PMID- 34638515 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20211016 IS - 2072-6694 (Print) IS - 2072-6694 (Electronic) IS - 2072-6694 (Linking) VI - 13 IP - 19 DP - 2021 Oct 8 TI - Methylation Drivers and Prognostic Implications in Sinonasal Poorly Differentiated Carcinomas. LID - 10.3390/cancers13195030 [doi] LID - 5030 AB - BACKGROUND: Poorly differentiated sinonasal carcinomas (PDSNCs) are rare and aggressive malignancies, which include squamous cell carcinoma (SCC), sinonasal undifferentiated carcinoma (SNUC), and neuroendocrine carcinomas (NEC). Several epigenetic markers have been suggested to support the histopathological classification, predict prognosis, and guide therapeutic decision. Indeed, molecularly distinct subtypes of sinonasal carcinomas, including SMARCB1-INI1 or SMARCA4 deficient sinonasal carcinoma, isocitrate dehydrogenase (IDH)-mutant SNUC, ARID1A mutant PDSNCs, and NUT carcinomas, have recently been proposed as separate entities. Identification of aberrant DNA methylation levels associated with these specific epigenetic driver genes could be useful for prognostic and therapeutic purpose. METHODS: Histopathological review and immunohistochemical study was performed on 53 PDSNCs. Molecular analysis included mutational profile by NGS, Sanger sequencing, and MLPA analyses, and global DNA methylation profile using LINE-1 bisulfite-PCR and pyrosequencing analysis. RESULTS: Nine SWI/SNF complex defective cases and five IDH2 p.Arg172x cases were identified. A significant correlation between INI-1 or IDH2 defects and LINE-1 hypermethylation was observed (p = 0.002 and p = 0.032, respectively), which were associated with a worse prognosis (p = 0.007). CONCLUSIONS: Genetic and epigenetic characterization of PDSNCs should be performed to identify distinct prognostic entities, which deserved a tailored clinical treatment. FAU - Libera, Laura AU - Libera L AUID- ORCID: 0000-0003-2130-6669 AD - Unit of Pathology, Department of Medicine and Surgery, ASST Sette-Laghi, University of Insubria, 21100 Varese, Italy. FAU - Ottini, Giorgia AU - Ottini G AD - Unit of Pathology, Department of Medicine and Surgery, ASST Sette-Laghi, University of Insubria, 21100 Varese, Italy. FAU - Sahnane, Nora AU - Sahnane N AD - Unit of Pathology, Department of Medicine and Surgery, ASST Sette-Laghi, University of Insubria, 21100 Varese, Italy. FAU - Pettenon, Fabiana AU - Pettenon F AD - Unit of Pathology, Department of Medicine and Surgery, ASST Sette-Laghi, University of Insubria, 21100 Varese, Italy. FAU - Turri-Zanoni, Mario AU - Turri-Zanoni M AUID- ORCID: 0000-0002-3678-9088 AD - Division of Otorhinolaryngology, Department of Biotechnology and Life Sciences, ASST Sette-Laghi, University of Insubria, 21100 Varese, Italy. FAU - Lambertoni, Alessia AU - Lambertoni A AD - Division of Otorhinolaryngology, Department of Biotechnology and Life Sciences, ASST Sette-Laghi, University of Insubria, 21100 Varese, Italy. FAU - Chiaravalli, Anna Maria AU - Chiaravalli AM AUID- ORCID: 0000-0002-3924-2117 AD - Unit of Pathology, Department of Medicine and Surgery, ASST Sette-Laghi, University of Insubria, 21100 Varese, Italy. FAU - Leone, Federico AU - Leone F AD - Division of Otorhinolaryngology, Department of Biotechnology and Life Sciences, ASST Sette-Laghi, University of Insubria, 21100 Varese, Italy. FAU - Battaglia, Paolo AU - Battaglia P AD - Division of Otorhinolaryngology, Department of Biotechnology and Life Sciences, ASST Sette-Laghi, University of Insubria, 21100 Varese, Italy. FAU - Castelnuovo, Paolo AU - Castelnuovo P AD - Division of Otorhinolaryngology, Department of Biotechnology and Life Sciences, ASST Sette-Laghi, University of Insubria, 21100 Varese, Italy. FAU - Uccella, Silvia AU - Uccella S AUID- ORCID: 0000-0002-5714-7295 AD - Unit of Pathology, Department of Medicine and Surgery, ASST Sette-Laghi, University of Insubria, 21100 Varese, Italy. FAU - Furlan, Daniela AU - Furlan D AUID- ORCID: 0000-0002-5958-5379 AD - Unit of Pathology, Department of Medicine and Surgery, ASST Sette-Laghi, University of Insubria, 21100 Varese, Italy. FAU - Facco, Carla AU - Facco C AD - Unit of Pathology, Department of Medicine and Surgery, ASST Sette-Laghi, University of Insubria, 21100 Varese, Italy. FAU - Sessa, Fausto AU - Sessa F AD - Unit of Pathology, Department of Medicine and Surgery, ASST Sette-Laghi, University of Insubria, 21100 Varese, Italy. LA - eng PT - Journal Article DEP - 20211008 PL - Switzerland TA - Cancers (Basel) JT - Cancers JID - 101526829 PMC - PMC8507885 OTO - NOTNLM OT - CpG island methylator phenotype OT - IDH2 OT - INI1 OT - LINE-1 methylation OT - SMARCB1 OT - sinonasal neuroendocrine cancer OT - undifferentiated cancer COIS- The authors declare no conflict of interest. EDAT- 2021/10/14 06:00 MHDA- 2021/10/14 06:01 PMCR- 2021/10/08 CRDT- 2021/10/13 01:02 PHST- 2021/09/13 00:00 [received] PHST- 2021/09/30 00:00 [revised] PHST- 2021/10/05 00:00 [accepted] PHST- 2021/10/13 01:02 [entrez] PHST- 2021/10/14 06:00 [pubmed] PHST- 2021/10/14 06:01 [medline] PHST- 2021/10/08 00:00 [pmc-release] AID - cancers13195030 [pii] AID - cancers-13-05030 [pii] AID - 10.3390/cancers13195030 [doi] PST - epublish SO - Cancers (Basel). 2021 Oct 8;13(19):5030. doi: 10.3390/cancers13195030.