Hotspots of Somatic Genetic Variation in Pituitary Neuroendocrine Tumors

The most common genetic drivers of pituitary neuroendocrine tumors (PitNETs) lie within mutational hotspots, which are genomic regions where variants tend to cluster. Some of these hotspot defects are unique to PitNETs, while others are associated with additional neoplasms. Hotspot variants in <i...

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Main Authors: Mariana Torres-Morán, Alexa L. Franco-Álvarez, Rosa G. Rebollar-Vega, Laura C. Hernández-Ramírez
Format: Article
Language:English
Published: MDPI AG 2023-12-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/15/23/5685
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author Mariana Torres-Morán
Alexa L. Franco-Álvarez
Rosa G. Rebollar-Vega
Laura C. Hernández-Ramírez
author_facet Mariana Torres-Morán
Alexa L. Franco-Álvarez
Rosa G. Rebollar-Vega
Laura C. Hernández-Ramírez
author_sort Mariana Torres-Morán
collection DOAJ
description The most common genetic drivers of pituitary neuroendocrine tumors (PitNETs) lie within mutational hotspots, which are genomic regions where variants tend to cluster. Some of these hotspot defects are unique to PitNETs, while others are associated with additional neoplasms. Hotspot variants in <i>GNAS</i> and <i>USP8</i> are the most common genetic causes of acromegaly and Cushing’s disease, respectively. Although it has been proposed that these genetic defects could define specific clinical phenotypes, results are highly variable among studies. In contrast, <i>DICER1</i> hotspot variants are associated with a familial syndrome of cancer predisposition, and only exceptionally occur as somatic changes. A small number of non-<i>USP8</i>-driven corticotropinomas are due to somatic hotspot variants in <i>USP48</i> or <i>BRAF</i>; the latter is a well-known mutational hotspot in cancer. Finally, somatic variants affecting a hotspot in <i>SF3B1</i> have been associated with multiple cancers and, more recently, with prolactinomas. Since the associations of <i>BRAF</i>, <i>USP48</i>, and <i>SF3B1</i> hotspot variants with PitNETs are very recent, their effects on clinical phenotypes are still unknown. Further research is required to fully define the role of these genetic defects as disease biomarkers and therapeutic targets.
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spelling doaj.art-404c5ea68fc04e128476773a17ec6ec82023-12-08T15:12:56ZengMDPI AGCancers2072-66942023-12-011523568510.3390/cancers15235685Hotspots of Somatic Genetic Variation in Pituitary Neuroendocrine TumorsMariana Torres-Morán0Alexa L. Franco-Álvarez1Rosa G. Rebollar-Vega2Laura C. Hernández-Ramírez3Red de Apoyo a la Investigación, Coordinación de la Investigación Científica, Universidad Nacional Autónoma de México e Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City 14080, MexicoRed de Apoyo a la Investigación, Coordinación de la Investigación Científica, Universidad Nacional Autónoma de México e Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City 14080, MexicoRed de Apoyo a la Investigación, Coordinación de la Investigación Científica, Universidad Nacional Autónoma de México e Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City 14080, MexicoRed de Apoyo a la Investigación, Coordinación de la Investigación Científica, Universidad Nacional Autónoma de México e Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City 14080, MexicoThe most common genetic drivers of pituitary neuroendocrine tumors (PitNETs) lie within mutational hotspots, which are genomic regions where variants tend to cluster. Some of these hotspot defects are unique to PitNETs, while others are associated with additional neoplasms. Hotspot variants in <i>GNAS</i> and <i>USP8</i> are the most common genetic causes of acromegaly and Cushing’s disease, respectively. Although it has been proposed that these genetic defects could define specific clinical phenotypes, results are highly variable among studies. In contrast, <i>DICER1</i> hotspot variants are associated with a familial syndrome of cancer predisposition, and only exceptionally occur as somatic changes. A small number of non-<i>USP8</i>-driven corticotropinomas are due to somatic hotspot variants in <i>USP48</i> or <i>BRAF</i>; the latter is a well-known mutational hotspot in cancer. Finally, somatic variants affecting a hotspot in <i>SF3B1</i> have been associated with multiple cancers and, more recently, with prolactinomas. Since the associations of <i>BRAF</i>, <i>USP48</i>, and <i>SF3B1</i> hotspot variants with PitNETs are very recent, their effects on clinical phenotypes are still unknown. Further research is required to fully define the role of these genetic defects as disease biomarkers and therapeutic targets.https://www.mdpi.com/2072-6694/15/23/5685genetic drivermutational hotspotpituitary neuroendocrine tumorsomatic variantdruggable target
spellingShingle Mariana Torres-Morán
Alexa L. Franco-Álvarez
Rosa G. Rebollar-Vega
Laura C. Hernández-Ramírez
Hotspots of Somatic Genetic Variation in Pituitary Neuroendocrine Tumors
Cancers
genetic driver
mutational hotspot
pituitary neuroendocrine tumor
somatic variant
druggable target
title Hotspots of Somatic Genetic Variation in Pituitary Neuroendocrine Tumors
title_full Hotspots of Somatic Genetic Variation in Pituitary Neuroendocrine Tumors
title_fullStr Hotspots of Somatic Genetic Variation in Pituitary Neuroendocrine Tumors
title_full_unstemmed Hotspots of Somatic Genetic Variation in Pituitary Neuroendocrine Tumors
title_short Hotspots of Somatic Genetic Variation in Pituitary Neuroendocrine Tumors
title_sort hotspots of somatic genetic variation in pituitary neuroendocrine tumors
topic genetic driver
mutational hotspot
pituitary neuroendocrine tumor
somatic variant
druggable target
url https://www.mdpi.com/2072-6694/15/23/5685
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AT laurachernandezramirez hotspotsofsomaticgeneticvariationinpituitaryneuroendocrinetumors