Abstract
Pancreatic neuroendocrine tumours (PNETs) are relatively uncommon, accounting for 1–2% of all pancreatic neoplasms. Tumour grade (based on the Ki67 proliferative index and mitotic rate) is associated with metastatic risk across large cohorts; however, predicting the behaviour of individual tumours can be difficult. Therefore, any tool which could further stratify metastatic risk may be clinically beneficial. We sought to investigate microRNA (miRNA) expression as a marker of metastatic disease in PNETs. Tumours from 37 patients, comprising 23 with locoregional disease (L) and 14 with distant metastases (DM), underwent miRNA profiling. In total 506 miRNAs were differentially expressed between the L and DM groups, with four miRNAs (miR-3653 upregulated, and miR-4417, miR-574-3p and miR-664b-3p downregulated) showing statistical significance. A database search demonstrated that miRNA-3653 was associated with ATRX abnormalities. Mean survival between the two groups was correlated with mean expression of miRNA-3653; however, this did not reach statistical significance (p = 0.204). Although this is a small study, we conclude that miRNA-3653 upregulation may be associated with an increased risk of metastatic disease in PNETS, perhaps through interaction with ATRX and the alternate lengthening of telomeres pathway.
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References
Lawrence B, Gustafsson BI, Chan A et al. (2011) The epidemiology of gastroenteropancreatic neuroendocrine tumors. Endocrinol Metab Clin North Am 40: 1–18, vii.
Fesinmeyer MD, Austin MA, Li CI et al. (2005) Differences in survival by histologic type of pancreatic cancer. Cancer Epidemiol Biomarkers Prev 14: 1766–1773.
Fraenkel M, Kim MK, Faggiano A, Valk GD. (2012) Epidemiology of gastroenteropancreatic neuroendocrine tumours. Best Pract Res Clin Gastroenterol 26: 691–703.
Bosman FT CF, Hruban RH. WHO Classification of Tumours of the Digestive System. IARC Lyon,2010.
McKenna LR, Edil BH. (2014) Update on pancreatic neuroendocrine tumors. Gland Surg 3: 258–275.
Hill JS, McPhee JT, McDade TP et al. (2009) Pancreatic neuroendocrine tumors: the impact of surgical resection on survival. Cancer 115: 741–751.
Birnbaum DJ, Turrini O, Vigano L, Russolillo N, Autret A, Moutardier V, Capussotti L, le Treut YP, Delpero JR, Hardwigsen J (2015) Surgical management of advanced pancreatic neuroendocrine tumors: short-term and long-term results from an international multi-institutional study. Ann Surg Oncol 22: 1000–1007.
Kazanjian KK, Reber HA, Hines OJ (2006) Resection of pancreatic neuroendocrine tumors: results of 70 cases. Arch Surg 141: 765–769; discussion 769-770.
Gratian L, Pura J, Dinan M, Roman S, Reed S, Sosa JA (2014) Impact of extent of surgery on survival in patients with small nonfunctional pancreatic neuroendocrine tumors in the United States. Ann Surg Oncol 21: 3515–3521.
Li Y, Kowdley KV. (2012) MicroRNAs in common human diseases. Genomics Proteomics Bioinformatics 10: 246–253.
Farazi TA, Hoell JI, Morozov P, Tuschl T (2013) MicroRNAs in human cancer. Adv Exp Med Biol 774: 1–20.
Roldo C, Missiaglia E, Hagan JP, Falconi M, Capelli P, Bersani S, Calin GA, Volinia S, Liu CG, Scarpa A, Croce CM (2006) MicroRNA expression abnormalities in pancreatic endocrine and acinar tumors are associated with distinctive pathologic features and clinical behavior. J Clin Oncol 24: 4677–4684.
Thorns C, Schurmann C, Gebauer N et al. (2014) Global microRNA profiling of pancreatic neuroendocrine neoplasias. Anticancer Res 34: 2249–2254.
Lee YS, Kim H, Kim HW, Lee JC, Paik KH, Kang J, Kim J, Yoon YS, Han HS, Sohn I, Cho J, Hwang JH (2015) High Expression of MicroRNA-196a Indicates Poor Prognosis in Resected Pancreatic Neuroendocrine Tumor. Medicine (Baltimore) 94: e2224.
Comino-Mendez I, Tejera AM, Curras-Freixes M et al. (2016) ATRX driver mutation in a composite malignant pheochromocytoma. Cancer Genet 209: 272–277.
Heaphy CM, de Wilde RF, Jiao Y, Klein AP, Edil BH, Shi C, Bettegowda C, Rodriguez FJ, Eberhart CG, Hebbar S, Offerhaus GJ, McLendon R, Rasheed BA, He Y, Yan H, Bigner DD, Oba-Shinjo SM, Marie SKN, Riggins GJ, Kinzler KW, Vogelstein B, Hruban RH, Maitra A, Papadopoulos N, Meeker AK (2011) Altered telomeres in tumors with ATRX and DAXX mutations. Science 333: 425.
Kannan K, Inagaki A, Silber J, Gorovets D, Zhang J, Kastenhuber ER, Heguy A, Petrini JH, Chan TA, Huse JT (2012) Whole-exome sequencing identifies ATRX mutation as a key molecular determinant in lower-grade glioma. Oncotarget 3: 1194–1203.
Schwartzentruber J, Korshunov A, Liu XY, Jones DTW, Pfaff E, Jacob K, Sturm D, Fontebasso AM, Quang DAK, Tönjes M, Hovestadt V, Albrecht S, Kool M, Nantel A, Konermann C, Lindroth A, Jäger N, Rausch T, Ryzhova M, Korbel JO, Hielscher T, Hauser P, Garami M, Klekner A, Bognar L, Ebinger M, Schuhmann MU, Scheurlen W, Pekrun A, Frühwald MC, Roggendorf W, Kramm C, Dürken M, Atkinson J, Lepage P, Montpetit A, Zakrzewska M, Zakrzewski K, Liberski PP, Dong Z, Siegel P, Kulozik AE, Zapatka M, Guha A, Malkin D, Felsberg J, Reifenberger G, von Deimling A, Ichimura K, Collins VP, Witt H, Milde T, Witt O, Zhang C, Castelo-Branco P, Lichter P, Faury D, Tabori U, Plass C, Majewski J, Pfister SM, Jabado N (2012) Driver mutations in histone H3.3 and chromatin remodelling genes in paediatric glioblastoma. Nature 482: 226–231.
Chen X, Bahrami A, Pappo A, Easton J, Dalton J, Hedlund E, Ellison D, Shurtleff S, Wu G, Wei L, Parker M, Rusch M, Nagahawatte P, Wu J, Mao S, Boggs K, Mulder H, Yergeau D, Lu C, Ding L, Edmonson M, Qu C, Wang J, Li Y, Navid F, Daw NC, Mardis ER, Wilson RK, Downing JR, Zhang J, Dyer MA, St. Jude Children’s Research Hospital–Washington University Pediatric Cancer Genome Project . (2014) Recurrent somatic structural variations contribute to tumorigenesis in pediatric osteosarcoma. Cell Rep 7: 104–112.
Wong LH, McGhie JD, Sim M et al. (2010) ATRX interacts with H3.3 in maintaining telomere structural integrity in pluripotent embryonic stem cells. Genome Res 20: 351–360.
Schmitt AM, Marinoni I, Blank A, Perren A. (2016) New Genetics and Genomic Data on Pancreatic Neuroendocrine Tumors: Implications for Diagnosis, Treatment, and Targeted Therapies. Endocr Pathol 27: 200–204.
De La Fuente R, Baumann C, Viveiros MM. (2011) Role of ATRX in chromatin structure and function: implications for chromosome instability and human disease. Reproduction 142: 221–234.
Maze I, Noh KM, Allis CD. (2013) Histone regulation in the CNS: basic principles of epigenetic plasticity. Neuropsychopharmacology 38: 3–22.
Marinoni I, Kurrer AS, Vassella E et al. (2014) Loss of DAXX and ATRX are associated with chromosome instability and reduced survival of patients with pancreatic neuroendocrine tumors. Gastroenterology 146: 453–460 e455.
Jiao Y, Shi C, Edil BH, de Wilde RF, Klimstra DS, Maitra A, Schulick RD, Tang LH, Wolfgang CL, Choti MA, Velculescu VE, Diaz LA, Vogelstein B, Kinzler KW, Hruban RH, Papadopoulos N (2011) DAXX/ATRX, MEN1, and mTOR pathway genes are frequently altered in pancreatic neuroendocrine tumors. Science 331: 1199–1203.
de Wilde RF, Heaphy CM, Maitra A, Meeker AK, Edil BH, Wolfgang CL, Ellison TA, Schulick RD, Molenaar IQ, Valk GD, Vriens MR, Borel Rinkes IHM, Offerhaus GJA, Hruban RH, Matsukuma KE (2012) Loss of ATRX or DAXX expression and concomitant acquisition of the alternative lengthening of telomeres phenotype are late events in a small subset of MEN-1 syndrome pancreatic neuroendocrine tumors. Mod Pathol 25: 1033–1039.
Lin K, Xu T, He BS, Pan YQ, Sun HL, Peng HX, Hu XX, Wang SK(2016) MicroRNA expression profiles predict progression and clinical outcome in lung adenocarcinoma. Onco Targets Ther 9: 5679–5692.
Gao D, Zhang Y, Zhu M, Liu S, Wang X(2016) miRNA Expression Profiles of HPV-Infected Patients with Cervical Cancer in the Uyghur Population in China. PLoS One 11: e0164701.
Funding
This project was fully funded by a grant awarded to Preetjote Gill and Jaswinder Samra by Ipsen Pty Ltd. A/Prof Roderick Clifton-Bligh has received speaker honoraria from AMGEN, EISAI and IPSEN. The other authors have no relevant funding sources or conflicts of interests to declare.
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Author Preetoje Gill declares that she has received a research grant from IPSEN which supported this study.
Author Edward Kim declares that he has no conflict of interest.
Author Terrence Chua declares that he has no conflict of interest.
Author Roderick Clifton-Bligh has received speaker honoraria from AMGEN, EISAI and IPSEN.
Author Christpher Nahm declares that he has no conflict of interest.
Author Anubhav Mittal declares that he has no conflict of interest.
Author Anthony Gill declares that he has no conflict of interest.
Author Jaswinder Samra declares that he has received a research grant from IPSEN which supported this study.
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Gill, P., Kim, E., Chua, T.C. et al. MiRNA-3653 Is a Potential Tissue Biomarker for Increased Metastatic Risk in Pancreatic Neuroendocrine Tumours. Endocr Pathol 30, 128–133 (2019). https://doi.org/10.1007/s12022-019-9570-y
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DOI: https://doi.org/10.1007/s12022-019-9570-y