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early cell cultures the presence of SV 40 related T antigens was described (Weiss et a1., 1975;<br />

Scherneck et aI., 1979; Krieg et aI., 1981). However, these findings were not confirmed by<br />

others (Merletti et a1., 1975).<br />

4.6 Cytogenetic and molecular genetic studies of meningiomas<br />

As early as 1967, cytogenetic studies showed non-random loss of one G-group chromosome<br />

in meningiomas. This was the first specific chromosomal aberration observed in solid tumors<br />

(Zang and Singer, 1967). The subsequent development of banding techniques and molecular<br />

genetic studies revealed that monosomy of chromosome 22 is the hallmark for these tumors<br />

(Zang, 1982; Seizinger et a1., 1987a; Dumanski et aI., 1990a). In a considerable number of<br />

tumors loss of chromosome 22 is the only cytogenetically visible chromosomal alteration (AI<br />

Saadi et a1., 1987; Maltby et a1., 1988; Vagner-Capodano et aI., 1993). These results<br />

indicate that loss of genetic material from this chromosome is a primary and specific event<br />

in the development of these tumors, which is reminiscent of the involvement of a tumor<br />

suppressor gene(s) as is mentioned in section 2. In addition, other less common non random<br />

chromosomal changes occur. The most frequent ones are loss or rearrangements of<br />

chromosomes 1, 7, 14, 18 and 19 and these are thought to playa role in tumor progression<br />

(Katsuyama et aI., 1986; AI Saadi et aI., 1987; Maltby et aI., 1988; Rey et aI., 1988;<br />

Casalone et aI., 1990). The karyotypic evolution observed in meningiomas appears to be<br />

associated with more anaplastic features (Vagner-Capodano et aI., 1993).<br />

As mentioned earlier the majority of meningiomas are sporadic cases but they are also<br />

found in patients with NF2 or in familial or multiple meningioma patients. Genetic linkage<br />

studies in NF2 families, tumor deletion mapping in both sporadic and hereditary meningioma<br />

cases resulted in the identification of at least three different loci on the long arm of<br />

chromosome 22, which might be involved in the pathogenesis of meningioma. In figure 3 the<br />

three chromosome 22 loci are depicted.<br />

Evidence for the involvement of the most proximal locus in band 22q 11 came from<br />

cytogenetic and molecular genetic findings in two independent patients with meningiomas.<br />

The meningioma from the first patient revealed a reciprocal t(4;22)(pI6;qll), which resulted<br />

35

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