BAP1, PBRM1 and SETD2 in clear-cell renal cell carcinoma: molecular diagnostics and possible targets for personalized

Francesco Piva1, Matteo Santoni, Marc R Matrana

  • 1a 1 Department of Specialistic Clinical and Odontostomatological Sciences, Polytechnic University of Marche, Ancona, Italy.

Insights

Recurrent mutations in PBRM1, BAP1, and SETD2 genes impact clear cell renal cell carcinoma (ccRCC) development. BAP1/SETD2 mutations correlate with poor survival, while PBRM1 mutations suggest a favorable prognosis in ccRCC patients.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Renal cell carcinoma (RCC) is a significant health concern.
  • Histone modifying and chromatin remodeling genes play crucial roles in cancer development.
  • Specific genes like PBRM1, BAP1, and SETD2 are frequently mutated in clear cell RCC (ccRCC).

Purpose of the Study:

  • To review the roles of PBRM1, BAP1, and SETD2 in ccRCC pathogenesis.
  • To explore the clinical implications of mutations in these genes.
  • To discuss their potential for personalized ccRCC treatment strategies.

Main Methods:

  • Literature review of studies on PBRM1, BAP1, and SETD2 mutations in ccRCC.
  • Analysis of mutation frequencies and their association with clinical outcomes.
  • Integration of genetic findings with current understanding of ccRCC biology.

Main Results:

  • PBRM1 (BAF180) mutations occur in 36% of ccRCC and are associated with a favorable prognosis.
  • BAP1 (BRCA1 associated protein-1) mutations (10% of ccRCC) and SETD2 mutations (10% of ccRCC) are largely mutually exclusive with PBRM1 mutations.
  • BAP1- or SETD2-mutated ccRCCs are linked to poorer overall survival.

Conclusions:

  • Mutations in PBRM1, BAP1, and SETD2 are key drivers in ccRCC.
  • These genetic alterations have distinct prognostic implications.
  • Targeting these pathways may offer new avenues for personalized ccRCC therapy.

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