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Landscape of somatic single-nucleotide and copy-number mutations in uterine serous carcinoma.


ABSTRACT: Uterine serous carcinoma (USC) is a biologically aggressive subtype of endometrial cancer. We analyzed the mutational landscape of USC by whole-exome sequencing of 57 cancers, most of which were matched to normal DNA from the same patients. The distribution of the number of protein-altering somatic mutations revealed that 52 USC tumors had fewer than 100 (median 36), whereas 5 had more than 3,000 somatic mutations. The mutations in these latter tumors showed hallmarks of defects in DNA mismatch repair. Among the remainder, we found a significantly increased burden of mutation in 14 genes. In addition to well-known cancer genes (i.e., TP53, PIK3CA, PPP2R1A, KRAS, FBXW7), there were frequent mutations in CHD4/Mi2b, a member of the NuRD-chromatin-remodeling complex, and TAF1, an element of the core TFIID transcriptional machinery. Additionally, somatic copy-number variation was found to play an important role in USC, with 13 copy-number gains and 12 copy-number losses that occurred more often than expected by chance. In addition to loss of TP53, we found frequent deletion of a small segment of chromosome 19 containing MBD3, also a member of the NuRD-chromatin-modification complex, and frequent amplification of chromosome segments containing PIK3CA, ERBB2 (an upstream activator of PIK3CA), and CCNE1 (a target of FBXW7-mediated ubiquitination). These findings identify frequent mutation of DNA damage, chromatin remodeling, cell cycle, and cell proliferation pathways in USC and suggest potential targets for treatment of this lethal variant of endometrial cancer.

SUBMITTER: Zhao S 

PROVIDER: S-EPMC3581983 | biostudies-literature | 2013 Feb

REPOSITORIES: biostudies-literature

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Landscape of somatic single-nucleotide and copy-number mutations in uterine serous carcinoma.

Zhao Siming S   Choi Murim M   Overton John D JD   Bellone Stefania S   Roque Dana M DM   Cocco Emiliano E   Guzzo Federica F   English Diana P DP   Varughese Joyce J   Gasparrini Sara S   Bortolomai Ileana I   Buza Natalia N   Hui Pei P   Abu-Khalaf Maysa M   Ravaggi Antonella A   Bignotti Eliana E   Bandiera Elisabetta E   Romani Chiara C   Todeschini Paola P   Tassi Renata R   Zanotti Laura L   Carrara Luisa L   Pecorelli Sergio S   Silasi Dan-Arin DA   Ratner Elena E   Azodi Masoud M   Schwartz Peter E PE   Rutherford Thomas J TJ   Stiegler Amy L AL   Mane Shrikant S   Boggon Titus J TJ   Schlessinger Joseph J   Lifton Richard P RP   Santin Alessandro D AD  

Proceedings of the National Academy of Sciences of the United States of America 20130128 8


Uterine serous carcinoma (USC) is a biologically aggressive subtype of endometrial cancer. We analyzed the mutational landscape of USC by whole-exome sequencing of 57 cancers, most of which were matched to normal DNA from the same patients. The distribution of the number of protein-altering somatic mutations revealed that 52 USC tumors had fewer than 100 (median 36), whereas 5 had more than 3,000 somatic mutations. The mutations in these latter tumors showed hallmarks of defects in DNA mismatch  ...[more]

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