Comprehensive Molecular Characterization of Pheochromocytoma and Paraganglioma
Abstract:
We report a comprehensive molecular characterization of pheochromocytomas and paragangliomas (PCCs/PGLs), a rare tumor type. Multi-platform integration revealed that PCCs/PGLs are driven by diverse alterations affecting multiple genes and pathways. Pathogenic germline mutations occurred in eight PCC/PGL susceptibility genes. We identified CSDE1 as a somatically mutated driver gene, complementing four known drivers (HRAS, RET, EPAS1, and NF1). We also discovered fusion genes in PCCs/PGLs, involving MAML3, BRAF, NGFR, and NF1. Integrated analysis classified PCCs/PGLs into four molecularly defined groups: a kinase signaling subtype, a pseudohypoxia subtype, a Wnt-altered subtype, driven by MAML3 and CSDE1, and a cortical admixture subtype. Correlates of metastatic PCCs/PGLs included the MAML3 fusion gene. This integrated molecular characterization provides a comprehensive foundation for developing PCC/PGL precision medicine.
Año de publicación:
2017
Keywords:
- expression subtypes
- CSDE1
- MAML3
- Paraganglioma
- TCGA
- Sequencing
- pheochromocytoma
- Metástasis
- molecular profiling
- Genomics
Fuente:

Tipo de documento:
Article
Estado:
Acceso abierto
Áreas de conocimiento:
- Patología
- Biología molecular
- Bioquímica
Áreas temáticas:
- Farmacología y terapéutica
- Enfermedades
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