Whole-exome sequencing identified mutational profiles of urothelial carcinoma post kidney transplantation

Abstract Kidney transplantation is a lifesaving option for patients with end-stage kidney disease. In Taiwan, urothelial carcinoma (UC) is the most common de novo cancer after kidney transplantation (KT). UC has a greater degree of molecular heterogeneity than do other solid tumors. Few studies have...

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Main Authors: Lee-Moay Lim, Wen-Yu Chung, Daw-Yang Hwang, Chih-Chuan Yu, Hung-Lung Ke, Peir-In Liang, Ting-Wei Lin, Siao Muk Cheng, A-Mei Huang, Hung-Tien Kuo
Format: Article
Language:English
Published: BMC 2022-07-01
Series:Journal of Translational Medicine
Subjects:
Online Access:https://doi.org/10.1186/s12967-022-03522-4
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author Lee-Moay Lim
Wen-Yu Chung
Daw-Yang Hwang
Chih-Chuan Yu
Hung-Lung Ke
Peir-In Liang
Ting-Wei Lin
Siao Muk Cheng
A-Mei Huang
Hung-Tien Kuo
author_facet Lee-Moay Lim
Wen-Yu Chung
Daw-Yang Hwang
Chih-Chuan Yu
Hung-Lung Ke
Peir-In Liang
Ting-Wei Lin
Siao Muk Cheng
A-Mei Huang
Hung-Tien Kuo
author_sort Lee-Moay Lim
collection DOAJ
description Abstract Kidney transplantation is a lifesaving option for patients with end-stage kidney disease. In Taiwan, urothelial carcinoma (UC) is the most common de novo cancer after kidney transplantation (KT). UC has a greater degree of molecular heterogeneity than do other solid tumors. Few studies have explored genomic alterations in UC after KT. We performed whole-exome sequencing to compare the genetic alterations in UC developed after kidney transplantation (UCKT) and in UC in patients on hemodialysis (UCHD). After mapping and variant calling, 18,733 and 11,093 variants were identified in patients with UCKT and UCHD, respectively. We excluded known single-nucleotide polymorphisms (SNPs) and retained genes that were annotated in the Catalogue of Somatic Mutations in Cancer (COSMIC), in the Integrative Onco Genomic cancer mutations browser (IntOGen), and in the Cancer Genome Atlas (TCGA) database of genes associated with bladder cancer. A total of 14 UCKT-specific genes with SNPs identified in more than two patients were included in further analyses. The single-base substitution (SBS) profile and signatures showed a relative high T > A pattern compared to COMSIC UC mutations. Ingenuity pathway analysis was used to explore the connections among these genes. GNAQ, IKZF1, and NTRK3 were identified as potentially involved in the signaling network of UCKT. The genetic analysis of posttransplant malignancies may elucidate a fundamental aspect of the molecular pathogenesis of UCKT.
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spelling doaj.art-ae7e7039684448ee8248bbf8416ab6da2022-12-22T03:04:50ZengBMCJournal of Translational Medicine1479-58762022-07-0120111410.1186/s12967-022-03522-4Whole-exome sequencing identified mutational profiles of urothelial carcinoma post kidney transplantationLee-Moay Lim0Wen-Yu Chung1Daw-Yang Hwang2Chih-Chuan Yu3Hung-Lung Ke4Peir-In Liang5Ting-Wei Lin6Siao Muk Cheng7A-Mei Huang8Hung-Tien Kuo9Graduate Institute of Clinical Medicine, College of Medicine, Kaohsiung Medical UniversityDepartment of Computer Science and Information Engineering, National Kaohsiung University of Science and TechnologyNational Institute of Cancer Research, National Health Research InstituteNational Institute of Cancer Research, National Health Research InstituteDepartment of Urology, Kaohsiung Medical University Hospital, Kaohsiung Medical UniversityDepartment of Pathology, Kaohsiung Medical University Hospital, Kaohsiung Medical UniversityGraduate Institute of Clinical Medicine, College of Medicine, Kaohsiung Medical UniversityNational Institute of Cancer Research, National Health Research InstituteGraduate Institute of Clinical Medicine, College of Medicine, Kaohsiung Medical UniversityDivision of Nephrology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical UniversityAbstract Kidney transplantation is a lifesaving option for patients with end-stage kidney disease. In Taiwan, urothelial carcinoma (UC) is the most common de novo cancer after kidney transplantation (KT). UC has a greater degree of molecular heterogeneity than do other solid tumors. Few studies have explored genomic alterations in UC after KT. We performed whole-exome sequencing to compare the genetic alterations in UC developed after kidney transplantation (UCKT) and in UC in patients on hemodialysis (UCHD). After mapping and variant calling, 18,733 and 11,093 variants were identified in patients with UCKT and UCHD, respectively. We excluded known single-nucleotide polymorphisms (SNPs) and retained genes that were annotated in the Catalogue of Somatic Mutations in Cancer (COSMIC), in the Integrative Onco Genomic cancer mutations browser (IntOGen), and in the Cancer Genome Atlas (TCGA) database of genes associated with bladder cancer. A total of 14 UCKT-specific genes with SNPs identified in more than two patients were included in further analyses. The single-base substitution (SBS) profile and signatures showed a relative high T > A pattern compared to COMSIC UC mutations. Ingenuity pathway analysis was used to explore the connections among these genes. GNAQ, IKZF1, and NTRK3 were identified as potentially involved in the signaling network of UCKT. The genetic analysis of posttransplant malignancies may elucidate a fundamental aspect of the molecular pathogenesis of UCKT.https://doi.org/10.1186/s12967-022-03522-4Kidney transplantationMalignancyUrothelial carcinomaWhole exome sequencingMutations
spellingShingle Lee-Moay Lim
Wen-Yu Chung
Daw-Yang Hwang
Chih-Chuan Yu
Hung-Lung Ke
Peir-In Liang
Ting-Wei Lin
Siao Muk Cheng
A-Mei Huang
Hung-Tien Kuo
Whole-exome sequencing identified mutational profiles of urothelial carcinoma post kidney transplantation
Journal of Translational Medicine
Kidney transplantation
Malignancy
Urothelial carcinoma
Whole exome sequencing
Mutations
title Whole-exome sequencing identified mutational profiles of urothelial carcinoma post kidney transplantation
title_full Whole-exome sequencing identified mutational profiles of urothelial carcinoma post kidney transplantation
title_fullStr Whole-exome sequencing identified mutational profiles of urothelial carcinoma post kidney transplantation
title_full_unstemmed Whole-exome sequencing identified mutational profiles of urothelial carcinoma post kidney transplantation
title_short Whole-exome sequencing identified mutational profiles of urothelial carcinoma post kidney transplantation
title_sort whole exome sequencing identified mutational profiles of urothelial carcinoma post kidney transplantation
topic Kidney transplantation
Malignancy
Urothelial carcinoma
Whole exome sequencing
Mutations
url https://doi.org/10.1186/s12967-022-03522-4
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