospective analysis of LCH patients with a definitive pathological diagnosis who were hospitalized between 2013 and 2017. The BRAF V600E mutations were detected with the human BRAF V600E amplification refractory mutation system‐PCR (ARMS‐PCR) kit from the collected tissue samples. Results This study consisted of 46 male (68.7%) and 21 female (31.3%) patients, with a mean age of 29.1 years (range, 2–76 years). Most were adults (45/67.2%) with the multisysytem‐LCH (MS‐LCH) disease subtype (49/61.3%). The overall frequency of BRAF V600E mutations was 22.4% (15 of 67 patients), confirmed by PCR analysis. These mutations were not closely correlated with age (nonadults vs. adults = 5/22.7% vs. 10/22.2 % , P = 0.54), gender (female vs. male = 9/19.6% vs. 6/28.6 % , P = 0.61), LCH classification type (single system: MS‐risk organ + : MS‐risk organ − = 3/16.7%: 12:28.6%: 0, P = 0.19) or prognosis (cured: improved/stable: exacerbated: died = 4/44.4%: 19.2%: 20%: 0, P = 0.37). There were 33 patients (49.2%) with lung involvement, and 12 patients (36.3%) underwent lung biopsies; after screening, four patients were diagnosed with solitary pulmonary LCH, all of whom were negative for BRAF V600E mutations. Conclusion The BRAF V600E mutation rate in patients with LCH was lower than those reported in other studies. In addition, BRAF V600E mutations might not be correlated with age, gender, LCH classification type or prognosis for Chinese cases.