driver genes

  • 文章类型: Journal Article
    癌症是由细胞周期和增殖控制的遗传改变引起的异质性疾病。识别导致癌症的突变,了解癌症类型的特异性,描绘驱动突变如何相互作用以建立疾病对于识别治疗漏洞至关重要。这种癌症特异性模式和基因共现可以通过研究肿瘤基因组序列来识别,和网络已被证明在揭示序列之间的关系方面是有效的。我们提出了两种基于网络的方法来识别肿瘤样本中的驱动基因模式。第一种方法依赖于使用定向加权所有最近邻(DiWANN)模型的分析,这是序列相似性网络的变体,第二种方法使用二分网络分析。实现了数据缩减框架,以提取最小的相关信息进行序列相似性网络分析。其中生成转化的参考序列用于构建驱动基因网络。这种数据缩减过程结合了DiWANN网络模型的效率,大大降低了生成网络的计算成本(在执行时间和内存使用方面),使我们能够以比以前更大的规模工作。DiWANN网络帮助我们确定了癌症类型,其中样品彼此联系更紧密,表明它们的异质性较低,并且可能对常见药物敏感。二分网络分析提供了对基因关联和共现的见解。我们确定了在多种癌症类型中广泛突变的基因,并且仅少数突变。此外,二分网络的加权单模式基因投影揭示了驱动基因在不同癌症中的发生模式。我们的研究表明,基于网络的方法可以成为癌症基因组学的有效工具。该分析确定了特定癌症类型的共同发生和专有驱动基因和突变,更好地了解导致肿瘤发生和进化的驱动基因。
    Cancer is a heterogeneous disease that results from genetic alteration of cell cycle and proliferation controls. Identifying mutations that drive cancer, understanding cancer type specificities, and delineating how driver mutations interact with each other to establish disease is vital for identifying therapeutic vulnerabilities. Such cancer specific patterns and gene co-occurrences can be identified by studying tumor genome sequences, and networks have proven effective in uncovering relationships between sequences. We present two network-based approaches to identify driver gene patterns among tumor samples. The first approach relies on analysis using the Directed Weighted All Nearest Neighbors (DiWANN) model, which is a variant of sequence similarity network, and the second approach uses bipartite network analysis. A data reduction framework was implemented to extract the minimal relevant information for the sequence similarity network analysis, where a transformed reference sequence is generated for constructing the driver gene network. This data reduction process combined with the efficiency of the DiWANN network model, greatly lowered the computational cost (in terms of execution time and memory usage) of generating the networks enabling us to work at a much larger scale than previously possible. The DiWANN network helped us identify cancer types in which samples were more closely connected to each other suggesting they are less heterogeneous and potentially susceptible to a common drug. The bipartite network analysis provided insight into gene associations and co-occurrences. We identified genes that were broadly mutated in multiple cancer types and mutations exclusive to only a few. Additionally, weighted one-mode gene projections of the bipartite networks revealed a pattern of occurrence of driver genes in different cancers. Our study demonstrates that network-based approaches can be an effective tool in cancer genomics. The analysis identifies co-occurring and exclusive driver genes and mutations for specific cancer types, providing a better understanding of the driver genes that lead to tumor initiation and evolution.
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  • 文章类型: Journal Article
    非整倍体,染色体数量异常的存在,已经与肿瘤发生有关一个多世纪了。最近,核型分析技术的进步揭示了其在癌症中的高患病率:约90%的实体瘤和50-70%的造血系统癌症表现出染色体增加或丢失.当在特定染色体水平分析时,在泛癌症和特定癌症类型的癌症核型中都观察到强烈的模式。这些特定的非整倍性模式与肿瘤启动的结果密切相关,programming,转移形成,免疫逃避和对治疗性治疗的抵抗。尽管他们的突出地位,了解癌症非整倍性模式的基础一直具有挑战性.基因工程和生物信息学分析的进展现在提供了对非整倍性模式选择的遗传决定因素的见解。总的来说,有大量证据表明,特定基因的表达变化可以作为通过非整倍性适应的正选择力。最近的发现表明,多个基因有助于癌症中特定非整倍体染色体的选择;然而,进一步的研究是必要的,以确定最有影响力的驱动基因。确定特定非整倍性模式的遗传基础和伴随的脆弱性是选择性靶向这些肿瘤标志的重要步骤。
    Aneuploidy, the presence of an aberrant number of chromosomes, has been associated with tumorigenesis for over a century. More recently, advances in karyotyping techniques have revealed its high prevalence in cancer: About 90% of solid tumors and 50-70% of hematopoietic cancers exhibit chromosome gains or losses. When analyzed at the level of specific chromosomes, there are strong patterns that are observed in cancer karyotypes both pan-cancer and for specific cancer types. These specific aneuploidy patterns correlate strongly with outcomes for tumor initiation, progression, metastasis formation, immune evasion and resistance to therapeutic treatment. Despite their prominence, understanding the basis underlying aneuploidy patterns in cancer has been challenging. Advances in genetic engineering and bioinformatic analyses now offer insights into the genetic determinants of aneuploidy pattern selection. Overall, there is substantial evidence that expression changes of particular genes can act as the positive selective forces for adaptation through aneuploidy. Recent findings suggest that multiple genes contribute to the selection of specific aneuploid chromosomes in cancer; however, further research is necessary to identify the most impactful driver genes. Determining the genetic basis and accompanying vulnerabilities of specific aneuploidy patterns is an essential step in selectively targeting these hallmarks of tumors.
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  • 文章类型: Journal Article
    目的:为了评估发病率,临床实验室特征,以及具有JAK2、MPL非典型变异的Ph阴性MPN患者的基因突变谱,或CALR。
    方法:我们共收集了359例Ph阴性MPN患者,这些患者的驱动基因JAK2,MPL,或CALR,并根据他们是否有驱动基因JAK2,MPL的其他非典型变异将他们分为两组,或CALR:304例无驱动基因非典型变异的患者和55例有驱动基因非典型变异的患者。我们分析了这些患者的相关特征。
    结果:本研究包括359例Ph阴性MPNs伴JAK2、MPL、或CALR经典突变,发现55(15%)患者有JAK2,MPL,或CALR。其中,28例(51%)为男性,和27(49%)是女性,年龄中位数为64岁(范围,21-83).具有非典型变异的ET患者的年龄高于无非典型变异的ET患者[70(28-80)vs.61(19-82)p=0.03]。具有非典型变异的ET患者中经典MPL突变的发生率高于无非典型变异的ET患者[13.3%(2/15)vs.0%(0/95),p=0.02]。驱动基因PV的非典型变异患者的基因突变数量,ET,Overt-PMF比没有非典型PV变异的患者更多,ET,和Overt-PMF[PV:3(2-6)与2(1-7)p<0.001;ET:4(2-8)与2(1-7)p<0.05;Overt-PMF:5(2-9)vs.3(1-8)p<0.001]。具有非典型变异的MPN患者中SH2B3和ASXL1突变的发生率高于没有非典型变异的患者(SH2B3:16%vs.6%,p<0.01;ASXL1:24%vs.13%,p<0.05)。
    结论:这些数据表明JAK2,MPL,和CALR可能与JAK2、MPL、和CARR。在这项研究中,JAK2,MPL的30种不同的非典型变体,和CARR被确认,JAK2G127D是最常见的(42%,23/55)。有趣的是,JAK2G127D仅与JAK2V617F突变共同发生。Ph阴性MPN中JAK2非典型变异的发生率远高于MPL和CALR的非典型变异。这些非典型变异的意义将在未来进一步研究。
    OBJECTIVE: To evaluate the incidence, clinical laboratory characteristics, and gene mutation spectrum of Ph-negative MPN patients with atypical variants of JAK2, MPL, or CALR.
    METHODS: We collected a total of 359 Ph-negative MPN patients with classical mutations in driver genes JAK2, MPL, or CALR, and divided them into two groups based on whether they had additional atypical variants of driver genes JAK2, MPL, or CALR: 304 patients without atypical variants of driver genes and 55 patients with atypical variants of driver genes. We analyzed the relevant characteristics of these patients.
    RESULTS: This study included 359 patients with Ph-negative MPNs with JAK2, MPL, or CALR classical mutations and found that 55 (15%) patients had atypical variants of JAK2, MPL, or CALR. Among them, 28 cases (51%) were male, and 27 (49%) were female, with a median age of 64 years (range, 21-83). The age of ET patients with atypical variants was higher than that of ET patients without atypical variants [70 (28-80) vs. 61 (19-82), p = 0.03]. The incidence of classical MPL mutations in ET patients with atypical variants was higher than in ET patients without atypical variants [13.3% (2/15) vs. 0% (0/95), p = 0.02]. The number of gene mutations in patients with atypical variants of driver genes PV, ET, and Overt-PMF is more than in patients without atypical variants of PV, ET, and Overt-PMF [PV: 3 (2-6) vs. 2 (1-7), p < 0.001; ET: 4 (2-8) vs. 2 (1-7), p < 0.05; Overt-PMF: 5 (2-9) vs. 3 (1-8), p < 0.001]. The incidence of SH2B3 and ASXL1 mutations were higher in MPN patients with atypical variants than in those without atypical variants (SH2B3: 16% vs. 6%, p < 0.01; ASXL1: 24% vs. 13%, p < 0.05).
    CONCLUSIONS: These data indicate that classical mutations of JAK2, MPL, and CALR may not be completely mutually exclusive with atypical variants of JAK2, MPL, and CALR. In this study, 30 different atypical variants of JAK2, MPL, and CALR were identified, JAK2 G127D being the most common (42%, 23/55). Interestingly, JAK2 G127D only co-occurred with JAK2V617F mutation. The incidence of atypical variants of JAK2 in Ph-negative MPNs was much higher than that of the atypical variants of MPL and CALR. The significance of these atypical variants will be further studied in the future.
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  • 文章类型: Journal Article
    癌症是一种复杂的进化疾病,主要由基因中遗传变异的积累驱动。识别癌症驱动基因很重要。然而,大多数相关研究都集中在人口水平上。癌症是一种具有高度异质性的疾病。因此,在个体水平上发现驱动基因变得越来越有价值,但这是一个巨大的挑战。尽管已经提出了一些计算方法来应对这一挑战,很少有人能很好地覆盖所有患者样本,性能仍有提升空间。在这项研究中,为了更有效地识别个体水平的驱动基因,我们提出了PDGCN方法。PDGCN集成了多种类型的数据功能,包括突变,表达式,甲基化,拷贝数数据,和系统水平的基因特征,以及使用Node2vec提取的网络结构特征,以构建样本-基因相互作用网络。使用具有条件随机场层的图形卷积神经网络模型进行预测,能更好地将网络结构特征与生物属性特征相结合。对来自TCGA(癌症基因组图谱)的ACC(肾上腺皮质癌)和KICH(肾染色体)数据集的实验表明,与其他类似方法相比,该方法表现更好。它不仅可以识别频繁突变的驱动基因,但也是罕见的候选驱动基因和新的生物标记基因。这些检测到的基因的存活和富集分析的结果表明,该方法可以在个体水平上鉴定重要的驱动基因。
    Cancer is a complex and evolutionary disease mainly driven by the accumulation of genetic variations in genes. Identifying cancer driver genes is important. However, most related studies have focused on the population level. Cancer is a disease with high heterogeneity. Thus, the discovery of driver genes at the individual level is becoming more valuable but is a great challenge. Although there have been some computational methods proposed to tackle this challenge, few can cover all patient samples well, and there is still room for performance improvement. In this study, to identify individual-level driver genes more efficiently, we propose the PDGCN method. PDGCN integrates multiple types of data features, including mutation, expression, methylation, copy number data, and system-level gene features, along with network structural features extracted using Node2vec in order to construct a sample-gene interaction network. Prediction is performed using a graphical convolutional neural network model with a conditional random field layer, which is able to better combine the network structural features with biological attribute features. Experiments on the ACC (Adrenocortical Cancer) and KICH (Kidney Chromophobe) datasets from TCGA (The Cancer Genome Atlas) demonstrated that the method performs better compared to other similar methods. It can identify not only frequently mutated driver genes, but also rare candidate driver genes and novel biomarker genes. The results of the survival and enrichment analyses of these detected genes demonstrate that the method can identify important driver genes at the individual level.
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  • 文章类型: Journal Article
    癌症是一种复杂的基因突变疾病,源于体细胞进化过程中突变的积累。随着高通量技术的出现,产生了大量的组学数据,如何从大量的组学数据中找到与癌症相关的驱动基因是一个挑战。在早期阶段,研究人员开发了许多基于频率的驱动基因识别方法,但是他们不能很好地识别低突变率的驱动基因。之后,研究人员通过融合多组数据开发了基于网络的方法,但是他们很少考虑特征之间的联系。在本文中,在分析了大量整合多组学数据的方法后,根据特征之间的联系,提出了融合多特征的分层弱一致性模型。通过分析PPI网络与共突变超图网络的联系,本文首先提出了一种新的拓扑特征,称为共突变聚类系数(CMCC)。然后,分层弱共识模型用于集成CMCC,mRNA和miRNA差异表达评分,提出了一种新的驾驶员基因识别方法HWC。在本文中,在三种类型的癌症中比较了HWC方法和当前的7种最新方法。比较结果表明,HWC在统计评价指标中具有最佳的识别性能,功能一致性和ROC曲线下的部分面积。
    在线版本包含补充材料,可在10.1007/s13755-024-00279-6获得。
    Cancer is a complex gene mutation disease that derives from the accumulation of mutations during somatic cell evolution. With the advent of high-throughput technology, a large amount of omics data has been generated, and how to find cancer-related driver genes from a large number of omics data is a challenge. In the early stage, the researchers developed many frequency-based driver genes identification methods, but they could not identify driver genes with low mutation rates well. Afterwards, researchers developed network-based methods by fusing multi-omics data, but they rarely considered the connection among features. In this paper, after analyzing a large number of methods for integrating multi-omics data, a hierarchical weak consensus model for fusing multiple features is proposed according to the connection among features. By analyzing the connection between PPI network and co-mutation hypergraph network, this paper firstly proposes a new topological feature, called co-mutation clustering coefficient (CMCC). Then, a hierarchical weak consensus model is used to integrate CMCC, mRNA and miRNA differential expression scores, and a new driver genes identification method HWC is proposed. In this paper, the HWC method and current 7 state-of-the-art methods are compared on three types of cancers. The comparison results show that HWC has the best identification performance in statistical evaluation index, functional consistency and the partial area under ROC curve.
    UNASSIGNED: The online version contains supplementary material available at 10.1007/s13755-024-00279-6.
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  • 文章类型: Journal Article
    大量可用的测序数据使科学界能够探索可能导致癌症或有利于癌症进展的不同遗传改变。软件开发人员提出了无数的预测工具,允许研究人员和临床医生比较和优先考虑驱动基因和突变及其相对致病性。然而,关于计算方法或比较的黄金标准几乎没有共识。因此,对不同的工具进行基准测试在很大程度上取决于输入数据,表明过度拟合仍然是一个巨大的问题。解决方案之一是限制特定工具的范围和使用。然而,这种限制迫使研究人员在为特定目的创建和使用高质量工具和描述驱动癌症的复杂变化之间走钢丝。虽然癌症发展的知识每天都在增加,许多生物信息学管道依赖于真空中的单核苷酸变异或改变,而不考虑细胞区室,突变负担或疾病进展。即使在生物信息学和计算癌症生物学中,研究领域在孤岛中工作,冒着忽视潜在协同效应或突破的风险。这里,我们概述了用于构建或测试预测性癌症驱动工具的数据库和数据集。此外,我们引入了驱动基因的预测工具,驱动突变,以及这些基于结构分析的影响。此外,我们建议并推荐该领域的方向,以避免筒仓研究,走向综合框架。
    The vast amount of available sequencing data allows the scientific community to explore different genetic alterations that may drive cancer or favor cancer progression. Software developers have proposed a myriad of predictive tools, allowing researchers and clinicians to compare and prioritize driver genes and mutations and their relative pathogenicity. However, there is little consensus on the computational approach or a golden standard for comparison. Hence, benchmarking the different tools depends highly on the input data, indicating that overfitting is still a massive problem. One of the solutions is to limit the scope and usage of specific tools. However, such limitations force researchers to walk on a tightrope between creating and using high-quality tools for a specific purpose and describing the complex alterations driving cancer. While the knowledge of cancer development increases daily, many bioinformatic pipelines rely on single nucleotide variants or alterations in a vacuum without accounting for cellular compartments, mutational burden or disease progression. Even within bioinformatics and computational cancer biology, the research fields work in silos, risking overlooking potential synergies or breakthroughs. Here, we provide an overview of databases and datasets for building or testing predictive cancer driver tools. Furthermore, we introduce predictive tools for driver genes, driver mutations, and the impact of these based on structural analysis. Additionally, we suggest and recommend directions in the field to avoid silo-research, moving towards integrative frameworks.
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  • 文章类型: Journal Article
    背景:癌症被广泛认为是一种主要由基因突变驱动的复杂疾病。一个关键的问题和重大障碍在于在大量的乘客基因中辨别驾驶员基因。
    结果:我们提出了一种称为DriverMP的新方法,通过考虑突变的基因对,在癌症类型水平上有效地优先考虑改变的基因。它旨在首先应用非沉默体细胞突变数据,蛋白质-蛋白质相互作用网络数据,和差异基因表达数据来确定突变基因对的优先级,然后根据优先突变的基因对,对单个突变的基因进行优先排序。该方法在来自癌症基因组图谱的10个癌症数据集中的应用证明了其在识别已知驱动基因方面优于所有比较的最新方法的巨大改进。然后,一项全面的分析表明,新的驱动基因的可靠性得到了临床试验的大力支持,疾病富集,或生物途径分析。
    结论:新方法,DriverMP,它能够通过有效整合多种癌症数据的优势来识别驱动基因,可在https://github.com/LiuYangyangSDU/DriverMP上获得。此外,我们已经开发了一个新的驱动基因数据库的10种癌症类型和一个在线服务,可以免费访问,无需用户注册。DriverMP方法,新司机的数据库,用户友好的在线服务器有望为癌症的新诊断和治疗机会做出贡献。
    Cancer is widely regarded as a complex disease primarily driven by genetic mutations. A critical concern and significant obstacle lies in discerning driver genes amid an extensive array of passenger genes.
    We present a new method termed DriverMP for effectively prioritizing altered genes on a cancer-type level by considering mutated gene pairs. It is designed to first apply nonsilent somatic mutation data, protein‒protein interaction network data, and differential gene expression data to prioritize mutated gene pairs, and then individual mutated genes are prioritized based on prioritized mutated gene pairs. Application of this method in 10 cancer datasets from The Cancer Genome Atlas demonstrated its great improvements over all the compared state-of-the-art methods in identifying known driver genes. Then, a comprehensive analysis demonstrated the reliability of the novel driver genes that are strongly supported by clinical experiments, disease enrichment, or biological pathway analysis.
    The new method, DriverMP, which is able to identify driver genes by effectively integrating the advantages of multiple kinds of cancer data, is available at https://github.com/LiuYangyangSDU/DriverMP. In addition, we have developed a novel driver gene database for 10 cancer types and an online service that can be freely accessed without registration for users. The DriverMP method, the database of novel drivers, and the user-friendly online server are expected to contribute to new diagnostic and therapeutic opportunities for cancers.
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  • 文章类型: Journal Article
    根据癌症基因组图谱(TCGA),胃癌分为四种分子亚型:EB病毒阳性(EBV+),具有微卫星不稳定性(MSI)的肿瘤,具有染色体不稳定性(CIN)的肿瘤,和基因组稳定(GS)肿瘤。然而,具有染色体不稳定性的胃癌(GC)仍未被充分描述,并且没有有效的分子和组织学验证和诊断标志物。GC的CIN亚型的特征是染色体不稳定,这表现为肿瘤细胞中非整倍体和/或结构染色体重排的频率增加。GC的CIN亚型中的结构重排并非偶然,通常在染色体基因座中检测到,由于特定的结构组织而异常。CIN的原因仍在讨论中;然而,根据最近的数据,TP53基因的畸变可能导致CIN发育或恶化其表型。临床上,CIN亚型GC患者生存率较差,但从辅助化疗中获得最大益处。在审查中,我们考虑了GC中染色体不稳定的分子机制和可能原因,染色体位点的常见重排及其对疾病发展和临床过程的影响,以及驱动基因,他们的功能,以及它们在GC的CIN亚型中的靶向性的观点。
    According to the Cancer Genome Atlas (TCGA), gastric cancers are classified into four molecular subtypes: Epstein-Barr virus-positive (EBV+), tumors with microsatellite instability (MSI), tumors with chromosomal instability (CIN), and genomically stable (GS) tumors. However, the gastric cancer (GC) with chromosomal instability remains insufficiently described and does not have effective markers for molecular and histological verification and diagnosis. The CIN subtype of GC is characterized by chromosomal instability, which is manifested by an increased frequency of aneuploidies and/or structural chromosomal rearrangements in tumor cells. Structural rearrangements in the CIN subtype of GC are not accidental and are commonly detected in chromosomal loci, being abnormal because of specific structural organization. The causes of CIN are still being discussed; however, according to recent data, aberrations in the TP53 gene may cause CIN development or worsen its phenotype. Clinically, patients with the CIN subtype of GC demonstrate poor survival, but receive the maximum benefit from adjuvant chemotherapy. In the review, we consider the molecular mechanisms and possible causes of chromosomal instability in GC, the common rearrangements of chromosomal loci and their impact on the development and clinical course of the disease, as well as the driver genes, their functions, and perspectives on their targeting in the CIN subtype of GC.
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  • 文章类型: Journal Article
    背景:癌症驱动基因和关键分子途径的鉴定一直是大规模癌症基因组研究的焦点。基于网络的方法通过将基因组学数据与PPI网络的拓扑信息相结合来检测明显扰动的子网络作为推定的癌症途径。然而,常用的PPI网络具有不同的拓扑结构,当应用于不同的网络时,使得相同方法的结果差异很大。此外,新兴的特定于上下文的PPI网络通常具有不完整的拓扑结构,这对现有的子网检测算法提出了严峻的挑战。
    方法:在本文中,我们提出了一种新的方法,称为MultiFDRnet,解决上述问题。基本思想是将一组PPI网络建模为多路复用网络,以保留单个网络的拓扑结构,在它们之间引入依赖关系的同时,and,然后,同时使用所有结构信息检测建模的多路复用网络上的显著扰动的子网络。
    结果:为了说明所提出方法的有效性,对模拟和真实癌症数据进行了广泛的基准分析.实验结果表明,该方法能够检测由多个PPI网络共同支持的显着扰动子网络,并识别特定于上下文的PPI网络中的新颖模块化结构。
    BACKGROUND: The identification of cancer driver genes and key molecular pathways has been the focus of large-scale cancer genome studies. Network-based methods detect significantly perturbed subnetworks as putative cancer pathways by incorporating genomics data with the topological information of PPI networks. However, commonly used PPI networks have distinct topological structures, making the results of the same method vary widely when applied to different networks. Furthermore, emerging context-specific PPI networks often have incomplete topological structures, which pose serious challenges for existing subnetwork detection algorithms.
    METHODS: In this paper, we propose a novel method, referred to as MultiFDRnet, to address the above issues. The basic idea is to model a set of PPI networks as a multiplex network to preserve the topological structure of individual networks, while introducing dependencies among them, and, then, to detect significantly perturbed subnetworks on the modeled multiplex network using all the structural information simultaneously.
    RESULTS: To illustrate the effectiveness of the proposed approach, an extensive benchmark analysis was conducted on both simulated and real cancer data. The experimental results showed that the proposed method is able to detect significantly perturbed subnetworks jointly supported by multiple PPI networks and to identify novel modular structures in context-specific PPI networks.
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  • 文章类型: Journal Article
    高危子宫内膜癌预后差,发病率呈上升趋势。然而,对驱动这种疾病的分子机制的理解是有限的。我们使用基因工程小鼠模型(GEMM)来确定Fbxw7,Pten和Tp53中错义和功能缺失突变的功能后果,这些突变共同发生在近90%的高风险子宫内膜癌中。我们发现Trp53缺失和错义突变导致不同的表型,后者是子宫内膜癌变的更强驱动力。我们还表明,Fbxw7错义突变本身不会引起子宫内膜瘤,但有力地加速了由Pten缺失或Trp53错义突变引起的癌变。通过转录组学分析,我们确定LEF1信号在Fbxw7/FBXW7突变小鼠和人类子宫内膜癌中上调,在携带FBXW7突变的人类等基因细胞系中,并验证LEF1和额外的Wnt途径效应物TCF7L2作为新的FBXW7底物。我们的研究为高危子宫内膜癌的生物学提供了新的见解,并表明靶向LEF1可能值得在这种治疗耐药的癌症亚组中进行研究。
    High-risk endometrial cancer has poor prognosis and is increasing in incidence. However, understanding of the molecular mechanisms which drive this disease is limited. We used genetically engineered mouse models (GEMM) to determine the functional consequences of missense and loss of function mutations in Fbxw7, Pten and Tp53, which collectively occur in nearly 90% of high-risk endometrial cancers. We show that Trp53 deletion and missense mutation cause different phenotypes, with the latter a substantially stronger driver of endometrial carcinogenesis. We also show that Fbxw7 missense mutation does not cause endometrial neoplasia on its own, but potently accelerates carcinogenesis caused by Pten loss or Trp53 missense mutation. By transcriptomic analysis, we identify LEF1 signalling as upregulated in Fbxw7/FBXW7-mutant mouse and human endometrial cancers, and in human isogenic cell lines carrying FBXW7 mutation, and validate LEF1 and the additional Wnt pathway effector TCF7L2 as novel FBXW7 substrates. Our study provides new insights into the biology of high-risk endometrial cancer and suggests that targeting LEF1 may be worthy of investigation in this treatment-resistant cancer subgroup.
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