The mitochondrial genome as a modifier of autism versus cancer phenotypes in PTEN hamartoma tumor syndrome

Summary: Cancer and autism spectrum disorder/developmental delay (ASD/DD) are two common clinical phenotypes in individuals with germline PTEN variants (PTEN hamartoma tumor syndrome, PHTS). Burgeoning studies have shown that genomic and metabolomic factors may act as modifiers of ASD/DD versus canc...

Full description

Bibliographic Details
Main Authors: Ruipeng Wei, Lamis Yehia, Ying Ni, Charis Eng
Format: Article
Language:English
Published: Elsevier 2023-07-01
Series:HGG Advances
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666247723000313
_version_ 1827950733270450176
author Ruipeng Wei
Lamis Yehia
Ying Ni
Charis Eng
author_facet Ruipeng Wei
Lamis Yehia
Ying Ni
Charis Eng
author_sort Ruipeng Wei
collection DOAJ
description Summary: Cancer and autism spectrum disorder/developmental delay (ASD/DD) are two common clinical phenotypes in individuals with germline PTEN variants (PTEN hamartoma tumor syndrome, PHTS). Burgeoning studies have shown that genomic and metabolomic factors may act as modifiers of ASD/DD versus cancer in PHTS. Recently, we showed copy number variations to be associated with ASD/DD versus cancer in these PHTS individuals. We also found that mitochondrial complex II variants occurring in 10% of PHTS individuals modify breast cancer risk and thyroid cancer histology. These studies suggest that mitochondrial pathways could act as important factors in PHTS phenotype development. However, the mitochondrial genome (mtDNA) has never been systematically studied in PHTS. We therefore investigated the mtDNA landscape extracted from whole-genome sequencing data from 498 PHTS individuals, including 164 with ASD/DD (PHTS-onlyASD/DD), 184 with cancer (PHTS-onlyCancer), 132 with neither ASD/DD nor cancer (PHTS-neither), and 18 with both ASD/DD and cancer (PHTS-ASDCancer). We demonstrate that PHTS-onlyASD/DD has significantly higher mtDNA copy number than PHTS-onlyCancer group (p = 9.2 × 10−3 in all samples; p = 4.2 × 10−3 in the H haplogroup). PHTS-neither group has significantly higher mtDNA variant burden than PHTS-ASDCancer group (p = 4.6 × 10−2); the PHTS-noCancer group (PHTS-onlyASD/DD and PHTS-neither groups) also shows higher variant burden than the PHTS-Cancer group (PHTS-onlyCancer and PHTS-ASD/Cancer groups; p = 3.3 × 10−2). Our study implicates the mtDNA as a modifier of ASD/DD versus cancer phenotype development in PHTS.
first_indexed 2024-04-09T13:30:08Z
format Article
id doaj.art-e7c8df4c90a34e4bb49f13c40e69ed46
institution Directory Open Access Journal
issn 2666-2477
language English
last_indexed 2024-04-09T13:30:08Z
publishDate 2023-07-01
publisher Elsevier
record_format Article
series HGG Advances
spelling doaj.art-e7c8df4c90a34e4bb49f13c40e69ed462023-05-10T04:19:56ZengElsevierHGG Advances2666-24772023-07-0143100199The mitochondrial genome as a modifier of autism versus cancer phenotypes in PTEN hamartoma tumor syndromeRuipeng Wei0Lamis Yehia1Ying Ni2Charis Eng3Genomic Medicine Institute, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USA; Department of Nutrition, Case Western Reserve University School of Medicine, Cleveland, OH 44106, USAGenomic Medicine Institute, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USACenter for Immunotherapy & Precision Immuno-Oncology, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USAGenomic Medicine Institute, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USA; Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH 44195, USA; Department of Genetics and Genome Sciences, Case Western Reserve University School of Medicine, Cleveland, OH 44106, USA; Germline High Risk Cancer Focus Group, Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, OH 44106, USA; Corresponding authorSummary: Cancer and autism spectrum disorder/developmental delay (ASD/DD) are two common clinical phenotypes in individuals with germline PTEN variants (PTEN hamartoma tumor syndrome, PHTS). Burgeoning studies have shown that genomic and metabolomic factors may act as modifiers of ASD/DD versus cancer in PHTS. Recently, we showed copy number variations to be associated with ASD/DD versus cancer in these PHTS individuals. We also found that mitochondrial complex II variants occurring in 10% of PHTS individuals modify breast cancer risk and thyroid cancer histology. These studies suggest that mitochondrial pathways could act as important factors in PHTS phenotype development. However, the mitochondrial genome (mtDNA) has never been systematically studied in PHTS. We therefore investigated the mtDNA landscape extracted from whole-genome sequencing data from 498 PHTS individuals, including 164 with ASD/DD (PHTS-onlyASD/DD), 184 with cancer (PHTS-onlyCancer), 132 with neither ASD/DD nor cancer (PHTS-neither), and 18 with both ASD/DD and cancer (PHTS-ASDCancer). We demonstrate that PHTS-onlyASD/DD has significantly higher mtDNA copy number than PHTS-onlyCancer group (p = 9.2 × 10−3 in all samples; p = 4.2 × 10−3 in the H haplogroup). PHTS-neither group has significantly higher mtDNA variant burden than PHTS-ASDCancer group (p = 4.6 × 10−2); the PHTS-noCancer group (PHTS-onlyASD/DD and PHTS-neither groups) also shows higher variant burden than the PHTS-Cancer group (PHTS-onlyCancer and PHTS-ASD/Cancer groups; p = 3.3 × 10−2). Our study implicates the mtDNA as a modifier of ASD/DD versus cancer phenotype development in PHTS.http://www.sciencedirect.com/science/article/pii/S2666247723000313PTENgenomic modifiersmitochondrial DNA (mtDNA)autism spectrum disordercancer
spellingShingle Ruipeng Wei
Lamis Yehia
Ying Ni
Charis Eng
The mitochondrial genome as a modifier of autism versus cancer phenotypes in PTEN hamartoma tumor syndrome
HGG Advances
PTEN
genomic modifiers
mitochondrial DNA (mtDNA)
autism spectrum disorder
cancer
title The mitochondrial genome as a modifier of autism versus cancer phenotypes in PTEN hamartoma tumor syndrome
title_full The mitochondrial genome as a modifier of autism versus cancer phenotypes in PTEN hamartoma tumor syndrome
title_fullStr The mitochondrial genome as a modifier of autism versus cancer phenotypes in PTEN hamartoma tumor syndrome
title_full_unstemmed The mitochondrial genome as a modifier of autism versus cancer phenotypes in PTEN hamartoma tumor syndrome
title_short The mitochondrial genome as a modifier of autism versus cancer phenotypes in PTEN hamartoma tumor syndrome
title_sort mitochondrial genome as a modifier of autism versus cancer phenotypes in pten hamartoma tumor syndrome
topic PTEN
genomic modifiers
mitochondrial DNA (mtDNA)
autism spectrum disorder
cancer
url http://www.sciencedirect.com/science/article/pii/S2666247723000313
work_keys_str_mv AT ruipengwei themitochondrialgenomeasamodifierofautismversuscancerphenotypesinptenhamartomatumorsyndrome
AT lamisyehia themitochondrialgenomeasamodifierofautismversuscancerphenotypesinptenhamartomatumorsyndrome
AT yingni themitochondrialgenomeasamodifierofautismversuscancerphenotypesinptenhamartomatumorsyndrome
AT chariseng themitochondrialgenomeasamodifierofautismversuscancerphenotypesinptenhamartomatumorsyndrome
AT ruipengwei mitochondrialgenomeasamodifierofautismversuscancerphenotypesinptenhamartomatumorsyndrome
AT lamisyehia mitochondrialgenomeasamodifierofautismversuscancerphenotypesinptenhamartomatumorsyndrome
AT yingni mitochondrialgenomeasamodifierofautismversuscancerphenotypesinptenhamartomatumorsyndrome
AT chariseng mitochondrialgenomeasamodifierofautismversuscancerphenotypesinptenhamartomatumorsyndrome