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.
Original language | English |
---|---|
Pages (from-to) | 181-193 |
Number of pages | 13 |
Journal | Cancer Cell |
Volume | 31 |
Issue number | 2 |
DOIs | |
Publication status | Published - 13 Feb 2017 |
Keywords
- CSDE1
- expression subtypes
- genomics
- MAML3
- metastasis
- molecular profiling
- paraganglioma
- pheochromocytoma
- sequencing
- TCGA
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In: Cancer Cell, Vol. 31, No. 2, 13.02.2017, p. 181-193.
Research output: Contribution to journal › Article › Academic › peer-review
TY - JOUR
T1 - Comprehensive Molecular Characterization of Pheochromocytoma and Paraganglioma
AU - Fishbein, Lauren
AU - Leshchiner, Ignaty
AU - Walter, Vonn
AU - Danilova, Ludmila
AU - Robertson, A. Gordon
AU - Johnson, Amy R.
AU - Lichtenberg, Tara M.
AU - Murray, Bradley A.
AU - Ghayee, Hans K.
AU - Else, Tobias
AU - Ling, Shiyun
AU - Jefferys, Stuart R.
AU - de Cubas, Aguirre A.
AU - Wenz, Brandon
AU - Korpershoek, Esther
AU - Amelio, Antonio L.
AU - Makowski, Liza
AU - Rathmell, W. Kimryn
AU - Gimenez-Roqueplo, Anne Paule
AU - Giordano, Thomas J.
AU - Asa, Sylvia L.
AU - Tischler, Arthur S.
AU - Akbani, Rehan
AU - Ally, Adrian
AU - Amar, Laurence
AU - Amelio, Antonio L.
AU - Arachchi, Harindra
AU - Asa, Sylvia L.
AU - Auchus, Richard J.
AU - Auman, J. Todd
AU - Baertsch, Robert
AU - Balasundaram, Miruna
AU - Balu, Saianand
AU - Bartsch, Detlef K.
AU - Baudin, Eric
AU - Bauer, Thomas
AU - Beaver, Allison
AU - Benz, Christopher
AU - Beroukhim, Rameen
AU - Beuschlein, Felix
AU - Bodenheimer, Tom
AU - Boice, Lori
AU - Bowen, Jay
AU - Bowlby, Reanne
AU - Brooks, Denise
AU - Carlsen, Rebecca
AU - Carter, Suzie
AU - Cassol, Clarissa A.
AU - Cherniack, Andrew D.
AU - Chin, Lynda
AU - Cho, Juok
AU - Chuah, Eric
AU - Chudamani, Sudha
AU - Cope, Leslie
AU - Crain, Daniel
AU - Curley, Erin
AU - Danilova, Ludmila
AU - de Cubas, Aguirre A.
AU - de Krijger, Ronald R.
AU - Demchok, John A.
AU - Deutschbein, Timo
AU - Dhalla, Noreen
AU - Dimmock, David
AU - Dinjens, Winand N M
AU - Else, Tobias
AU - Eng, Charis
AU - Eschbacher, Jennifer
AU - Fassnacht, Martin
AU - Felau, Ina
AU - Feldman, Michael
AU - Ferguson, Martin L.
AU - Fiddes, Ian
AU - Fishbein, Lauren
AU - Frazer, Scott
AU - Gabriel, Stacey B.
AU - Gardner, Johanna
AU - Gastier-Foster, Julie M.
AU - Gehlenborg, Nils
AU - Gerken, Mark
AU - Getz, Gad
AU - Geurts, Jennifer
AU - Ghayee, Hans K.
AU - Gimenez-Roqueplo, Anne Paule
AU - Giordano, Thomas J.
AU - Goldman, Mary
AU - Graim, Kiley
AU - Gupta, Manaswi
AU - Haan, David
AU - Hahner, Stefanie
AU - Hantel, Constanze
AU - Haussler, David
AU - Hayes, D. Neil
AU - Heiman, David I.
AU - Hoadley, Katherine A.
AU - Holt, Robert A.
AU - Hoyle, Alan P.
AU - Huang, Mei
AU - Hunt, Bryan
AU - Hutter, Carolyn M.
AU - Jefferys, Stuart R.
AU - Johnson, Amy R.
AU - Jones, Steven J M
AU - Jones, Corbin D.
AU - Kasaian, Katayoon
AU - Kebebew, Electron
AU - Kim, Jaegil
AU - Kimes, Patrick
AU - Knijnenburg, Theo
AU - Korpershoek, Esther
AU - Lander, Eric
AU - Lawrence, Michael S.
AU - Lechan, Ronald
AU - Lee, Darlene
AU - Leraas, Kristen M.
AU - Lerario, Antonio
AU - Leshchiner, Ignaty
AU - Lichtenberg, Tara M.
AU - Lin, Pei
AU - Ling, Shiyun
AU - Liu, Jia
AU - LiVolsi, Virginia A.
AU - Lolla, Laxmi
AU - Lotan, Yair
AU - Lu, Yiling
AU - Ma, Yussanne
AU - Maison, Nicole
AU - Makowski, Liza
AU - Mallery, David
AU - Mannelli, Massimo
AU - Marquard, Jessica
AU - Marra, Marco A.
AU - Matthew, Thomas
AU - Mayo, Michael
AU - Méatchi, Tchao
AU - Meng, Shaowu
AU - Merino, Maria J.
AU - Mete, Ozgur
AU - Meyerson, Matthew
AU - Mieczkowski, Piotr A.
AU - Mills, Gordon B.
AU - Moore, Richard A.
AU - Morozova, Olena
AU - Morris, Scott
AU - Mose, Lisle E.
AU - Mungall, Andrew J.
AU - Murray, Bradley A.
AU - Naresh, Rashi
AU - Nathanson, Katherine L.
AU - Newton, Yulia
AU - Ng, Sam
AU - Ni, Ying
AU - Noble, Michael S.
AU - Nwariaku, Fiemu
AU - Pacak, Karel
AU - Parker, Joel S.
AU - Paul, Evan
AU - Penny, Robert
AU - Perou, Charles M.
AU - Perou, Amy H.
AU - Pihl, Todd
AU - Powers, James
AU - Rabaglia, Jennifer
AU - Radenbaugh, Amie
AU - Ramirez, Nilsa C.
AU - Rao, Arjun
AU - Rathmell, W. Kimryn
AU - Riester, Anna
AU - Roach, Jeffrey
AU - Robertson, A. Gordon
AU - Sadeghi, Sara
AU - Saksena, Gordon
AU - Salama, Sofie
AU - Saller, Charles
AU - Sandusky, George
AU - Sbiera, Silviu
AU - Schein, Jacqueline E.
AU - Schumacher, Steven E.
AU - Shelton, Candace
AU - Shelton, Troy
AU - Sheth, Margi
AU - Shi, Yan
AU - Shih, Juliann
AU - Shmulevich, Ilya
AU - Simons, Janae V.
AU - Sipahimalani, Payal
AU - Skelly, Tara
AU - Sofia, Heidi J.
AU - Sokolov, Artem
AU - Soloway, Matthew G.
AU - Sougnez, Carrie
AU - Stuart, Josh
AU - Sun, Charlie
AU - Swatloski, Teresa
AU - Tam, Angela
AU - Tan, Donghui
AU - Tarnuzzer, Roy
AU - Tarvin, Katherine
AU - Thiessen, Nina
AU - Thorne, Leigh B.
AU - Timmers, Henri J.
AU - Tischler, Arthur S.
AU - Tse, Kane
AU - Uzunangelov, Vlado
AU - van Berkel, Anouk
AU - Veluvolu, Umadevi
AU - Vicha, Ales
AU - Voet, Doug
AU - Waldmann, Jens
AU - Walter, Vonn
AU - Wan, Yunhu
AU - Wang, Zhining
AU - Wang, Tracy S.
AU - Weaver, Joellen
AU - Weinstein, John N.
AU - Weismann, Dirk
AU - Wenz, Brandon
AU - Wilkerson, Matthew D.
AU - Wise, Lisa
AU - Wong, Tina
AU - Wong, Christopher
AU - Wu, Ye
AU - Yang, Liming
AU - Zelinka, Tomas
AU - Zenklusen, Jean C.
AU - Zhang, Jiashan (Julia)
AU - Zhang, Wei
AU - Zhu, Jingchun
AU - Zinzindohoué, Franck
AU - Zmuda, Erik
AU - Pacak, Karel
AU - Nathanson, Katherine L.
AU - Wilkerson, Matthew D.
N1 - Funding Information: We thank all of the patients and families who contributed to the study, Ina Felau for project management, and Jill Dolinsky, MS, CGC, at Ambry Genetics, Inc.,?for sharing mutation classification and frequency data. This study was supported by NIH grants U54 HG003273, U54 HG003067, U54 HG003079, U24 CA143799, U24 CA143835, U24 CA143840, U24 CA143843, U24?CA143845, U24 CA143848, U24 CA143858, U24 CA143866, U24 CA143867, U24 CA143882, U24 CA143883, U24 CA144025, and P30 CA016672. S.L.A. is part of the pathology imaging medical advisory board of Leica Biosystems. Andrew D. Cherniack and Matthew Meyerson received research support from Bayer AG. Publisher Copyright: © 2017 Elsevier Inc.
PY - 2017/2/13
Y1 - 2017/2/13
N2 - 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.
AB - 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.
KW - CSDE1
KW - expression subtypes
KW - genomics
KW - MAML3
KW - metastasis
KW - molecular profiling
KW - paraganglioma
KW - pheochromocytoma
KW - sequencing
KW - TCGA
UR - http://www.scopus.com/inward/record.url?scp=85011305911&partnerID=8YFLogxK
U2 - 10.1016/j.ccell.2017.01.001
DO - 10.1016/j.ccell.2017.01.001
M3 - Article
C2 - 28162975
AN - SCOPUS:85011305911
SN - 1535-6108
VL - 31
SP - 181
EP - 193
JO - Cancer Cell
JF - Cancer Cell
IS - 2
ER -