Whole-genome characterization of lung adenocarcinomas lacking the RTK/RAS/RAF pathway

Jian Carrot-Zhang1, Xiaotong Yao2, Siddhartha Devarakonda3

  • 1Dana-Farber Cancer Institute, Boston, MA, USA; Broad Institute of MIT and Harvard, Cambridge, MA, USA; Harvard Medical School, Boston, MA, USA.

Cell Reports
|February 3, 2021
PubMed

Insights

Whole-genome sequencing revealed that some lung adenocarcinomas lacking RTK/RAS/RAF pathway alterations (RPAs) actually have them. Other cases show tumor suppressor gene deletions and genome instability, but no clear alternative drivers.

Area of Science:

  • Oncology
  • Genomics
  • Molecular Biology

Background:

  • Lung adenocarcinoma (LUAD) is frequently characterized by alterations in the RTK/RAS/RAF pathway (RPAs).
  • A subset of LUADs lacks apparent RPAs, necessitating further investigation into their underlying genetic landscape.

Purpose of the Study:

  • To characterize the genomic features of LUAD cases initially classified as lacking RPAs using whole-genome sequencing (WGS).
  • To identify potential genetic drivers or mechanisms contributing to tumorigenesis in this specific LUAD subset.

Main Methods:

  • Whole-genome sequencing (WGS) was performed on 85 LUAD samples previously identified as RPA-negative.
  • Analysis focused on identifying genetic alterations including pathway mutations, gene deletions, promoter mutations, and structural variations.

Main Results:

  • WGS identified RPA-positive cases in 33% (28/85) of the initially RPA-negative samples.
  • Among the remaining cases, focal deletions in STK11 or KEAP1 promoters and increased ILF2 expression due to promoter mutations were observed.
  • TP53 mutant cases showed an enrichment of focal deletions, and complex structural variations were linked to copy number amplifications.

Conclusions:

  • LUADs lacking apparent RPAs can harbor occult RPA alterations or exhibit tumor suppressor gene deletions and genome instability.
  • This subset of LUADs does not present unique or recurrent genetic lesions that compensate for the absence of RPAs.
  • Larger WGS studies are crucial to fully understand the genetic basis of RPA-negative LUAD.

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