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2015 ; 6
(9
): 7232-43
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Multiple mechanisms of MYCN dysregulation in Wilms tumour
#MMPMID25749049
Williams RD
; Chagtai T
; Alcaide-German M
; Apps J
; Wegert J
; Popov S
; Vujanic G
; van Tinteren H
; van den Heuvel-Eibrink MM
; Kool M
; de Kraker J
; Gisselsson D
; Graf N
; Gessler M
; Pritchard-Jones K
Oncotarget
2015[Mar]; 6
(9
): 7232-43
PMID25749049
show ga
Genomic gain of the proto-oncogene transcription factor gene MYCN is associated
with poor prognosis in several childhood cancers. Here we present a comprehensive
copy number analysis of MYCN in Wilms tumour (WT), demonstrating that gain of
this gene is associated with anaplasia and with poorer relapse-free and overall
survival, independent of histology. Using whole exome and gene-specific
sequencing, together with methylation and expression profiling, we show that MYCN
is targeted by other mechanisms, including a recurrent somatic mutation, P44L,
and specific DNA hypomethylation events associated with MYCN overexpression in
tumours with high risk histologies. We describe parallel evolution of genomic
copy number gain and point mutation of MYCN in the contralateral tumours of a
remarkable bilateral case in which independent contralateral mutations of TP53
also evolve over time. We report a second bilateral case in which MYCN gain is a
germline aberration. Our results suggest a significant role for MYCN
dysregulation in the molecular biology of Wilms tumour. We conclude that MYCN
gain is prognostically significant, and suggest that the novel P44L somatic
variant is likely to be an activating mutation.