Merkel cell carcinoma (MCC) is a rare aggressive neuroendocrine tumor of the skin. Cytogenetic studies have indicated that deletions and unbalanced translocations involving chromosome 1 short arm material occur in 40% of the investigated cases. Recurrent chromosomal imbalances detected by comparative genomic hybridization (CGH) analysis were loss of 3p, 10q, 13q and 17p and gains of 1q, 3q, 5p and 8q. In order to study genomic aberrations occurring in MCC in further detail, we combined karyotyping, CGH and multiplex-fluorescence in situ hybridization (M-FISH), a strategy that proved to be successful in the analysis of other malignancies. Analysis of 6 MCC cell lines and 1 MCC tumor revealed mostly near-diploid karyotypes with an average of 5 chromosomal rearrangements. The observed karyotypic changes were heterogeneous, with 3-27 breakpoints per case, leading to imbalance of the involved chromosomal regions that was confirmed by CGH. Chromosomal rearrangements involving the short arm of chromosome 1, the long arm of chromosome 3 and gain of 5p material were the most frequently observed abnormalities in our study. In keeping with previous observations, this series of MCCs showed no evidence for high-level amplification. We provid a detailed description of chromosomal translocations occurring in MCC that could be useful to direct future intensive investigation of these chromosomal regions. © 2002 Wiley-Liss, Inc.
Key words: M-FISH; Merkel cell carcinoma;1p rearrangements; 3q rearrangementsMerkel cell carcinoma (MCC) is a rare aggressive tumor that occurs mainly on sun-exposed areas of the skin in elderly people. The tumor is thought to originate from Merkel cells. These cells are located in the basal layers of the epidermis and are the mechanoreceptors of the skin. 1 Up to now, cytogenetic analysis of 27 tumors and 4 MCC cell lines have been reported. [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] Recurrent reciprocal translocations leading to fusion genes or activation of dominantly acting oncogenes have thus far not been identified in this tumor. Structural abnormalities involving the short arm of chromosome 1 were observed in 40% of the cases studied, often leading to loss of distal 1p material, which suggests the involvement of 1 or more tumor suppressor genes located in this region. Detailed molecular cytogenetic analysis of 2 chromosomal 1p rearrangements revealed that at least 2 distinct critical regions within 1p36 were involved in MCC. 20 Loss of heterozygosity (LOH) studies for 1p markers confirmed the high incidence of allelic imbalance for the 1p region and showed complex patterns of losses for the distal part of chromosome 1. 21-23 A high incidence of 1p losses has also been described in many other tumors including colon and breast carcinomas. Several candidate tumor suppressor genes have been mapped to the various shortest regions of overlap on 1p, but none of them seem to be directly involved in tumors with 1p loss. 24 Comparative genomic hybridization (CGH) on 26 MCC tumors an...