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Recurrent hotspot mutations in HRAS Q61 and PI3K-AKT pathway genes as drivers of breast adenomyoepitheliomas.


ABSTRACT: Adenomyoepithelioma of the breast is a rare tumor characterized by epithelial-myoepithelial differentiation, whose genetic underpinning is largely unknown. Here we show through whole-exome and targeted massively parallel sequencing analysis that whilst estrogen receptor (ER)-positive adenomyoepitheliomas display PIK3CA or AKT1 activating mutations, ER-negative adenomyoepitheliomas harbor highly recurrent codon Q61 HRAS hotspot mutations, which co-occur with PIK3CA or PIK3R1 mutations. In two- and three-dimensional cell culture models, forced expression of HRASQ61R in non-malignant ER-negative breast epithelial cells with or without a PIK3CAH1047R somatic knock-in results in transformation and the acquisition of the cardinal features of adenomyoepitheliomas, including the expression of myoepithelial markers, a reduction in E-cadherin expression, and an increase in AKT signaling. Our results demonstrate that adenomyoepitheliomas are genetically heterogeneous, and qualify mutations in HRAS, a gene whose mutations are vanishingly rare in common-type breast cancers, as likely drivers of ER-negative adenomyoepitheliomas.

SUBMITTER: Geyer FC 

PROVIDER: S-EPMC5940840 | biostudies-literature | 2018 May

REPOSITORIES: biostudies-literature

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Recurrent hotspot mutations in HRAS Q61 and PI3K-AKT pathway genes as drivers of breast adenomyoepitheliomas.

Geyer Felipe C FC   Li Anqi A   Papanastasiou Anastasios D AD   Smith Alison A   Selenica Pier P   Burke Kathleen A KA   Edelweiss Marcia M   Wen Huei-Chi HC   Piscuoglio Salvatore S   Schultheis Anne M AM   Martelotto Luciano G LG   Pareja Fresia F   Kumar Rahul R   Brandes Alissa A   Fan Dan D   Basili Thais T   Da Cruz Paula Arnaud A   Lozada John R JR   Blecua Pedro P   Muenst Simone S   Jungbluth Achim A AA   Foschini Maria P MP   Wen Hannah Y HY   Brogi Edi E   Palazzo Juan J   Rubin Brian P BP   Ng Charlotte K Y CKY   Norton Larry L   Varga Zsuzsanna Z   Ellis Ian O IO   Rakha Emad A EA   Chandarlapaty Sarat S   Weigelt Britta B   Reis-Filho Jorge S JS  

Nature communications 20180508 1


Adenomyoepithelioma of the breast is a rare tumor characterized by epithelial-myoepithelial differentiation, whose genetic underpinning is largely unknown. Here we show through whole-exome and targeted massively parallel sequencing analysis that whilst estrogen receptor (ER)-positive adenomyoepitheliomas display PIK3CA or AKT1 activating mutations, ER-negative adenomyoepitheliomas harbor highly recurrent codon Q61 HRAS hotspot mutations, which co-occur with PIK3CA or PIK3R1 mutations. In two- an  ...[more]

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