{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T07:58:38Z","timestamp":1780473518129,"version":"3.54.1"},"reference-count":41,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2013,7,16]],"date-time":"2013-07-16T00:00:00Z","timestamp":1373932800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Histopathology"],"published-print":{"date-parts":[[2013,9]]},"abstract":"<jats:sec><jats:title>Aims<\/jats:title><jats:p>In this study, we aimed to investigate the molecular mechanisms underlying the development of mucoepidermoid carcinoma (<jats:styled-content style=\"fixed-case\">MEC<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and results<\/jats:title><jats:p>In 31 cases, we examined the <jats:italic><jats:styled-content style=\"fixed-case\">MAML<\/jats:styled-content>2<\/jats:italic> fusion status using reverse transcriptase\u2013polymerase chain reaction, and <jats:styled-content style=\"fixed-case\">HER<\/jats:styled-content>2 and <jats:styled-content style=\"fixed-case\">EGFR<\/jats:styled-content> status using immunohistochemistry and chromogenic <jats:italic>in\u2010situ<\/jats:italic> hybridization. <jats:italic><jats:styled-content style=\"fixed-case\">MAML<\/jats:styled-content>2<\/jats:italic> fusions were detected in 15 (57.7%) of 26 <jats:styled-content style=\"fixed-case\">MEC<\/jats:styled-content>s analysed, including 11 of 16 (68.8%) low\u2010grade, two of four (50%) intermediate\u2010grade and two of six (33.3%) high\u2010grade <jats:styled-content style=\"fixed-case\">MEC<\/jats:styled-content>s. <jats:italic><jats:styled-content style=\"fixed-case\">HER<\/jats:styled-content>2<\/jats:italic> gene amplification and an increased <jats:italic><jats:styled-content style=\"fixed-case\">EGFR<\/jats:styled-content><\/jats:italic> gene copy number (with balanced chromosome 7 high\u2010polysomy) were each detected in four of 28 (14.3%) <jats:styled-content style=\"fixed-case\">MEC<\/jats:styled-content>s analysed. Irrespective of <jats:italic><jats:styled-content style=\"fixed-case\">MAML<\/jats:styled-content>2<\/jats:italic> fusion status, all seven high\u2010grade <jats:styled-content style=\"fixed-case\">MEC<\/jats:styled-content>s had an increased gene copy number of either <jats:italic><jats:styled-content style=\"fixed-case\">HER<\/jats:styled-content>2<\/jats:italic> or <jats:italic><jats:styled-content style=\"fixed-case\">EGFR<\/jats:styled-content>,<\/jats:italic> in a mutually exclusive manner, whereas such abnormalities were extremely rare in low\u2010 and intermediate\u2010grade <jats:styled-content style=\"fixed-case\">MEC<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These results suggest that <jats:italic><jats:styled-content style=\"fixed-case\">HER<\/jats:styled-content>2<\/jats:italic> or <jats:italic><jats:styled-content style=\"fixed-case\">EGFR<\/jats:styled-content><\/jats:italic> gene abnormality could play an important role in the development of high\u2010grade <jats:styled-content style=\"fixed-case\">MEC<\/jats:styled-content>, and also in the progression from <jats:italic><jats:styled-content style=\"fixed-case\">MAML<\/jats:styled-content>2<\/jats:italic> fusion\u2010positive low\u2010\/intermediate\u2010grade to high\u2010grade in a subset of <jats:styled-content style=\"fixed-case\">MEC<\/jats:styled-content>. Furthermore, we suggest that high\u2010grade <jats:styled-content style=\"fixed-case\">MEC<\/jats:styled-content> comprises a heterogeneous group of tumours in terms of molecular pathogenesis, in particular <jats:italic><jats:styled-content style=\"fixed-case\">MAML<\/jats:styled-content>2<\/jats:italic> fusion status.<\/jats:p><\/jats:sec>","DOI":"10.1111\/his.12183","type":"journal-article","created":{"date-parts":[[2013,5,6]],"date-time":"2013-05-06T15:11:03Z","timestamp":1367853063000},"page":"378-392","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":43,"title":["<i><scp>HER<\/scp>2<\/i> and <i><scp>EGFR<\/scp><\/i> gene copy number alterations are predominant in high\u2010grade salivary mucoepidermoid carcinoma irrespective of <i><scp>MAML<\/scp>2<\/i> fusion status"],"prefix":"10.1111","volume":"63","author":[{"given":"Takafumi","family":"Nakano","sequence":"first","affiliation":[{"name":"Department of Anatomic Pathology Graduate School of Medical Sciences Kyushu University Fukuoka Japan"},{"name":"Department of Otolaryngology Graduate School of Medical Sciences Kyushu University Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hidetaka","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Department of Anatomic Pathology Graduate School of Medical Sciences Kyushu University Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuki","family":"Hashimoto","sequence":"additional","affiliation":[{"name":"Department of Anatomic Pathology Graduate School of Medical Sciences Kyushu University Fukuoka Japan"},{"name":"Department of Otolaryngology Graduate School of Medical Sciences Kyushu University Fukuoka Japan"},{"name":"Department of Otorhinolaryngology and Head and Neck Surgery Kyushu Kouseinenkin Hospital Kitakyushu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sadafumi","family":"Tamiya","sequence":"additional","affiliation":[{"name":"Department of Anatomic Pathology Graduate School of Medical Sciences Kyushu University Fukuoka Japan"},{"name":"Department of Pathology Kitakyushu Municipal Medical Center Kitakyushu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideki","family":"Shiratsuchi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Graduate School of Medical Sciences Kyushu University Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Torahiko","family":"Nakashima","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Graduate School of Medical Sciences Kyushu University Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ken\u2010ichi","family":"Nishiyama","sequence":"additional","affiliation":[{"name":"Department of Pathology National Kyushu Cancer Center Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuichiro","family":"Higaki","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery National Kyushu Cancer Center Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shizuo","family":"Komune","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Graduate School of Medical Sciences Kyushu University Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshinao","family":"Oda","sequence":"additional","affiliation":[{"name":"Department of Anatomic Pathology Graduate School of Medical Sciences Kyushu University Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,7,16]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-09-0638"},{"key":"e_1_2_7_3_1","first-page":"173","volume-title":"AFIP atlas of tumor pathology, Series 4, Fascicle 9. 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