BRAF and RAS Mutations in Sporadic and Secondary Pyogenic Granuloma

Groesser, Leopold and Peterhof, Eva and Evert, Matthias and Landthaler, Michael and Berneburg, Mark and Hafner, Christian (2016) BRAF and RAS Mutations in Sporadic and Secondary Pyogenic Granuloma. JOURNAL OF INVESTIGATIVE DERMATOLOGY, 136 (2). pp. 481-486. ISSN 0022-202X, 1523-1747

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Abstract

Pyogenic granuloma (PG) is a common benign vascular skin lesion presenting as a rapidly growing angiomatous papule. The pathogenesis of most sporadic PGs and PGs associated with port wine stains (PWSs) remains elusive. We report that of 10 PGs secondarily arisen on a PWS, 8 showed a BRAF c.1799T>A (p.(Val600Glu)) and 1 a NRAS c.182A>G (p.(Gln61Arg)) mutation. The GNAQ c.548G>A mutation was identified in the PG and in the respective underlying PWS, indicating that PGs originate from cells of the PWS. In contrast to PG, 12 papulonodular lesions, which had developed in the PWSs of seven patients, showed a RAS and BRAF wild-type status. In sporadic PG we identified the BRAF c.1799T>A mutation in 3 of 25, a BRAF c.1391G>A mutation in 1 of 25, and a KRAS c.37G>C mutation in 1 of 25. Mutation-specific immunohistochemical detection of BRAF p.(Val600Glu) confirmed endothelial cells as carriers of the mutation in secondary and sporadic PG. Our study identifies the BRAF c.1799T>A mutation as a major driver mutation in the pathogenesis of, particularly, secondary PG. These data shed light on the hitherto undetermined genetic basis of PG and classify PG as a benign neoplasm.

Item Type: Article
Uncontrolled Keywords: VASCULAR MALFORMATIONS; MELANOMA; ANGIOGENESIS; CANCER; TUMORS; CELLS; KRAS;
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Dermatologie und Venerologie
Medicine > Lehrstuhl für Pathologie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 12 Mar 2019 12:55
Last Modified: 12 Mar 2019 12:55
URI: https://pred.uni-regensburg.de/id/eprint/2422

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