Whole-genome landscape of mucosal melanoma reveals diverse drivers and therapeutic targets
NATURE COMMUNICATIONS
Authors: Newel, Felicity; Kong, Yan; Wilmott, James S.; Johansson, Peter A.; Ferguson, Peter M.; Cui, Chuanliang; Li, Zhongwu; Kazakoff, Stephen H.; Burke, Hazel; Dodds, Tristan J.; Patch, Ann-Marie; Nones, Katia; Tembe, Varsha; ShanG, Ping; van der Weyden, Louise; WongH, Kim; Holmes, Oliver; Lo, Serigne; Leonardl, Conrad; Wood, Scott; Xu, Qinying; Rawson, Robert, V; Mukhopadhyay, Pamela; Dummer, Reinhard; Levesque, Mitchell P.; Jonsson, Goran; Wang, Xuan; Yeh, Iwei; Wu, Hong; Joseph, Nancy; Bastian, Boris C.; Long, Georgina, V; Spillane, Andrew J.; Shannon, Kerwin F.; Thompson, John F.; Saw, Robyn P. M.; Adams, David J.; Si, Lu; Pearson, John, V; Hayward, Nicholas K.; Waddell, Nicola; Mann, Graham J.; Guo, Jun; Scolyer, Richard A.
Abstract
Knowledge of key drivers and therapeutic targets in mucosal melanoma is limited due to the paucity of comprehensive mutation data on this rare tumor type. To better understand the genomic landscape of mucosal melanoma, here we describe whole genome sequencing analysis of 67 tumors and validation of driver gene mutations by exome sequencing of 45 tumors. Tumors have a low point mutation burden and high numbers of structural variants, including recurrent structural rearrangements targeting TERT, CDK4 and MDM2. Significantly mutated genes are NRAS, BRAF, NF1, KIT, SF3B1, TP53, SPRED1, ATRX, HLA-A and CHD8. SF3B1 mutations occur more commonly in female genital and anorectal melanomas and CTNNB1 mutations implicate a role for WNT signaling defects in the genesis of some mucosal melanomas. TERT aberrations and ATRX mutations are associated with alterations in telomere length. Mutation profiles of the majority of mucosal melanomas suggest potential susceptibility to CDK4/6 and/or MEK inhibitors.
Identification of novel mutations of ovarian cancer-related genes from RNA-sequencing data for Japanese epithelial ovarian cancer patients
ENDOCRINE JOURNAL
Authors: Nagasawa, Saya; Ikeda, Kazuhiro; Horie-Inoue, Kuniko; Sato, Sho; Takeda, Satoru; Hasegawa, Kosei; Inoue, Satoshi
Abstract
Ovarian cancer has the highest mortality rate among gynecological cancers. Gene mutations are involved in the carcinogenesis, metastasis. and therapeutic response in ovarian cancer. However, the variety and proportion of gene mutation is not fully analyzed in Japanese ovarian cancer patients, especially, in those with recurrent tumors. In the present study, RNA-sequencing was performed for 32 clinical ovarian specimens obtained from 24 Japanese patients (24 primary cancer specimens and 8 recurrent specimens paired with corresponding primary cancer specimens). Mutations in 24 primary specimens were analyzed by comparing the sequence data mapped on RefSeq genes with those in the public online databases BRCA Exchange, COSMIC, ClinVar, and cBioportal. Mutations were observed in TP53 in 16 specimens (67%), BRCA1 in 9 (38%), BRCA2 in 13 (54%), ARID1A in 3 (13%), PIK3(A in 2 (8%), KRAS in 1 (4%), PTEN in 1 (4%), and CTNNB1 in 1 (4%), excluding synonymous mutations. Among those identified muations, 13 of 14 mutations in TP53, 10 of 11 mutations of BRCA1, 10 of 23 mutation positions of BRCA2, none of 7 mutations of ARID1A, 1 mutation of PIK3CA, and 1 mutation of CTNNB1 were consistent with those reported in the public online databases; however, the other mutations identified were novel. Comparison between matched-paired specimens of primary and recurrent tumors revealed the changes of mutational status in expressed RNAs. RNA-sequencing-based mutation analysis will be useful to reveal ethnic differences of gene mutations in ovarian cancer and to understand the contribution of gene mutations to recurrence.