Cell of origin and expression profiles of pseudomyxoma peritonei derived from the appendix

Rei Noguchi1, Kiyoshi Yamaguchi1, Hideaki Yano2

  • 1Division of Clinical Genome Research, Institute of Medical Science, The University of Tokyo, Tokyo, Japan.

PubMed

Insights

Pseudomyxoma peritonei (PMP) arises from goblet cells, with gene expression linked to epithelial mesenchymal transition, angiogenesis, and inflammation. Advanced peritoneal mucinous adenocarcinomas show enriched cell cycle pathways, indicating greater aggressiveness.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Pseudomyxoma peritonei (PMP) is a rare mucin-producing tumor disease, often originating in the appendix.
  • KRAS and GNAS gene mutations are common in PMP, but comprehensive gene expression profiles are lacking due to rarity and sample purity challenges.
  • Understanding PMP molecular features is crucial for diagnosis and treatment.

Purpose of the Study:

  • To elucidate the molecular characteristics of PMP cells using RNA-sequencing.
  • To identify differentially expressed genes (DEGs) between PMP tumors and normal colonic epithelium.
  • To determine the cell-of-origin and associated biological pathways in PMP.

Main Methods:

  • RNA-sequencing (RNA-seq) was performed on ten PMP samples and matched non-tumorous colonic epithelium.
  • Laser-microdissection was used to isolate pure cancerous cells.
  • Cell-of-origin subtype analysis and over-representation analysis (ORA) were conducted.

Main Results:

  • 32 differentially expressed genes (DEGs) were identified between PMP tumors and normal colonic epithelium.
  • PMP tumor cells were confirmed to originate from goblet cells.
  • ORA revealed significant associations with epithelial mesenchymal transition (EMT), angiogenesis, and inflammatory response.
  • Comparison between disseminated peritoneal adenomucinosis (DPAM) and peritoneal mucinous adenocarcinomas (PMCA) identified 687 DEGs.
  • PMCA showed enrichment in 'G2M checkpoint' and 'E2F targets', suggesting higher aggressiveness.

Conclusions:

  • PMP tumor cells originate from goblet cells, with gene expression profiles linked to EMT, angiogenesis, and inflammation.
  • Gene expression differences between DPAM and PMCA highlight distinct molecular features, with PMCA exhibiting more aggressive characteristics.
  • These findings provide valuable insights into the molecular landscape of PMP, potentially aiding future therapeutic strategies.