Targeted next generation sequencing of pancreatic solid pseudopapillary neoplasms show mutations in Wnt signaling pathway genes
File(s)SPN article.docx (112.07 KB)
Accepted version
Author(s)
Type
Journal Article
Abstract
Solid pseudopapillary neoplasms of the pancreas are rare neoplasms that have been shown to harbor recurrent somatic pathogenic variants in the beta-catenin gene, CTNNB1. Here, we used targeted next generation sequencing to analyze these tumors for other associated mutations. Six cases of solid pseudopapillary neoplasms were studied. DNA extracted from formalin-fixed paraffin embedded tissue blocks was analyzed using the Ion Torrent platform, with the 50-gene Ampliseq Cancer Hotspot Panel v2 (CHPv2), with further variant validation performed by Sanger sequencing. Four tumors (67%) were confirmed to harbor mutations within CTNNB1, two with c.109T > G p.(Ser37Ala) and two with c.94G > A p.(Asp32Asn). One case showed a frameshift deletion in the Adenomatous Polyposis Coli gene, APC c.3964delG p.(Glu1322Lysfs*93) with a variant allele frequency of 42.6%. Sanger sequencing on non-tumoral tissue confirmed the variant was somatic. The patient with the APC mutation developed metastasis and died. In addition to the four cases harboring CTNNB1 variants, we found a case characterized by poor outcome, showing a rare frameshift deletion in the APC gene. Since the APC product interacts with beta-catenin, APC variants may, in addition to CTNNB1, contribute to the pathogenesis of solid pseudopapillary neoplasms via the Wnt signaling pathway.
Date Issued
2019-04-01
Date Acceptance
2019-01-10
Citation
Pathology International, 2019, 69 (4), pp.193-201
ISSN
1320-5463
Publisher
Wiley
Start Page
193
End Page
201
Journal / Book Title
Pathology International
Volume
69
Issue
4
Copyright Statement
© 2019 Japanese Society of Pathology and John Wiley & Sons Australia, Ltd. This is the accepted version of the following article, which has been published in final form at https://onlinelibrary.wiley.com/doi/full/10.1111/pin.12778
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/30811747
Subjects
mutation
neoplasm
pancreas
Publication Status
Published
Coverage Spatial
Australia
Date Publish Online
2019-02-27