Characterization of a Preclinical In Vitro Model Derived from a SMARCA4-Mutated Sinonasal Teratocarcinosarcoma

Sinonasal teratocarcinosarcoma (TCS) is a rare tumor that displays a variable histology with admixtures of epithelial, mesenchymal, neuroendocrine and germ cell elements. Facing a very poor prognosis, patients with TCS are in need of new options for treatment. Recently identified recurrent mutations...

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Main Authors: Sara Lucila Lorenzo-Guerra, Helena Codina-Martínez, Laura Suárez-Fernández, Virginia N. Cabal, Rocío García-Marín, Cristina Riobello, Blanca Vivanco, Verónica Blanco-Lorenzo, Paula Sánchez-Fernández, Fernando López, Jóse Luis Llorente, Mario A. Hermsen
Format: Article
Language:English
Published: MDPI AG 2023-12-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/13/1/81
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author Sara Lucila Lorenzo-Guerra
Helena Codina-Martínez
Laura Suárez-Fernández
Virginia N. Cabal
Rocío García-Marín
Cristina Riobello
Blanca Vivanco
Verónica Blanco-Lorenzo
Paula Sánchez-Fernández
Fernando López
Jóse Luis Llorente
Mario A. Hermsen
author_facet Sara Lucila Lorenzo-Guerra
Helena Codina-Martínez
Laura Suárez-Fernández
Virginia N. Cabal
Rocío García-Marín
Cristina Riobello
Blanca Vivanco
Verónica Blanco-Lorenzo
Paula Sánchez-Fernández
Fernando López
Jóse Luis Llorente
Mario A. Hermsen
author_sort Sara Lucila Lorenzo-Guerra
collection DOAJ
description Sinonasal teratocarcinosarcoma (TCS) is a rare tumor that displays a variable histology with admixtures of epithelial, mesenchymal, neuroendocrine and germ cell elements. Facing a very poor prognosis, patients with TCS are in need of new options for treatment. Recently identified recurrent mutations in <i>SMARCA4</i> may serve as target for modern therapies with EZH1/2 and CDK4/6 inhibitors. Here, we present the first in vitro cell line TCS627, established from a previously untreated primary TCS originating in the ethmoid sinus with invasion into the brain. The cultured cells expressed immunohistochemical markers, indicating differentiation of epithelial, neuroepithelial, sarcomatous and teratomatous components. Whole-exome sequencing revealed 99 somatic mutations including <i>SMARCA4</i>, <i>ARID2</i>, <i>TET2</i>, <i>CDKN2A</i>, <i>WNT7A</i>, <i>NOTCH3</i> and <i>STAG2</i>, all present both in the primary tumor and in the cell line. Focusing on mutated <i>SMARCA4</i> as the therapeutic target, growth inhibition assays showed a strong response to the CDK4/6 inhibitor palbociclib, but much less to the EZH1/2 inhibitor valemetostat. In conclusion, cell line TCS627 carries both histologic and genetic features characteristic of TCS and is a valuable model for both basic research and preclinical testing of new therapeutic options for treatment of TCS patients.
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spelling doaj.art-9590abd8cef941b5bed520111ef202d92024-01-10T14:53:27ZengMDPI AGCells2073-44092023-12-011318110.3390/cells13010081Characterization of a Preclinical In Vitro Model Derived from a SMARCA4-Mutated Sinonasal TeratocarcinosarcomaSara Lucila Lorenzo-Guerra0Helena Codina-Martínez1Laura Suárez-Fernández2Virginia N. Cabal3Rocío García-Marín4Cristina Riobello5Blanca Vivanco6Verónica Blanco-Lorenzo7Paula Sánchez-Fernández8Fernando López9Jóse Luis Llorente10Mario A. Hermsen11Department of Head and Neck Cancer, Health Research Institute of the Principality of Asturias, 33011 Oviedo, SpainDepartment of Head and Neck Cancer, Health Research Institute of the Principality of Asturias, 33011 Oviedo, SpainDepartment of Head and Neck Cancer, Health Research Institute of the Principality of Asturias, 33011 Oviedo, SpainDepartment of Head and Neck Cancer, Health Research Institute of the Principality of Asturias, 33011 Oviedo, SpainDepartment of Head and Neck Cancer, Health Research Institute of the Principality of Asturias, 33011 Oviedo, SpainDepartment of Head and Neck Cancer, Health Research Institute of the Principality of Asturias, 33011 Oviedo, SpainDepartment of Pathology, Hospital Universitario Central de Asturias, 33011 Oviedo, SpainDepartment of Pathology, Hospital Universitario Central de Asturias, 33011 Oviedo, SpainDepartment of Otolaryngology, Hospital Universitario Central de Asturias, 33011 Oviedo, SpainDepartment of Otolaryngology, Hospital Universitario Central de Asturias, 33011 Oviedo, SpainDepartment of Otolaryngology, Hospital Universitario Central de Asturias, 33011 Oviedo, SpainDepartment of Head and Neck Cancer, Health Research Institute of the Principality of Asturias, 33011 Oviedo, SpainSinonasal teratocarcinosarcoma (TCS) is a rare tumor that displays a variable histology with admixtures of epithelial, mesenchymal, neuroendocrine and germ cell elements. Facing a very poor prognosis, patients with TCS are in need of new options for treatment. Recently identified recurrent mutations in <i>SMARCA4</i> may serve as target for modern therapies with EZH1/2 and CDK4/6 inhibitors. Here, we present the first in vitro cell line TCS627, established from a previously untreated primary TCS originating in the ethmoid sinus with invasion into the brain. The cultured cells expressed immunohistochemical markers, indicating differentiation of epithelial, neuroepithelial, sarcomatous and teratomatous components. Whole-exome sequencing revealed 99 somatic mutations including <i>SMARCA4</i>, <i>ARID2</i>, <i>TET2</i>, <i>CDKN2A</i>, <i>WNT7A</i>, <i>NOTCH3</i> and <i>STAG2</i>, all present both in the primary tumor and in the cell line. Focusing on mutated <i>SMARCA4</i> as the therapeutic target, growth inhibition assays showed a strong response to the CDK4/6 inhibitor palbociclib, but much less to the EZH1/2 inhibitor valemetostat. In conclusion, cell line TCS627 carries both histologic and genetic features characteristic of TCS and is a valuable model for both basic research and preclinical testing of new therapeutic options for treatment of TCS patients.https://www.mdpi.com/2073-4409/13/1/81sinonasal cancerteratocarcinosarcomain vitro modelexome sequencingSMARCA4 mutationpreclinical drug testing
spellingShingle Sara Lucila Lorenzo-Guerra
Helena Codina-Martínez
Laura Suárez-Fernández
Virginia N. Cabal
Rocío García-Marín
Cristina Riobello
Blanca Vivanco
Verónica Blanco-Lorenzo
Paula Sánchez-Fernández
Fernando López
Jóse Luis Llorente
Mario A. Hermsen
Characterization of a Preclinical In Vitro Model Derived from a SMARCA4-Mutated Sinonasal Teratocarcinosarcoma
Cells
sinonasal cancer
teratocarcinosarcoma
in vitro model
exome sequencing
SMARCA4 mutation
preclinical drug testing
title Characterization of a Preclinical In Vitro Model Derived from a SMARCA4-Mutated Sinonasal Teratocarcinosarcoma
title_full Characterization of a Preclinical In Vitro Model Derived from a SMARCA4-Mutated Sinonasal Teratocarcinosarcoma
title_fullStr Characterization of a Preclinical In Vitro Model Derived from a SMARCA4-Mutated Sinonasal Teratocarcinosarcoma
title_full_unstemmed Characterization of a Preclinical In Vitro Model Derived from a SMARCA4-Mutated Sinonasal Teratocarcinosarcoma
title_short Characterization of a Preclinical In Vitro Model Derived from a SMARCA4-Mutated Sinonasal Teratocarcinosarcoma
title_sort characterization of a preclinical in vitro model derived from a smarca4 mutated sinonasal teratocarcinosarcoma
topic sinonasal cancer
teratocarcinosarcoma
in vitro model
exome sequencing
SMARCA4 mutation
preclinical drug testing
url https://www.mdpi.com/2073-4409/13/1/81
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