ASXL1 and DNMT3A mutation in a cytogenetically normal B3 thymoma

R Belani1, G Oliveira2, G A Erikson2

  • 1Medical Oncology Associates of San Diego, San Diego, CA, USA.

Oncogenesis
|July 8, 2014
PubMed

Insights

Molecular drivers of thymoma, a rare cancer, were investigated. Mutations in tumor suppressors DNMT3A and ASXL1 were identified, suggesting thymoma shares genetic causes with other cancers.

Area of Science:

  • Oncology
  • Genetics
  • Molecular Biology

Background:

  • The molecular underpinnings of thymoma remain largely unknown.
  • Previous studies identified rare mutations in EGFR and KIT, but common cancer gene mutations were absent.
  • Only one prior whole-genome sequence of thymoma has been reported, revealing no known cancer gene mutations.

Purpose of the Study:

  • To identify somatic driver mutations in cytogenetically normal thymoma.
  • To investigate the genomic landscape of thymoma to understand its genetic etiology.

Main Methods:

  • Whole-exome sequencing and low-pass whole-genome sequencing were employed.
  • Genomic evaluation of a stage IVB type B3 thymoma sample from a 47-year-old male.
  • Analysis focused on identifying somatic point mutations, copy number alterations, and structural variants.

Main Results:

  • Mutations in known tumor suppressors DNMT3A (p.G728D) and ASXL1 (p.E657fs) were identified.
  • These mutations are consistent with those observed in acute myeloid leukemia.
  • The findings challenge the notion that thymoma's genetic basis is distinct from other malignancies.

Conclusions:

  • Thymoma may share common molecular drivers with other cancer types.
  • Further genomic sequencing of cytogenetically normal thymomas is warranted to uncover specific drivers.
  • This study provides new insights into the genetic landscape of thymoma.