GNAS-activating mutations define a rare subgroup of inflammatory liver tumors characterized by STAT3 activation

Jean Charles Nault1, Monique Fabre, Gabrielle Couchy

  • 1Inserm, U674, Génomique fonctionnelle des tumeurs solides, Paris, France.

Journal of Hepatology
|August 13, 2011
PubMed
Abstract

Insights

Somatic G-protein alpha-subunit (GNAS)-activating mutations are linked to McCune-Albright syndrome and found in liver tumors. These mutations activate inflammatory pathways and STAT3, contributing to liver tumorigenesis.

Area of Science:

  • Hepatology
  • Oncology
  • Molecular Biology

Background:

  • Mosaic G-protein alpha-subunit (GNAS)-activating mutations cause McCune-Albright (MCA) syndrome.
  • GNAS mutations are implicated in various tumor types, leading to cyclic-AMP accumulation.
  • Hepatocellular adenoma (HCA) in MCA patients prompted investigation of GNAS in liver carcinogenesis.

Purpose of the Study:

  • To investigate GNAS mutations in benign and malignant liver tumors.
  • To explore the association between GNAS mutations and liver carcinogenesis.
  • To understand the role of GNAS in hepatocellular adenoma and carcinoma.

Main Methods:

  • Screening for GNAS mutations in 164 HCA, 245 hepatocellular carcinoma (HCC), and 17 fibrolamellar carcinomas via sequencing.
  • Characterization of tumors using quantitative RT-PCR, gene mutation screening, and pathological review.
  • Analysis of wild-type and mutant GNAS expression consequences in hepatocellular cell lines.

Main Results:

  • Somatic GNAS-activating mutations were found in 5 benign tumors and 2 HCC.
  • GNAS mutations were exclusive of HNF1A, CTNNB1, and IL6ST in benign tumors, but co-occurred with CTNNB1 in one HCC.
  • GNAS-mutated tumors exhibited an inflammatory phenotype with fibrosis and STAT3 activation, linked to IL-6 and interferon pathway activation.

Conclusions:

  • First identification of an association between MCA syndrome and HCA occurrence.
  • Somatic GNAS-activating mutations in sporadic liver tumors are characterized by an inflammatory phenotype.
  • Demonstrated cross-talk between cyclic-AMP and JAK/STAT pathways, reinforcing STAT3's role in liver tumorigenesis.

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