Clonality, Mutation and Kaposi Sarcoma: A Systematic Review

Background: It remains uncertain whether Kaposi sarcoma (KS) is a true neoplasm, in that it regresses after removal of the stimulus to growth (as HHV8) when immunosuppression is reduced. We aimed to summarize the available evidence on somatic mutations and clonality within KS to assess whether KS is...

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Main Authors: Blanca Iciar Indave Ruiz, Subasri Armon, Reiko Watanabe, Lesley Uttley, Valerie A. White, Alexander J. Lazar, Ian A. Cree
Format: Article
Language:English
Published: MDPI AG 2022-02-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/14/5/1201
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author Blanca Iciar Indave Ruiz
Subasri Armon
Reiko Watanabe
Lesley Uttley
Valerie A. White
Alexander J. Lazar
Ian A. Cree
author_facet Blanca Iciar Indave Ruiz
Subasri Armon
Reiko Watanabe
Lesley Uttley
Valerie A. White
Alexander J. Lazar
Ian A. Cree
author_sort Blanca Iciar Indave Ruiz
collection DOAJ
description Background: It remains uncertain whether Kaposi sarcoma (KS) is a true neoplasm, in that it regresses after removal of the stimulus to growth (as HHV8) when immunosuppression is reduced. We aimed to summarize the available evidence on somatic mutations and clonality within KS to assess whether KS is a neoplasm or not. Methods: Medline and Web of Science were searched until September 2020 for articles on clonality or mutation in KS. Search strings were supervised by expert librarians, and two researchers independently performed study selection and data extraction. An adapted version of the QUADAS2 tool was used for methodological quality appraisal. Results: Of 3077 identified records, 20 publications reported on relevant outcomes and were eligible for qualitative synthesis. Five studies reported on clonality, 10 studies reported on various mutations, and 5 studies reported on chromosomal aberrations in KS. All studies were descriptive and were judged to have a high risk of bias. There was considerable heterogeneity of results with respect to clonality, mutation and cytogenetic abnormalities as well as in terms of types of lesions and patient characteristics. Conclusions: While KS certainly produces tumours, the knowledge is currently insufficient to determine whether KS is a clonal neoplasm (sarcoma), or simply an aggressive reactive virus-driven lesion.
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spelling doaj.art-6ed5ebdade854fb5bfbb1073440423982023-11-23T22:47:20ZengMDPI AGCancers2072-66942022-02-01145120110.3390/cancers14051201Clonality, Mutation and Kaposi Sarcoma: A Systematic ReviewBlanca Iciar Indave Ruiz0Subasri Armon1Reiko Watanabe2Lesley Uttley3Valerie A. White4Alexander J. Lazar5Ian A. Cree6International Agency for Research on Cancer (IARC), World Health Organization, 69372 Lyon, FranceInternational Agency for Research on Cancer (IARC), World Health Organization, 69372 Lyon, FranceInternational Agency for Research on Cancer (IARC), World Health Organization, 69372 Lyon, FranceSchool of Health and Related Research (ScHARR), University of Sheffield, Sheffield S1 4DA, UKInternational Agency for Research on Cancer (IARC), World Health Organization, 69372 Lyon, FranceDepartment of Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USAInternational Agency for Research on Cancer (IARC), World Health Organization, 69372 Lyon, FranceBackground: It remains uncertain whether Kaposi sarcoma (KS) is a true neoplasm, in that it regresses after removal of the stimulus to growth (as HHV8) when immunosuppression is reduced. We aimed to summarize the available evidence on somatic mutations and clonality within KS to assess whether KS is a neoplasm or not. Methods: Medline and Web of Science were searched until September 2020 for articles on clonality or mutation in KS. Search strings were supervised by expert librarians, and two researchers independently performed study selection and data extraction. An adapted version of the QUADAS2 tool was used for methodological quality appraisal. Results: Of 3077 identified records, 20 publications reported on relevant outcomes and were eligible for qualitative synthesis. Five studies reported on clonality, 10 studies reported on various mutations, and 5 studies reported on chromosomal aberrations in KS. All studies were descriptive and were judged to have a high risk of bias. There was considerable heterogeneity of results with respect to clonality, mutation and cytogenetic abnormalities as well as in terms of types of lesions and patient characteristics. Conclusions: While KS certainly produces tumours, the knowledge is currently insufficient to determine whether KS is a clonal neoplasm (sarcoma), or simply an aggressive reactive virus-driven lesion.https://www.mdpi.com/2072-6694/14/5/1201KaposisarcomaclonalityreactiveDNAHHV8
spellingShingle Blanca Iciar Indave Ruiz
Subasri Armon
Reiko Watanabe
Lesley Uttley
Valerie A. White
Alexander J. Lazar
Ian A. Cree
Clonality, Mutation and Kaposi Sarcoma: A Systematic Review
Cancers
Kaposi
sarcoma
clonality
reactive
DNA
HHV8
title Clonality, Mutation and Kaposi Sarcoma: A Systematic Review
title_full Clonality, Mutation and Kaposi Sarcoma: A Systematic Review
title_fullStr Clonality, Mutation and Kaposi Sarcoma: A Systematic Review
title_full_unstemmed Clonality, Mutation and Kaposi Sarcoma: A Systematic Review
title_short Clonality, Mutation and Kaposi Sarcoma: A Systematic Review
title_sort clonality mutation and kaposi sarcoma a systematic review
topic Kaposi
sarcoma
clonality
reactive
DNA
HHV8
url https://www.mdpi.com/2072-6694/14/5/1201
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