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Ovarian Cancers Harboring Inactivating Mutations in CDK12 Display a Distinct Genomic Instability Pattern
Tatiana Popova1, Elodie Manié2, Valentina Boeva3
1Institut Curie, Centre de Recherche, Paris, France. INSERM U830, Paris, France. PSL Research University, Paris, France. tatiana.popova@curie.fr.
Abstract:
CDK12 is a recurrently mutated gene in serous ovarian carcinoma, whose downregulation is associated with impaired expression of DNA damage repair genes and subsequent hypersensitivity to DNA-damaging agents and PARP1/2 inhibitors. In this study, we investigated the genomic landscape associated with CDK12 inactivation in patients with serous ovarian carcinoma. We show that CDK12 loss was consistently associated with a particular genomic instability pattern characterized by hundreds of tandem duplications of up to 10 megabases (Mb) in size. Tandem duplications were characterized by a bimodal (∼0.3 and ∼3 Mb) size distribution and overlapping microhomology at the breakpoints. This genomic instability, denoted as the CDK12 TD-plus phenotype, is remarkably distinct from other alteration patterns described in breast and ovarian cancers. The CDK12 TD-plus phenotype was associated with a greater than 10% gain in genomic content and occurred at a 3% to 4% rate in The Cancer Genome Atlas-derived and in-house cohorts of patients with serous ovarian carcinoma. Moreover, CDK12-inactivating mutations together with the TD-plus phenotype were also observed in prostate cancers. Our finding provides new insight toward deciphering the function of CDK12 in genome maintenance and oncogenesis. Cancer Res; 76(7); 1882-91. ©2016 AACR.
Insights
CDK12 gene loss in ovarian cancer causes unique genomic instability, characterized by tandem duplications. This CDK12 TD-plus phenotype offers new insights into genome maintenance and cancer development.
Area of Science:
- Genomic instability
- Cancer genomics
- DNA repair mechanisms
Background:
- Cyclin-dependent kinase 12 (CDK12) mutations are common in serous ovarian carcinoma.
- CDK12 downregulation impairs DNA damage repair gene expression, leading to sensitivity to DNA-damaging agents and PARP inhibitors.
Purpose of the Study:
- Investigate the genomic landscape associated with CDK12 inactivation in serous ovarian carcinoma.
- Characterize the specific genomic instability pattern linked to CDK12 loss.
- Explore the occurrence of this phenotype in other cancer types.
Main Methods:
- Genomic profiling of serous ovarian carcinoma patients with CDK12 inactivation.
- Analysis of tandem duplication size distribution and breakpoint characteristics.
- Comparative analysis across The Cancer Genome Atlas and in-house cohorts.
- Examination of prostate cancer cohorts for CDK12 mutations and the TD-plus phenotype.
Main Results:
- CDK12 loss is consistently associated with a distinct genomic instability pattern: hundreds of tandem duplications (TDs) up to 10 Mb.
- These TDs exhibit a bimodal size distribution (∼0.3 and ∼3 Mb) with overlapping microhomology at breakpoints, termed the CDK12 TD-plus phenotype.
- The CDK12 TD-plus phenotype involves >10% genomic content gain and occurs in 3-4% of serous ovarian carcinoma patients.
- CDK12-inactivating mutations and the TD-plus phenotype were also identified in prostate cancers.
Conclusions:
- CDK12 inactivation drives a unique form of genomic instability (TD-plus phenotype) in ovarian and prostate cancers.
- This finding enhances understanding of CDK12's role in genome maintenance and oncogenesis.
- The CDK12 TD-plus phenotype represents a distinct genomic alteration pattern relevant to cancer research.
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