Abstract
OBJECTIVE: Pulmonary blastoma is a rare, biphasic, adult-onset lung tumor. In this study, we investigate whether DICER1 pathogenic variants are a feature of pulmonary blastomas through in-depth analysis of the molecular events defining them.
METHODS: We performed exome-wide sequencing and DNA methylation profiling of 8 pulmonary blastomas from 6 affected persons.
RESULTS: We identified biallelic somatic DICER1 pathogenic variants in 7 of 8 cases. The remaining case had a solitary missense pathogenic variant in the RNase IIIb domain of DICER1. Six of 8 cases carried a CTNNB1 hotspot variant and 4 of 8 had a somatic pathogenic variant in TP53. Methylation analysis showed that the pulmonary blastomas clustered with other DICER1-mutated tumors and not with other more common types of lung cancer.
CONCLUSION: We conclude somatic DICER1 pathogenic variants are the major driver of pulmonary blastoma and are likely to act in conjunction with CTNNB1 hotspot variants that are often present.
| Original language | English |
|---|---|
| Article number | 107916 |
| Journal | Lung Cancer |
| Volume | 195 |
| Pages (from-to) | 107916 |
| ISSN | 0169-5002 |
| DOIs | |
| Publication status | Published - Sept 2024 |
Keywords
- Humans
- Pulmonary Blastoma/genetics
- DEAD-box RNA Helicases/genetics
- Ribonuclease III/genetics
- Lung Neoplasms/genetics
- Male
- DNA Methylation
- Female
- Adult
- beta Catenin/genetics
- Middle Aged
- Mutation
- Epigenomics/methods
- Aged
- Exome Sequencing
- Tumor Suppressor Protein p53/genetics
- Exome/genetics
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