The Distinctive Mutational Spectra of Polyomavirus-Negative Merkel Cell Carcinoma

被引:257
作者
Harms, Paul William [1 ,2 ,3 ]
Vats, Pankaj [1 ,4 ]
Verhaegen, Monique Elise [3 ]
Robinson, Dan R. [1 ]
Wu, Yi-Mi [1 ,2 ]
Dhanasekaran, Saravana Mohan [1 ,2 ]
Palanisamy, Nallasivam [1 ,2 ,5 ]
Siddiqui, Javed [1 ,2 ]
Cao, Xuhong [1 ,6 ]
Su, Fengyun [1 ]
Wang, Rui [1 ,2 ]
Xiao, Hong [1 ,2 ,5 ]
Kunju, Lakshmi P. [1 ,2 ]
Mehra, Rohit [1 ,2 ,5 ]
Tomlins, Scott A. [1 ,2 ,7 ,8 ]
Fullen, Douglas Randall [2 ,3 ]
Bichakjian, Christopher Keram [3 ]
Johnson, Timothy M. [3 ]
Dlugosz, Andrzej Antoni [3 ,9 ]
Chinnaiyan, Arul M. [1 ,2 ,6 ,7 ,8 ]
机构
[1] Univ Michigan, Sch Med, Michigan Ctr Translat Pathol, Ann Arbor, MI 48109 USA
[2] Univ Michigan, Sch Med, Dept Pathol, Ann Arbor, MI 48109 USA
[3] Univ Michigan, Sch Med, Dept Dermatol, Ann Arbor, MI 48109 USA
[4] Bharathidasan Univ, Dept Biomed Sci, Tiruchirappalli, Tamil Nadu, India
[5] Henry Ford Hlth Syst, Dept Urol, Detroit, MI USA
[6] Univ Michigan, Sch Med, Howard Hughes Med Inst, Ann Arbor, MI 48109 USA
[7] Univ Michigan, Sch Med, Comprehens Canc Ctr, Ann Arbor, MI 48109 USA
[8] Univ Michigan, Sch Med, Dept Urol, Ann Arbor, MI 48109 USA
[9] Univ Michigan, Med Ctr, Dept Cell & Dev Biol, Ann Arbor, MI 48109 USA
关键词
OF-FUNCTION MUTATIONS; SOMATIC MUTATION; GENE; EXPRESSION; CANCER; DISCOVERY; TOPHAT;
D O I
10.1158/0008-5472.CAN-15-0702
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Merkel cell carcinoma (MCC) is a rare but highly aggressive cutaneous neuroendocrine tumor. Merkel cell polyomavirus (MCPyV) may contribute to tumorigenesis in a subset of tumors via inhibition of tumor suppressors such as retinoblastoma (RB1) by mutated viral T antigens, but the molecular pathogenesis of MCPyV-negativeMCC is largely unexplored. Through our MI-ONCOSEQ precision oncology study, we performed integrative sequencing on two cases of MCPyV-negative MCC, as well as a validation cohort of 14 additional MCC cases (n = 16). In addition to previously identified mutations in TP53, RB1, and PIK3CA, we discovered activating mutations of oncogenes, including HRAS and loss-of-function mutations in PRUNE2 and NOTCH family genes in MCPyV-negative MCC. MCPyV-negative tumors also displayed high overall mutation burden (10.09 +/- 2.32 mutations/Mb) and were characterized by a prominent UV-signature pattern with C > T transitions comprising 85% of mutations. In contrast, mutation burden was low in MCPyV-positive tumors (0.40 +/- 0.09 mutations/Mb) and lacked a UV signature. These findings suggest a potential ontologic dichotomy in MCC, characterized by either viral-dependent or UV-dependent tumorigenic pathways. (C) 2015 AACR.
引用
收藏
页码:3720 / 3727
页数:8
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