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Merging Absolute and Relative Quantitative PCR Data to Quantify STAT3 Splice Variant Transcripts
Published on: October 9, 2016
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.
Background & Aims:
Mosaic G-protein alpha-subunit (GNAS)-activating mutations are responsible for the McCune-Albright (MCA) syndrome. This oncogene that activates the adenylate cyclase is also mutated in various tumor types leading to the accumulation of cyclic-AMP. Identification of a hepatocellular adenoma (HCA) in two MCA patients led us to search for GNAS activation in benign and malignant hepatocellular carcinogenesis.
Methods:
GNAS mutations were screened by sequencing 164 HCA, 245 hepatocellular carcinoma (HCC), and 17 fibrolamellar carcinomas. Tumors were characterized by quantitative RT-PCR, gene mutation screening and pathological reviewing. The consequences of wild type and mutant GNAS expression were analyzed in hepatocellular cell lines.
Results:
A somatic GNAS-activating mutation was identified in 5 benign tumors and in 2 HCC. In benign tumors, GNAS mutations were exclusive from HNF1A, CTNNB1, and IL6ST mutations whereas one HCC demonstrated both CTNNB1 and GNAS mutations. Quantitative RT-PCR showed an activation of the IL-6 and interferon pathways in GNAS-mutated tumor tissues. Accordingly, pathological reviewing identified in GNAS-mutated tumors an inflammatory phenotype characterized by fibrosis and STAT3 activation. We further demonstrated in HCC cell lines that GNAS mutant expression induced inflammatory response and STAT3 activation.
Conclusions:
We identified for the first time the association between two rare diseases, MCA syndrome and HCA occurrence, but also that somatic GNAS-activating mutations in sporadic benign and malignant liver tumors are characterized by an inflammatory phenotype. These results showed a cross-talk between cyclic-AMP and JAK/STAT pathways in liver tumors and they reinforce the role of STAT3 activation in liver tumorigenesis.
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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