Is CRX Protein a Useful Marker in Differential Diagnosis of Tumors of the Pineal Region?

Author:

Manila Antonelli1,Mariangela Novello2,Libero Lauriola2,Francesca Gianno1,Romana Buttarelli Francesca3,Felice Giangaspero14

Affiliation:

1. Department of Radiological, Oncological and Anatomo-Pathological Sciences, Sapienza University Viale Regina Elena 324, 00161 Rome, Italy

2. Department of Pathology, Policlinico Gemelli Largo Agostino Gemelli 8, 00168 Rome, Italy

3. Department of Neurology and Psychiatry, Sapienza University Viale dell'Università, 30, 00161 Rome, Italy

4. IRCCS Neuromed, Via Artinese 18, 86077 Pozzilli, Italy

Abstract

The cone-rod homeobox (CRX) is a gene that belongs to the member of the orthodenticle homeobox (Otx) family, with important function in development and differentiation of retinal and pineal cells. Moreover, CRX appears to be specifically expressed in pineal tumors and retinoblastomas. We performed an immunohistochemical study on 91 pediatric and adult central nervous system tumors, plus 2 normal brain samples. Our results demonstrated that CRX is expressed not only in pineal parenchymal tumors and retinoblastoma, but also in a some medulloblastomas and supratentorial primitive neuroectodermal tumors. None of the glial tumors screened were positive for CRX. In conclusion, CRX could be useful in surgical neuropathology for the differential diagnosis of pineal region tumors, in particular to discriminate pineal tumors from glial tumors.

Publisher

SAGE Publications

Subject

General Medicine,Pathology and Forensic Medicine,Pediatrics, Perinatology and Child Health

Reference16 articles.

1. Epidemiology of pediatric tumors of the nervous system according to the WHO 2000 classification: a report of 1,195 cases from a single institution

2. David N, Louis HO, Wiestler OD, Cavenee WK. Tumours of the Pineal Region. WHO Classification of Tumours of the Central Nervous System. Lyon: IARC Press, 2007;121–126.

3. Pineal Tumors

4. CRX Is a Diagnostic Marker of Retinal and Pineal Lineage Tumors

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