Whole-exome sequencing of neoplastic cysts of the pancreas reveals recurrent mutations in components of ubiquitin-dependent pathways.

Abstract

More than 2% of adults harbor a pancreatic cyst, a subset of which progresses to invasive lesions with lethal consequences. To assess the genomic landscapes of neoplastic cysts of the pancreas, we determined the exomic sequences of DNA from the neoplastic epithelium of eight surgically resected cysts of each of the major neoplastic cyst types: serous cystadenomas (SCAs), intraductal papillary mucinous neoplasms (IPMNs), mucinous cystic neoplasms (MCNs), and solid pseudopapillary neoplasms (SPNs). SPNs are low-grade malignancies, and IPMNs and MCNs, but not SCAs, have the capacity to progress to cancer. We found that SCAs, IPMNs, MCNs, and SPNs contained 10 ± 4.6, 27 ± 12, 16 ± 7.6, and 2.9 ± 2.1 somatic mutations per tumor, respectively. Among the mutations identified, E3 ubiquitin ligase components were of particular note. Four of the eight SCAs contained mutations of the von Hippel-Lindau gene (VHL), a key component of the VHL ubiquitin ligase complex that has previously been associated with renal cell carcinomas, SCAs, and other neoplasms. Six of the eight IPMNs and three of the eight MCNs harbored mutations of RNF43, a gene coding for a protein with intrinsic E3 ubiquitin ligase activity that has not previously been found to be genetically altered in any human cancer. The preponderance of inactivating mutations in RNF43 unequivocally establish it as a suppressor of both IPMNs and MCNs. SPNs contained remarkably few genetic alterations but always contained mutations of CTNNB1, previously demonstrated to inhibit degradation of the encoded protein (β-catenin) by E3 ubiquitin ligases. These results highlight the essential role of ubiquitin ligases in these neoplasms and have important implications for the diagnosis and treatment of patients with cystic tumors.

DOI: 10.1073/pnas.1118046108

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@article{Wu2011WholeexomeSO, title={Whole-exome sequencing of neoplastic cysts of the pancreas reveals recurrent mutations in components of ubiquitin-dependent pathways.}, author={Jian Wu and Yuchen Jiao and Marco dal Molin and Anirban Maitra and Roeland F. de Wilde and Laura D Wood and James R. Eshleman and Michael Goggins and Christopher L. Wolfgang and Marcia Irene Canto and Richard D. Schulick and Barish H. Edil and Michael A. Choti and Volkan N. Adsay and David S. Klimstra and George Johan Arnold Offerhaus and Alison Patricia Klein and Levy Kopelovich and Hannah Carter and Rachel Karchin and Peter J. Allen and C. Max Schmidt and Yoshiki Naito and Luis A Diaz and Kenneth W. Kinzler and Nickolas Papadopoulos and Ralph H. Hruban and Bert Vogelstein}, journal={Proceedings of the National Academy of Sciences of the United States of America}, year={2011}, volume={108 52}, pages={21188-93} }