Driver mutations in USP8 wild type Cushing's disease
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Driver mutations in USP8 wild type Cushing's disease. / Sbiera, Silviu; Perez-Rivas, Luis Gustavo; Taranets, Lyudmyla; Weigand, Isabel; Flitsch, Jörg; Graf, Elisabeth; Monoranu, Camelia-Maria; Saeger, Wolfgang; Hagel, Christian; Honegger, Jürgen; Assie, Guillaume; Hermus, Ad R; Stalla, Günter K; Herterich, Sabine; Ronchi, Cristina L; Deutschbein, Timo; Reincke, Martin; Strom, Tim M; Popov, Nikita; Theodoropoulou, Marily; Fassnacht, Martin.
In: NEURO-ONCOLOGY, Vol. 21, No. 10, 09.10.2019, p. 1273-1283.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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T1 - Driver mutations in USP8 wild type Cushing's disease
AU - Sbiera, Silviu
AU - Perez-Rivas, Luis Gustavo
AU - Taranets, Lyudmyla
AU - Weigand, Isabel
AU - Flitsch, Jörg
AU - Graf, Elisabeth
AU - Monoranu, Camelia-Maria
AU - Saeger, Wolfgang
AU - Hagel, Christian
AU - Honegger, Jürgen
AU - Assie, Guillaume
AU - Hermus, Ad R
AU - Stalla, Günter K
AU - Herterich, Sabine
AU - Ronchi, Cristina L
AU - Deutschbein, Timo
AU - Reincke, Martin
AU - Strom, Tim M
AU - Popov, Nikita
AU - Theodoropoulou, Marily
AU - Fassnacht, Martin
N1 - © The Author(s) 2019. Published by Oxford University Press on behalf of the Society for Neuro-Oncology.
PY - 2019/10/9
Y1 - 2019/10/9
N2 - BACKGROUND: Medical treatment in Cushing's disease (CD) is limited due to poor understanding of its pathogenesis. Pathogenic variants of ubiquitin specific peptidase 8 (USP8) have been confirmed as causative in around half of corticotroph tumors. We aimed to further characterize the molecular landscape of those CD tumors lacking USP8 mutations in a large cohort of patients.METHODS: Exome sequencing was performed on 18 paired tumor-blood samples with wild-type USP8 status. Candidate gene variants were screened by Sanger sequencing in 175 additional samples. The most frequent variant was characterized by further functional in vitro assays.RESULTS: Recurrent somatic hotspot mutations in another deubiquitinase, USP48, were found in 10.3% of analyzed samples. Several possibly damaging variants were found in TP53 in 6 of 18 samples. USP48 variants were associated with smaller tumors and trended toward higher frequency in female patients. They also changed the structural conformation of USP48 and increased its catalytic activity toward its physiological substrates histone 2A and zinc finger protein Gli1, as well as enhanced the stimulatory effect of corticotropin releasing hormone (CRH) on pro-opiomelanocortin production and adrenocorticotropic hormone secretion.CONCLUSIONS: USP48 pathogenic variants are relatively frequent in USP8 wild-type tumors and enhance CRH-induced hormone production in a manner coherent with sonic hedgehog activation. In addition, TP53 pathogenic variants may be more frequent in larger CD tumors than previously reported.
AB - BACKGROUND: Medical treatment in Cushing's disease (CD) is limited due to poor understanding of its pathogenesis. Pathogenic variants of ubiquitin specific peptidase 8 (USP8) have been confirmed as causative in around half of corticotroph tumors. We aimed to further characterize the molecular landscape of those CD tumors lacking USP8 mutations in a large cohort of patients.METHODS: Exome sequencing was performed on 18 paired tumor-blood samples with wild-type USP8 status. Candidate gene variants were screened by Sanger sequencing in 175 additional samples. The most frequent variant was characterized by further functional in vitro assays.RESULTS: Recurrent somatic hotspot mutations in another deubiquitinase, USP48, were found in 10.3% of analyzed samples. Several possibly damaging variants were found in TP53 in 6 of 18 samples. USP48 variants were associated with smaller tumors and trended toward higher frequency in female patients. They also changed the structural conformation of USP48 and increased its catalytic activity toward its physiological substrates histone 2A and zinc finger protein Gli1, as well as enhanced the stimulatory effect of corticotropin releasing hormone (CRH) on pro-opiomelanocortin production and adrenocorticotropic hormone secretion.CONCLUSIONS: USP48 pathogenic variants are relatively frequent in USP8 wild-type tumors and enhance CRH-induced hormone production in a manner coherent with sonic hedgehog activation. In addition, TP53 pathogenic variants may be more frequent in larger CD tumors than previously reported.
U2 - 10.1093/neuonc/noz109
DO - 10.1093/neuonc/noz109
M3 - SCORING: Journal article
C2 - 31222332
VL - 21
SP - 1273
EP - 1283
JO - NEURO-ONCOLOGY
JF - NEURO-ONCOLOGY
SN - 1522-8517
IS - 10
ER -