No Evidence of a Role for Mutations or Polymorphisms of the Follicle-Stimulating Hormone Receptor in Ovarian Granulosa Cell Tumors1
Peter J. Fuller2,
Karen Verity,
Yan Shen3,
Pamela Mamers,
Tom Jobling and
Henry G. Burger
Prince Henrys Institute of Medical Research, Monash University,
and Department of Obstetrics and Gynecology, Monash Medical Center,
Clayton, Victoria 3168, Australia
Address all correspondence and requests for reprints to: Dr. Peter J. Fuller, Prince Henrys Institute of Medical Research, P.O. Box 5152, Clayton, Victoria 3168, Australia. E-mail:
peter.fuller{at}med.monash.edu.au
The molecular pathogenesis of granulosa cell tumors of the ovaryis not
understood, although recent studies have shown that immunoreactive
inhibinsecretion by these tumors may be used as a tumor marker.
Granulosacell tumors exhibit many features of normal granulosa cells,
includinga response to FSH and inhibin secretion. FSH levels are
suppressedin patients with inhibin-secreting granulosa cell tumors,
suggestingFSH-independent growth of these tumors. Activating mutations
ofthe FSH receptor might, therefore, be involved in tumorigenesis.We
sought to identify mutations in the FSH receptor genes ofthese tumors
using PCR to amplify the exon encoding the transmembraneand
cytoplasmic domains from the tumor DNA. Analysis of theamplicons for
single strand conformational polymorphisms anddirect sequencing
confirmed a previously reported polymorphismin the C-terminal region
of the receptor, but did not identifytumor-specific missense mutations
and/or polymorphisms. In addition,ribonucleic acid from 3 granulosa
cell tumors was used to confirmexpression of the FSH receptor;
expression was unexpectedlyalso observed in several ovarian mucinous
cystadenocarcinomasused as controls. In conclusion, our failure to
identify activatingmutations of the FSH receptor in 15 granulosa cell
tumors arguesagainst a role for the FSH receptor in tumorigenesis and
suggeststhat some subsequent component of this signal transduction
pathwaymay be activated.
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