Dysregulation of cancer genes by recurrent intergenic fusions
GENOME BIOLOGY
Authors: Yun, Jae Won; Yang, Lixing; Park, Hye-Young; Lee, Chang-Woo; Cha, Hongui; Shin, Hyun-Tae; Noh, Ka-Won; Choi, Yoon-La; Park, Woong-Yang; Park, Peter J.
Abstract
Background Gene fusions have been studied extensively, as frequent drivers of tumorigenesis as well as potential therapeutic targets. In many well-known cases, breakpoints occur at two intragenic positions, leading to in-frame gene-gene fusions that generate chimeric mRNAs. However, fusions often occur with intergenic breakpoints, and the role of such fusions has not been carefully examined. Results We analyze whole-genome sequencing data from 268 patients to catalog gene-intergenic and intergenic-intergenic fusions and characterize their impact. First, we discover that, in contrast to the common assumption, chimeric oncogenic transcripts-such as those involvingETV4,ERG,RSPO3, andPIK3CA-can be generated by gene-intergenic fusions through splicing of the intervening region. Second, we find that over-expression of an upstream or downstream gene by a fusion-mediated repositioning of a regulatory sequence is much more common than previously suspected, with enhancers sometimes located megabases away. We detect a number of recurrent fusions, such as those involvingANO3,RGS9,FUT5,CHI3L1,OR1D4, andLIPGin breast;IGF2in colon;ETV1in prostate; andIGF2BP3andSIX2in thyroid cancers. Conclusion Our findings elucidate the potential oncogenic function of intergenic fusions and highlight the wide-ranging consequences of structural rearrangements in cancer genomes.
CSF chitinase 3-like-1 association with disability of primary progressive MS
NEUROLOGY-NEUROIMMUNOLOGY & NEUROINFLAMMATION
Authors: Perez-Miralles, Francisco; Prefasi, Daniel; Garcia-Merino, Antonio; Gascon-Gimenez, Francisco; Medrano, Nicolas; Castillo-Villalba, Jessica; Cubas, Laura; Alcala, Carmen; Gil-Perotin, Sara; Gomez-Ballesteros, Rocio; Maurino, Jorge; Alvarez-Garcia, Esther; Casanova, Bonaventura
Abstract
Objective To assess the role of CSF chitinase 3-like-1 (CHI3L1), chitinase 3-like-2 (CHI3L2), and neurofilament light chain (NfL) in predicting the course of primary progressive MS (PPMS). Methods We analyzed CSF CHI3L1, CHI3L2, and NfL levels in 25 patients with PPMS with disease duration <= 10 years and no disease-modifying therapy for >= 6 months from the prospective Understanding Primary Progressive Multiple Sclerosis cohort study. CSF samples taken at disease diagnosis were analyzed using commercial ELISAs and following the manufacturer's instructions. Data on Expanded Disability Status Scale (EDSS) scores, disability progression, and cognitive function according to the Brief Repeatable Neuropsychological Battery were also assessed throughout the 1-year study follow-up. Results Increasing CHI3L1 levels correlated with higher EDSS scores at baseline (rho = 0.490, 95% CI 0.118-0.742, p = 0.013) and month 12 (rho = 0.455, 95% CI 0.063-0.725, p = 0.026) and tended to be associated with a higher risk of disability progression according to EDSS scores (OR = 1.008, 95% CI 0.999-1.017, p = 0.089). Increasing CHI3L2 levels also tended to correlate with lower baseline EDSS scores (rho = -0.366, 95% CI -0.676-0.054, p = 0.086). There was no correlation with regard to NfL levels. Conclusions This analysis supports the association between CSF CHI3L1 levels and neurologic disability according to EDSS scores in patients with PPMS. Other chitinase-like proteins such as CHI3L2 may also be involved. Classification of evidence This study provides Class II evidence that CSF CHI3L1 is associated with neurologic disability in patients with PPMS.