PMID- 33428730 OWN - NLM STAT- MEDLINE DCOM- 20211019 LR - 20221207 IS - 1945-7197 (Electronic) IS - 0021-972X (Linking) VI - 106 IP - 4 DP - 2021 Mar 25 TI - Novel Recurrent Altered Genes in Chinese Patients With Anaplastic Thyroid Cancer. PG - 988-998 LID - 10.1210/clinem/dgab014 [doi] AB - BACKGROUND: Anaplastic thyroid cancer (ATC) is a rare but lethal malignancy, and few systematic investigations on genomic profiles of ATC have been performed in Chinese patients. METHODS: Fifty-four ATC patients in West China Hospital between 2010 to 2020 were retrospectively analyzed, while 29 patients with available samples were sequenced by whole-exome sequencing (WES). The associations between genomic alterations and clinical characteristics were statistically evaluated. RESULTS: The median overall survival was 3.0 months in the entire cohort, which was impacted by multiple clinical features, including age, tumor size, and different treatment strategies. In the WES cohort, totally 797 nonsilent mutations were detected; the most frequently altered genes were TP53 (48%), BRAF (24%), PIK3CA (24%), and TERT promoter (21%). Although these mutations have been well-reported in previous studies, ethnic specificity was exhibited in terms of mutation frequency. Moreover, several novel significantly mutated genes were identified including RBM15 (17%), NOTCH2NL (14%), CTNNA3 (10%), and KATNAL2 (10%). WES-based copy number alteration analysis also revealed a high frequent gain of NOTCH2NL (41%), which induced its increased expression. Gene mutations and copy number alterations were enriched in phosphatidylinositol 3-kinase/AKT/mechanistic target of rapamycin (mTOR), NOTCH, and WNT pathways. CONCLUSIONS: This study reveals shared and ethnicity-specific genomic profiles of ATC in Chinese patients and suggests NOTCH2NL may act as a novel candidate driver gene for ATC tumorigenesis. CI - (c) The Author(s) 2021. Published by Oxford University Press on behalf of the Endocrine Society. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Zhang, Lingyun AU - Zhang L AD - Department of Thyroid and Parathyroid Surgery, Laboratory of thyroid and parathyroid disease, Frontiers Science Center for Disease-related Molecular Network, West China Hospital, Sichuan University, Chengdu, Sichuan, China. AD - West China School of Medicine, Sichuan University, Chengdu, Sichuan, China. FAU - Ren, Zhixiang AU - Ren Z AD - State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China. AD - Department of Laboratory Medicine, Precision Medicine Center, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, Sichuan, China. FAU - Su, Zhengzheng AU - Su Z AD - Department of Pathology, West China Hospital, Sichuan University, Chengdu, Sichuan, China. FAU - Liu, Yang AU - Liu Y AD - Department of Thyroid and Parathyroid Surgery, Laboratory of thyroid and parathyroid disease, Frontiers Science Center for Disease-related Molecular Network, West China Hospital, Sichuan University, Chengdu, Sichuan, China. AD - West China School of Medicine, Sichuan University, Chengdu, Sichuan, China. FAU - Yang, Tian AU - Yang T AD - West China School of Medicine, Sichuan University, Chengdu, Sichuan, China. AD - Department of Pathology, West China Hospital, Sichuan University, Chengdu, Sichuan, China. FAU - Cao, Minyuan AU - Cao M AD - State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China. FAU - Jiang, Yong AU - Jiang Y AD - Department of Pathology, West China Hospital, Sichuan University, Chengdu, Sichuan, China. FAU - Tang, Ying AU - Tang Y AD - Department of Pathology, West China Hospital, Sichuan University, Chengdu, Sichuan, China. FAU - Chen, Haining AU - Chen H AD - Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China. FAU - Zhang, Weihan AU - Zhang W AD - Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China. FAU - Gong, Rixiang AU - Gong R AD - Department of Thyroid and Parathyroid Surgery, Laboratory of thyroid and parathyroid disease, Frontiers Science Center for Disease-related Molecular Network, West China Hospital, Sichuan University, Chengdu, Sichuan, China. FAU - Wei, Tao AU - Wei T AD - Department of Thyroid and Parathyroid Surgery, Laboratory of thyroid and parathyroid disease, Frontiers Science Center for Disease-related Molecular Network, West China Hospital, Sichuan University, Chengdu, Sichuan, China. FAU - Peng, Yong AU - Peng Y AD - State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China. FAU - Liu, Bo AU - Liu B AD - State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China. FAU - Zhang, Wei AU - Zhang W AD - Department of Clinical Pharmacology, Hunan Key Laboratory of Pharmacogenetics, Xiangya Hospital, Central South University, Changsha, China. FAU - Yang, Li AU - Yang L AD - State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China. FAU - Hu, Yiguo AU - Hu Y AD - Department of Thyroid and Parathyroid Surgery, Laboratory of thyroid and parathyroid disease, Frontiers Science Center for Disease-related Molecular Network, West China Hospital, Sichuan University, Chengdu, Sichuan, China. AD - State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China. FAU - Li, Zhihui AU - Li Z AD - Department of Thyroid and Parathyroid Surgery, Laboratory of thyroid and parathyroid disease, Frontiers Science Center for Disease-related Molecular Network, West China Hospital, Sichuan University, Chengdu, Sichuan, China. FAU - Zhu, Jingqiang AU - Zhu J AD - Department of Thyroid and Parathyroid Surgery, Laboratory of thyroid and parathyroid disease, Frontiers Science Center for Disease-related Molecular Network, West China Hospital, Sichuan University, Chengdu, Sichuan, China. FAU - Xu, Heng AU - Xu H AD - State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China. AD - Department of Laboratory Medicine, Precision Medicine Center, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, Sichuan, China. FAU - Shu, Yang AU - Shu Y AD - State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China. AD - Department of Laboratory Medicine, Precision Medicine Center, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, Sichuan, China. FAU - Luo, Han AU - Luo H AD - Department of Thyroid and Parathyroid Surgery, Laboratory of thyroid and parathyroid disease, Frontiers Science Center for Disease-related Molecular Network, West China Hospital, Sichuan University, Chengdu, Sichuan, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Clin Endocrinol Metab JT - The Journal of clinical endocrinology and metabolism JID - 0375362 RN - 0 (TP53 protein, human) RN - 0 (Tumor Suppressor Protein p53) RN - EC 2.7.1.137 (Class I Phosphatidylinositol 3-Kinases) RN - EC 2.7.1.137 (PIK3CA protein, human) RN - EC 2.7.11.1 (BRAF protein, human) RN - EC 2.7.11.1 (Proto-Oncogene Proteins B-raf) RN - EC 2.7.7.49 (TERT protein, human) RN - EC 2.7.7.49 (Telomerase) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Asian People/genetics/statistics & numerical data MH - China/epidemiology MH - Class I Phosphatidylinositol 3-Kinases/genetics MH - Cohort Studies MH - DNA Mutational Analysis/methods MH - Female MH - Gene Frequency MH - Humans MH - Male MH - Middle Aged MH - Mutation MH - Proto-Oncogene Proteins B-raf/genetics MH - Retrospective Studies MH - Telomerase/genetics MH - Thyroid Carcinoma, Anaplastic/ethnology/*genetics/pathology MH - Thyroid Neoplasms/ethnology/*genetics/pathology MH - Tumor Suppressor Protein p53/genetics MH - Whole Genome Sequencing OTO - NOTNLM OT - NOTCH2NL OT - anaplastic thyroid cancer OT - ethnicity-specific OT - genomic profile OT - whole-exome sequencing EDAT- 2021/01/12 06:00 MHDA- 2021/10/21 06:00 CRDT- 2021/01/11 17:11 PHST- 2020/09/04 00:00 [received] PHST- 2021/01/12 06:00 [pubmed] PHST- 2021/10/21 06:00 [medline] PHST- 2021/01/11 17:11 [entrez] AID - 6082745 [pii] AID - 10.1210/clinem/dgab014 [doi] PST - ppublish SO - J Clin Endocrinol Metab. 2021 Mar 25;106(4):988-998. doi: 10.1210/clinem/dgab014.