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Recurrent DGCR8, DROSHA, and SIX homeodomain mutations in favorable histology Wilms tumors

Cancer Cell. Volume 27, Issue 2: p.286-297, 9 February 2015 10.1016/j.ccell.2015.01.003

We report the most common single-nucleotide substitution/deletion mutations in favorable histology Wilms tumors (FHWTs) to occur within SIX1/2 (7% of 534 tumors) and microRNA processing genes (miRNAPGs) DGCR8 and DROSHA (15% of 534 tumors). Comprehensive analysis of 77 FHWTs (discovery cohort) indicates that tumors with SIX1/2 and/or miRNAPG mutations show a pre-induction metanephric mesenchyme gene expression pattern and are significantly associated with both perilobar nephrogenic rests and 11p15 imprinting aberrations. Significantly decreased expression of mature Let-7a and the miR-200 family (responsible for mesenchymal-to-epithelial transition) in miRNAPG mutant tumors is associated with an undifferentiated blastemal histology. The combination of SIX and miRNAPG mutations in the same tumor is associated with evidence of RAS activation and a higher rate of relapse and death.

This study characterized TARGET cases as described below:

77 Discovery cases   527 Validation Cases
76 cases had chip-based GE   231 cases had GE
76 cases had mRNA-Seq   -
77 cases had miRNA-Seq   -
76 cases had CN   -
77 cases had methylation array   -
58 cases had WGS   -
23 cases had WXS   -
77 cases had TCS   527 cases had TCS

GE=gene expression; CN=copy number, TCS=targeted capture sequencing

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