New somatic TERT promoter variants enhance the Telomerase activity in Glioblastoma

Acta Neuropathologica Communications - Tập 8 - Trang 1-10 - 2020
Tiziana Pierini1, Carlotta Nardelli1, Anair Graciela Lema Fernandez1, Valentina Pierini1, Fabrizia Pellanera1, Valeria Nofrini1, Paolo Gorello1, Martina Moretti1, Silvia Arniani1, Giovanni Roti2, Paolo Giovenali3, Marco Lupattelli4, Giulio Metro5, Carmen Molica5, Corrado Castrioto6, Rodolfo Corinaldesi6, Maria Elena Laurenti7, Stefano Ascani7, Cristina Mecucci1, Roberta La Starza1
1Molecular Medicine Laboratory, Centro di Ricerche Emato-Oncologiche (C.R.E.O.), S. Maria della Misericordia Hospital, University of Perugia, Perugia, Italy
2Hematology and Center of Bone Marrow Transplants, Medicine and Surgery Department, University and Hospital of Parma, Parma, Italy
3Diagnostic Cytology and Histology Unit, S. Maria Della Misericordia Hospital, Perugia, Italy
4Division of Radiotherapy, S. Maria della Misericordia Hospital, Perugia, Italy
5Medical Oncology, S. Maria della Misericordia Hospital, Perugia, ITALY
6Division of Neurosurgery, S. Maria della Misericordia Hospital, Perugia, Italy
7Pathology Unit, S. Maria Hospital, Terni, Italy

Tóm tắt

The catalytic activity of human Telomerase Reverse Transcriptase (TERT) compensates for the loss of telomere length, eroded during each cell cycle, to ensure a correct division of stem and germinal cells. In human tumors, ectopic TERT reactivation, most frequently due to hotspot mutations in the promoter region (TERTp), i.e. c.1-124 C > T, c.1-146 C > T, confers a proliferative advantage to neoplastic cells. In gliomas, TERTp mutations (TERTpmut) mainly occur in oligodendroglioma and glioblastoma. We screened, for TERTp hotspot mutations, 301 adult patients with gliomas and identified heterozygous mutations in 239 cases: 94% of oligodendroglioma, 85% of glioblastoma, and 37.5% of diffuse/anaplastic astrocytoma. Besides the recurrent c.1-124 C > T and c.1-146 C > T, two cases of glioblastoma harbored novel somatic TERTp variants, which consisted of a tandem duplications of 22 nucleotides, i.e. a TERTp c.1-100_1-79dup and TERTp c.1-110_1-89, both located downstream c.1-124 C > T and c.1-146 C > T. In silico analysis predicted the formation of 119 and 108 new transcription factor’s recognition sites for TERTp c.1-100_1-79dup and TERTp c.1-110_1-89, respectively. TERTp duplications (TERTpdup) mainly affected the binding capacity of two transcription factors’ families, i.e. the members of the E-twenty-six and the Specificity Protein/Krüppel-Like Factor groups. In fact, these new TERTpdup significantly enhanced the E-twenty-six transcription factors’ binding capacity, which is also typically increased by the two c.1-124 C > T/c.1-146 C > T hotspot TERTpmut. On the other hand, they were distinguished by enhanced affinity for the Krüppel proteins. The luciferase assay confirmed that TERTpdup behaved as gain-of-function mutations causing a 2,3-2,5 fold increase of TERT transcription. The present study provides new insights into TERTp mutational spectrum occurring in central nervous system tumors, with the identification of new recurrent somatic gain-of-function mutations, occurring in 0.8% of glioblastoma IDH-wildtype.

Tài liệu tham khảo

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