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.

Cancer Cell
|August 15, 2018
PubMed

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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