RRC ID 67412
Author Sia D, Losic B, Moeini A, Cabellos L, Hao K, Revill K, Bonal D, Miltiadous O, Zhang Z, Hoshida Y, Cornella H, Castillo-Martin M, Pinyol R, Kasai Y, Roayaie S, Thung SN, Fuster J, Schwartz ME, Waxman S, Cordon-Cardo C, Schadt E, Mazzaferro V, Llovet JM.
Title Massive parallel sequencing uncovers actionable FGFR2-PPHLN1 fusion and ARAF mutations in intrahepatic cholangiocarcinoma.
Journal Nat Commun
Abstract Intrahepatic cholangiocarcinoma (iCCA) is a fatal bile duct cancer with dismal prognosis and limited therapeutic options. By performing RNA- and exome-sequencing analyses, we report a novel fusion event, FGFR2-PPHLN1 (16%), and damaging mutations in the ARAF oncogene (11%). Here we demonstrate that the chromosomal translocation t(10;12)(q26;q12) leading to FGFR2-PPHLN1 fusion possesses transforming and oncogenic activity, which is successfully inhibited by a selective FGFR2 inhibitor in vitro. Among the ARAF mutations, N217I and G322S lead to activation of the pathway and N217I shows oncogenic potential in vitro. Screening of a cohort of 107 iCCA patients reveals that FGFR2 fusions represent the most recurrent targetable alteration (45%, 17/107), while they are rarely present in other primary liver tumours (0/100 of hepatocellular carcinoma (HCC); 1/21 of mixed iCCA-HCC). Taken together, around 70% of iCCA patients harbour at least one actionable molecular alteration (FGFR2 fusions, IDH1/2, ARAF, KRAS, BRAF and FGF19) that is amenable for therapeutic targeting.
Volume 6
Pages 6087
Published 2015-1-22
DOI 10.1038/ncomms7087
PII ncomms7087
PMID 25608663
MeSH 3T3 Cells Aged Amino Acid Sequence Animals Antigens, Neoplasm / genetics* Base Sequence Bile Duct Neoplasms / genetics* Cell Line, Tumor Cholangiocarcinoma / genetics* Cohort Studies Exome Exons Female High-Throughput Nucleotide Sequencing / methods* Humans In Situ Hybridization, Fluorescence Male Mice Middle Aged Molecular Sequence Data Mutation* Nuclear Proteins / genetics* Oligonucleotide Array Sequence Analysis Proto-Oncogene Proteins A-raf / genetics* Receptor, Fibroblast Growth Factor, Type 2 / genetics* Recombinant Fusion Proteins / chemistry Sequence Analysis, RNA Sequence Homology, Amino Acid Translocation, Genetic
IF 12.121
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Human and Animal Cells HuCCT1(RCB1960)