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SWI/SNF 结构改变在膀胱鳞状细胞癌中的作用。

SWI/SNF Alterations in Squamous Bladder Cancers.

机构信息

Institute of Pathology, RWTH Aachen University, Pauwelsstrasse 30, 52074 Aachen, Germany.

Institute of Pathology, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), 91054 Erlangen, Germany.

出版信息

Genes (Basel). 2020 Nov 19;11(11):1368. doi: 10.3390/genes11111368.

Abstract

Dysfunction of the SWI/SNF complex has been observed in various cancers including urothelial carcinomas. However, the clinical impact of the SWI/SNF complex in squamous-differentiated bladder cancers (sq-BLCA) remains unclear. Therefore, we aimed to analyze potential expression loss and genetic alterations of (putative) key components of the SWI/SNF complex considering the co-occurrence of genetic driver mutations and PD-L1 expression as indicators for therapeutic implications. Assessment of , , , , , and mutations in a TCGA data set of sq-BLCA ( = 45) revealed that was the most frequently altered SWI/SNF gene (15%) while being associated with protein downregulation. Genetic alterations and loss of ARID1A were confirmed by Targeted Next Generation Sequencing (NGS) (3/6) and immunohistochemistry (6/116). Correlation with further mutational data and PD-L1 expression revealed co-occurrence of ARID1A loss and mutations, while positive correlations with other driver mutations such as were not observed. Finally, a rare number of sq-BLCA samples were characterized by both ARID1A protein loss and strong PD-L1 expression suggesting a putative benefit upon immune checkpoint inhibitor therapy. Hence, for the first time, our data revealed expression loss of SWI/SNF subunits in sq-BLCA, highlighting ARID1A as a putative target of a small subgroup of patients eligible for novel therapeutic strategies.

摘要

SWI/SNF 复合物功能障碍已在多种癌症中观察到,包括尿路上皮癌。然而,SWI/SNF 复合物在鳞状分化型膀胱癌 (sq-BLCA) 中的临床意义尚不清楚。因此,我们旨在分析潜在的表达缺失和 (假定)SWI/SNF 复合物关键成分的遗传改变,考虑到遗传驱动突变和 PD-L1 表达的共同发生作为治疗意义的指标。在 TCGA 的 sq-BLCA 数据集中评估了 ( = 45) 、 、 、 、 和 的突变,结果表明 是最常改变的 SWI/SNF 基因 (15%),同时与蛋白下调相关。通过靶向下一代测序 (NGS) (3/6) 和免疫组织化学 (6/116) 证实了遗传改变和 ARID1A 的缺失。与进一步的突变数据和 PD-L1 表达的相关性显示 ARID1A 缺失和 突变的共同发生,而与其他驱动突变如 则没有观察到相关性。最后,少数 sq-BLCA 样本同时表现出 ARID1A 蛋白缺失和强烈的 PD-L1 表达,提示对免疫检查点抑制剂治疗可能有潜在的益处。因此,我们的数据首次揭示了 SWI/SNF 亚基在 sq-BLCA 中的表达缺失,突出了 ARID1A 作为一小部分适合新型治疗策略的患者的潜在靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/854e/7699259/bb4d7e359d48/genes-11-01368-g001.jpg

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