Molecular profiling of sinonasal undifferentiated carcinoma

Alexander Gelbard1, Katherine S Hale, Yoko Takahashi

  • 1Department of Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas; Bobby R. Alford Department of Otolaryngology-Head and Neck Surgery Baylor College of Medicine, Houston, Texas.

Head & Neck
|May 2, 2013
PubMed
Abstract

Insights

Activating mutations were not found in 13 sinonasal undifferentiated carcinoma (SNUC) cases. However, vascular endothelial growth factor (VEGF) promoter polymorphisms may offer future biomarkers for SNUC treatment response.

Area of Science:

  • Oncology
  • Genetics
  • Molecular Biology

Background:

  • Sinonasal undifferentiated carcinoma (SNUC) is a rare cancer with poorly understood clinical and molecular characteristics.
  • The optimal treatment strategy for SNUC remains undefined due to limited research.

Purpose of the Study:

  • To investigate the presence of hallmark single nucleotide variations (SNVs) in key oncogenes and tumor suppressor genes in SNUC.
  • To identify potential genetic targets for SNUC treatment.

Main Methods:

  • A mass spectrometry-based approach (Sequenom) was employed to analyze 95 SNVs in 12 genes.
  • 13 histologically confirmed SNUC patient samples were analyzed.

Main Results:

  • No activating mutations were detected in any of the analyzed SNVs across the 13 SNUC samples.
  • Polymorphisms were identified in the promoter region of the vascular endothelial growth factor (VEGF) gene.

Conclusions:

  • The study did not identify clinically relevant activating genomic mutations in the studied SNUC cohort.
  • VEGF promoter polymorphisms warrant further investigation as potential predictive biomarkers for SNUC treatment response and survival.
  • Future research should focus on larger SNUC cohorts and employ whole genome or exome sequencing to identify targetable genetic aberrations.

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