Abstract
Despite advances in classification, treatment, and imaging, neuroendocrine tumours remain a clinically complex subject. In this work, we studied the genetic profile of well-differentiated pancreatic neuroendocrine tumours (PanNETs) in a cohort of Caucasian patients and analysed the signalling pathways and candidate genes potentially associated with the development of this oncological disease. Twenty-four formalin-fixed paraffin-embedded (FFPE) samples of well-differentiated PanNETs were subjected to massive parallel sequencing using the targeted gene panel (409 genes) of the Illumina NextSeq 550 platform (San Diego, USA). In 24 patients, 119 variants were identified in 54 genes. The median mutation rate per patient was 5 (2.8–7). The detected genetic changes were dominated by missense mutations (67%) and nonsense mutations (29%). 18% of the mutations were activating, 35% of the variants led to a loss of function of the encoded protein, and 52% were not classified. Twenty-six variants were described as new. Functionally significant changes in the tertiary structure and activity of the protein molecules in an in silico assay were predicted for 5 new genetic variants. The 5 highest priority candidate genes were selected: CREB1, TCF12, PRKAR1A, BCL11A, and BUB1B. Genes carrying the identified mutations participate in signalling pathways known to be involved in PanNETs; in addition, 38% of the cases showed genetic changes in the regulation of the SMAD2/3 signalling pathway. Well-differentiated PanNETs in a Russian cohort demonstrate various molecular genetic features, including new genetic variations and potential driver genes. The highlighted molecular genetic changes in the SMAD2/3 signalling pathway suggest new prospects for targeted therapy.
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Acknowledgements
We express gratitude for the support in the pathology validation of tumour samples from Karnauchov N.S. (head of the pathology department of Rostov Research Institute of Oncology) and Ponkina O.N. (head of the pathology department of Krasnodar regional hospital No. 1)
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We received no financial support from grants of pharmaceutical or other commercial organizations.
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KOI: conception of the research, surgery and collection of clinical data. TVS: collection of the clinical data after the operation. Clinical control of the patients. GDY: bioinformatical analysis, visualization of obtained results, writing of the article. KDS: conducted NGS research. Analysis of the obtained data. PNA: conducted NGS research. TNN: writing and editing of the article text and data analysis.
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The study was approved by the ethics committee of the Rostov Research Institute of Oncology (RRIO) (protocol No. 9/1 of 04.03.2019) and has been performed in accordance with the ethical standarts laid down in the 2013 Declaration of Helsinki. Signed informed consent was obtained from all patients included in the study.
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Online Resource 3. The ranking of candidate genes based on their functional similarities with theknown genes participating in the oncogenesis of PanNETs (PDF 49 kb)
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Online Resource 4. Genes involved in regulation of the SMAD2/3 signalling pathway andchromatin remodelling (A), RAS signalling pathway and angiogenesis (B), histone methylationand the mTOR signalling pathway (C). (PDF 118 kb)
11033_2020_5534_MOESM5_ESM.xlsx
Online Resource 5. General characteristics of the genetic variants identified by the nextgeneration sequencing method (XLSX 17 kb)
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Kit, O.I., Trifanov, V.S., Petrusenko, N.A. et al. Identification of new candidate genes and signalling pathways associated with the development of neuroendocrine pancreatic tumours based on next generation sequencing data. Mol Biol Rep 47, 4233–4243 (2020). https://doi.org/10.1007/s11033-020-05534-z
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DOI: https://doi.org/10.1007/s11033-020-05534-z