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Updated: Jan 25, 2026

Development of Compendium for Esophageal Squamous Cell Carcinoma
Published on: April 12, 2024
Identification of somatic gene mutations in penile squamous cell carcinoma
Carla Ferrándiz-Pulido1,2, Javier Hernández-Losa2,3, Emili Masferrer4,5
1Dermatology Department, Hospital Universitari Vall D'hebron, Barcelona, Spain.
Abstract:
There is a lack of studies on somatic gene mutations and cell signaling driving penile carcinogenesis. Our objective was to analyze somatic mutations in genes downstream of EGFR in penile squamous cell carcinomas, especially the mTOR and RAS/MAPK pathways. We retrospectively analyzed somatic mutations in 10 in situ and 65 invasive penile squamous cell carcinomas by using Sequenom's Mass Spectrometry iPlex Technology and Oncocarta v1.0 Panel. The DNA was extracted from FFPE blocks and we identified somatic missense mutations in three in situ tumors and in 19 invasive tumors, mostly in PIK3CA, KRAS, HRAS, NRAS, and PDGFA genes. Somatic mutations in the PIK3CA gene or RAS family genes were neither associated with tumor grade, stage or outcome, and were equally often identified in hrHPV positive and in hrHPV negative tumors that showed no p53 expression. Mutations in PIK3CA, KRAS, and HRAS are frequent in penile squamous cell carcinoma and likely play a role in the development of p53-negative tumors. Although the presence of these mutations does not seem to correlate with tumoral behavior or outcome, they could be biomarkers of treatment failure with anti-EGFR mAb in patients with penile squamous cell carcinoma.
Insights
Somatic mutations in PIK3CA, KRAS, and HRAS genes are common in penile squamous cell carcinoma, particularly in p53-negative tumors. These mutations may indicate potential treatment failure with anti-EGFR monoclonal antibody therapies.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Genetics
Background:
- Penile squamous cell carcinoma (PSCC) pathogenesis is poorly understood, with limited research on driving somatic gene mutations and cell signaling pathways.
- The epidermal growth factor receptor (EGFR) pathway and downstream signaling, including mTOR and RAS/MAPK, are critical in various cancers but understudied in PSCC.
Purpose of the Study:
- To investigate somatic mutations in genes downstream of EGFR in PSCC.
- To specifically analyze mutations within the mTOR and RAS/MAPK pathways in penile tumors.
- To correlate mutation status with clinicopathological features and human papillomavirus (hrHPV) status.
Main Methods:
- Retrospective analysis of 10 in situ and 65 invasive PSCC samples.
- DNA extraction from formalin-fixed paraffin-embedded (FFPE) blocks.
- Somatic mutation profiling using Sequenom's Mass Spectrometry iPlex Technology and Oncocarta v1.0 Panel.
Main Results:
- Somatic missense mutations were identified in 3/10 in situ and 19/65 invasive PSCCs.
- Frequent mutations occurred in PIK3CA, KRAS, HRAS, NRAS, and PDGFA genes.
- Mutations in PIK3CA or RAS family genes were not associated with tumor grade, stage, outcome, or hrHPV status in p53-negative tumors.
Conclusions:
- Mutations in PIK3CA, KRAS, and HRAS are prevalent in PSCC and may contribute to the development of p53-negative tumors.
- While these mutations do not correlate with tumor behavior or prognosis, they could serve as biomarkers for predicting treatment response to anti-EGFR monoclonal antibodies (mAbs).
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