Genomic and transcriptomic profiling reveal molecular characteristics of parathyroid carcinoma

Abstract Genomic and transcriptomic profiling has enhanced the diagnostic and treatment options for many cancers. However, the molecular characteristics of parathyroid cancer remain largely unexplored, thereby limiting the development of new therapeutic interventions. Herein, we conducted genomic an...

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Main Authors: Se-Young Jo, Namki Hong, Seunghyun Lee, Jong Ju Jeong, Jeongsoo Won, Jiho Park, Gi Jeong Kim, Sang Kyum Kim, Sangwoo Kim, Yumie Rhee
Format: Article
Language:English
Published: Nature Publishing Group 2023-05-01
Series:Experimental and Molecular Medicine
Online Access:https://doi.org/10.1038/s12276-023-00968-4
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author Se-Young Jo
Namki Hong
Seunghyun Lee
Jong Ju Jeong
Jeongsoo Won
Jiho Park
Gi Jeong Kim
Sang Kyum Kim
Sangwoo Kim
Yumie Rhee
author_facet Se-Young Jo
Namki Hong
Seunghyun Lee
Jong Ju Jeong
Jeongsoo Won
Jiho Park
Gi Jeong Kim
Sang Kyum Kim
Sangwoo Kim
Yumie Rhee
author_sort Se-Young Jo
collection DOAJ
description Abstract Genomic and transcriptomic profiling has enhanced the diagnostic and treatment options for many cancers. However, the molecular characteristics of parathyroid cancer remain largely unexplored, thereby limiting the development of new therapeutic interventions. Herein, we conducted genomic and transcriptomic sequencing of 50 parathyroid tissues (12 carcinomas, 28 adenomas, and 10 normal tissues) to investigate the intrinsic and comparative molecular features of parathyroid carcinoma. We confirmed multiple two-hit mutation patterns in cell division cycle 73 (CDC73) that converged to biallelic inactivation, calling into question the presence of a second hit in other genes. In addition, allele-specific repression of CDC73 in copies with germline-truncating variants suggested selective pressure prior to tumorigenesis. Transcriptomic analysis identified upregulation of the expression of E2F targets, KRAS and TNF-alpha signaling, and epithelial-mesenchymal transition pathways in carcinomas compared to adenomas and normal tissues. A molecular classification model based on carcinoma-specific genes clearly separated carcinomas from adenomas and normal tissues, the clinical utility of which was demonstrated in two patients with uncertain malignant potential. A deeper analysis of gene expression and functional prediction suggested that Wilms tumor 1 (WT1) is a potential biomarker for CDC73-mutant parathyroid carcinoma, which was further validated through immunohistochemistry. Overall, our study revealed the genomic and transcriptomic profiles of parathyroid carcinoma and may help direct future precision diagnostic and therapeutic improvements.
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spelling doaj.art-64f236f6f6484f1290b950293f5d15942023-06-04T11:07:24ZengNature Publishing GroupExperimental and Molecular Medicine2092-64132023-05-0155588689710.1038/s12276-023-00968-4Genomic and transcriptomic profiling reveal molecular characteristics of parathyroid carcinomaSe-Young Jo0Namki Hong1Seunghyun Lee2Jong Ju Jeong3Jeongsoo Won4Jiho Park5Gi Jeong Kim6Sang Kyum Kim7Sangwoo Kim8Yumie Rhee9Department of Biomedical Systems Informatics, Yonsei University College of MedicineDepartment of Internal Medicine, Severance Hospital, Endocrine Research Institute, Yonsei University College of MedicineDepartment of Internal Medicine, Severance Hospital, Endocrine Research Institute, Yonsei University College of MedicineDepartment of Surgery, Severance Hospital, Yonsei University College of MedicineDepartment of Biomedical Systems Informatics, Yonsei University College of MedicineDepartment of Biomedical Systems Informatics, Yonsei University College of MedicineDepartment of Pathology, Yonsei University College of MedicineDepartment of Pathology, Yonsei University College of MedicineDepartment of Biomedical Systems Informatics, Yonsei University College of MedicineDepartment of Internal Medicine, Severance Hospital, Endocrine Research Institute, Yonsei University College of MedicineAbstract Genomic and transcriptomic profiling has enhanced the diagnostic and treatment options for many cancers. However, the molecular characteristics of parathyroid cancer remain largely unexplored, thereby limiting the development of new therapeutic interventions. Herein, we conducted genomic and transcriptomic sequencing of 50 parathyroid tissues (12 carcinomas, 28 adenomas, and 10 normal tissues) to investigate the intrinsic and comparative molecular features of parathyroid carcinoma. We confirmed multiple two-hit mutation patterns in cell division cycle 73 (CDC73) that converged to biallelic inactivation, calling into question the presence of a second hit in other genes. In addition, allele-specific repression of CDC73 in copies with germline-truncating variants suggested selective pressure prior to tumorigenesis. Transcriptomic analysis identified upregulation of the expression of E2F targets, KRAS and TNF-alpha signaling, and epithelial-mesenchymal transition pathways in carcinomas compared to adenomas and normal tissues. A molecular classification model based on carcinoma-specific genes clearly separated carcinomas from adenomas and normal tissues, the clinical utility of which was demonstrated in two patients with uncertain malignant potential. A deeper analysis of gene expression and functional prediction suggested that Wilms tumor 1 (WT1) is a potential biomarker for CDC73-mutant parathyroid carcinoma, which was further validated through immunohistochemistry. Overall, our study revealed the genomic and transcriptomic profiles of parathyroid carcinoma and may help direct future precision diagnostic and therapeutic improvements.https://doi.org/10.1038/s12276-023-00968-4
spellingShingle Se-Young Jo
Namki Hong
Seunghyun Lee
Jong Ju Jeong
Jeongsoo Won
Jiho Park
Gi Jeong Kim
Sang Kyum Kim
Sangwoo Kim
Yumie Rhee
Genomic and transcriptomic profiling reveal molecular characteristics of parathyroid carcinoma
Experimental and Molecular Medicine
title Genomic and transcriptomic profiling reveal molecular characteristics of parathyroid carcinoma
title_full Genomic and transcriptomic profiling reveal molecular characteristics of parathyroid carcinoma
title_fullStr Genomic and transcriptomic profiling reveal molecular characteristics of parathyroid carcinoma
title_full_unstemmed Genomic and transcriptomic profiling reveal molecular characteristics of parathyroid carcinoma
title_short Genomic and transcriptomic profiling reveal molecular characteristics of parathyroid carcinoma
title_sort genomic and transcriptomic profiling reveal molecular characteristics of parathyroid carcinoma
url https://doi.org/10.1038/s12276-023-00968-4
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