Lehrer Steven, Rheinstein Peter H
Department of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, NY, U.S.A.
Severn Health Solutions, Severna Park, MD, U.S.A.
Cancer Diagn Progn. 2021 Jul 3;1(4):275-277. doi: 10.21873/cdp.10035. eCollection 2021 Sep-Oct.
BACKGROUND/AIM: It was recently shown that rare germline loss-of-function variants in the tyrosine-protein phosphatase non-receptor type 14 (PTPN14) gene conferred substantial risk of basal cell carcinoma (BCC). A follow-up investigation of 24 cancers and three benign tumor types showed that PTPN14 loss-of-function variants were associated with high risk of cervical cancer and early age at diagnosis. We used the Cancer Genome Atlas (TCGA) to further evaluate the PTPN14 - cervical cancer association.
We analyzed the Genomic Data Commons (GDC) TCGA Cervical Cancer (CESC) data set. We used cBioPortal for Cancer Genomics to access data in TCGA. cBioPortal provides visualization, analysis and download options for large-scale cancer genomic data sets. We also accessed TCGA data with the University of California Santa Cruz (UCSC) Xena Browser. UCSC Xena allows users to explore functional genomic data sets for assessing correlations between genomic and/or phenotypic variables.
Ten patients with PTPN14 mutations had significantly better survival than 266 patients without PTPN14 mutations (p=0.05 log rank test). In the Human Protein Atlas, low expression of PTPN14 in 85 TCGA cervical cancer specimens was associated with better survival than high expression in 206 cervical cancer specimens.
In general, factors that affect the risk of a cancer have the same effect on prognosis. For example, history of allergy reduces risk of malignant brain tumors and improves prognosis. However, this relationship is not the case for PTPN14. We conclude that in TCGA cervical cancer specimens, PTPN14 mutation is a favorable prognostic factor. However, germline variants of PTPN14 confer a worse prognosis. Further studies of the specific mutations would be worthwhile.
背景/目的:最近的研究表明,酪氨酸蛋白磷酸酶非受体14型(PTPN14)基因中罕见的种系功能丧失变异会显著增加基底细胞癌(BCC)的风险。一项对24种癌症和3种良性肿瘤类型的后续调查显示,PTPN14功能丧失变异与宫颈癌风险高及诊断时年龄较早相关。我们利用癌症基因组图谱(TCGA)进一步评估PTPN14与宫颈癌的关联。
我们分析了基因组数据共享库(GDC)的TCGA宫颈癌(CESC)数据集。我们使用癌症基因组学的cBioPortal来访问TCGA中的数据。cBioPortal为大规模癌症基因组数据集提供可视化、分析和下载选项。我们还通过加利福尼亚大学圣克鲁兹分校(UCSC)的Xena浏览器访问TCGA数据。UCSC Xena允许用户探索功能基因组数据集,以评估基因组和/或表型变量之间的相关性。
10例PTPN14突变患者的生存率明显优于266例无PTPN14突变的患者(对数秩检验,p = 0.05)。在人类蛋白质图谱中,85例TCGA宫颈癌标本中PTPN14低表达与206例宫颈癌标本中高表达相比,生存率更高。
一般来说,影响癌症风险的因素对预后有相同的影响。例如,过敏史可降低恶性脑肿瘤的风险并改善预后。然而,PTPN14并非如此。我们得出结论,在TCGA宫颈癌标本中,PTPN14突变是一个有利的预后因素。然而,PTPN14的种系变异预后较差。对特定突变进行进一步研究是值得的。