Endocr Relat Cancer. 2019;26(6):629-641.
Interaction of BRAF-induced ETS factors with mutant TERT promoter in papillary thyroid cancer.
제1저자 송영신 · 교신저자 박영주
소속 (6)
- Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
- Department of Internal Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
- Genomic Medicine Institute, Medical Research Center, Seoul National University, Seoul, Korea.
- Center for Medical Innovation, Seoul National University Hospital, Seoul, Korea.
- Department of Biochemistry, Lee Gil Ya Cancer and Diabetes Institute, GAIHST, Gachon University College of Medicine, Incheon, Korea.
- Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.
Abstract
Synergistic effects of BRAFV600E and TERT promoter mutations on the poor clinical outcomes in papillary thyroid cancer (PTC) have been demonstrated. The potential mechanism of this phenomenon has been proposed: MAPK pathway activation by the BRAFV600E mutation may upregulate E-twenty six (ETS) transcription factors, increasing TERT expression by binding to the ETS-binding site generated by the TERT promoter mutation; however, it has not yet been fully proven. This article provides transcriptomic insights into the interaction between BRAFV600E and TERT promoter mutations mediated by ETS factors in PTC. RNA sequencing data on 266 PTCs from The Cancer Genome Atlas and 65 PTCs from our institute were analyzed for gene expression changes and related molecular pathways, and the results of transcriptomic analyses were validated by in vitro experiments. TERT mRNA expression was increased by the coexistence of BRAFV600E and TERT promoter mutations (fold change, 16.17; q-value = 7.35 × 10-12 vs no mutation). In the ETS family of transcription factors, ETV1, ETV4 and ETV5 were upregulated by the BRAFV600E/MAPK pathway activation. These BRAFV600E-induced ETS factors selectively bound to the mutant TERT promoter. The molecular pathways activated by BRAFV600E were further augmented by adding the TERT promoter mutation, and the pathways related to immune responses or adhesion molecules were upregulated by TERT expression. The mechanism of the synergistic effect between BRAFV600E and TERT promoter mutations on cancer invasiveness and progression in PTC may be explained by increased TERT expression, which may result from the BRAF-induced upregulation of several ETS transcription factors.
Keywords
BRAFV600E mutationTERT promoter mutationmechanismprognosisthyroid cancer
그 밖의 정보
- 출판 형태
- Journal Article, Research Support, Non-U.S. Gov't
- 저널
- Endocrine-related cancer · eISSN 1479-6821
- MeSH
- Aged · Biomarkers, Tumor / genetics / metabolism · Cell Proliferation · Female · Follow-Up Studies · Gene Expression Regulation, Neoplastic · Humans · Male · Middle Aged · Mutation* · Neoplasm Invasiveness · Prognosis · Promoter Regions, Genetic · Proto-Oncogene Proteins B-raf / genetics / metabolism · Proto-Oncogene Proteins c-ets / genetics / metabolism · Telomerase / genetics / metabolism · Thyroid Cancer, Papillary / genetics / metabolism / pathology · Thyroid Neoplasms / genetics / metabolism / pathology · Tumor Cells, Cultured
- Substances
- Biomarkers, Tumor · Proto-Oncogene Proteins c-ets · BRAF protein, human · Proto-Oncogene Proteins B-raf · TERT protein, human · Telomerase