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Widespread Chromosomal Losses and Mitochondrial DNA Alterations as Genetic Drivers in Hürthle Cell Carcinoma
Raj K Gopal1, Kirsten Kübler2, Sarah E Calvo3
1Department of Medicine, Massachusetts General Hospital, Boston, MA 02114, USA; Cancer Center, Massachusetts General Hospital, Boston, MA 02114, USA; Department of Molecular Biology, Massachusetts General Hospital, Boston, MA 02114, USA; Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA; Howard Hughes Medical Institute, Chevy Chase, MD, USA; Harvard Medical School, Boston, MA 02115, USA.
Abstract:
Hürthle cell carcinoma of the thyroid (HCC) is a form of thyroid cancer recalcitrant to radioiodine therapy that exhibits an accumulation of mitochondria. We performed whole-exome sequencing on a cohort of primary, recurrent, and metastatic tumors, and identified recurrent mutations in DAXX, TP53, NRAS, NF1, CDKN1A, ARHGAP35, and the TERT promoter. Parallel analysis of mtDNA revealed recurrent homoplasmic mutations in subunits of complex I of the electron transport chain. Analysis of DNA copy-number alterations uncovered widespread loss of chromosomes culminating in near-haploid chromosomal content in a large fraction of HCC, which was maintained during metastatic spread. This work uncovers a distinct molecular origin of HCC compared with other thyroid malignancies.
Insights
Hürthle cell carcinoma (HCC) is a thyroid cancer resistant to radioiodine therapy. Genetic analysis reveals unique mutations and near-haploidization, distinguishing it from other thyroid cancers.
Area of Science:
- Oncology
- Genetics
- Molecular Biology
Background:
- Hürthle cell carcinoma (HCC) is a rare thyroid malignancy.
- HCC is notably resistant to standard radioiodine therapy.
- Mitochondrial accumulation is a characteristic feature of HCC.
Purpose of the Study:
- To investigate the distinct molecular underpinnings of Hürthle cell carcinoma.
- To identify recurrent genetic alterations in primary, recurrent, and metastatic HCC.
- To compare the molecular profile of HCC with other thyroid malignancies.
Main Methods:
- Whole-exome sequencing of tumor DNA.
- Mitochondrial DNA (mtDNA) analysis.
- DNA copy-number alteration analysis.
Main Results:
- Recurrent mutations were identified in DAXX, TP53, NRAS, NF1, CDKN1A, ARHGAP35, and the TERT promoter.
- Homoplasmic mutations in mitochondrial complex I subunits were recurrent.
- Widespread chromosome loss leading to near-haploidization was observed and maintained in metastases.
Conclusions:
- Hürthle cell carcinoma possesses a unique molecular signature.
- Genetic alterations in nuclear and mitochondrial DNA contribute to HCC pathogenesis.
- The observed near-haploidization suggests a distinct evolutionary trajectory for HCC.
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