A recurrent neomorphic mutation in MYOD1 defines a clinically aggressive subset of embryonal rhabdomyosarcoma associated with PI3K-AKT pathway mutations

S Kohsaka, N Shukla, N Ameur, T Ito, CKY Ng… - Nature …, 2014 - nature.com
S Kohsaka, N Shukla, N Ameur, T Ito, CKY Ng, L Wang, D Lim, A Marchetti, A Viale, M Pirun…
Nature genetics, 2014nature.com
Rhabdomyosarcoma, a cancer of skeletal muscle lineage, is the most common soft-tissue
sarcoma in children. Major subtypes of rhabdomyosarcoma include alveolar (ARMS) and
embryonal (ERMS) tumors,. Whereas ARMS tumors typically contain translocations
generating PAX3-FOXO1 or PAX7-FOXO1 fusions that block terminal myogenic
differentiation,,, no functionally comparable genetic event has been found in ERMS tumors.
Here we report the discovery, through whole-exome sequencing, of a recurrent somatic …
Abstract
Rhabdomyosarcoma, a cancer of skeletal muscle lineage, is the most common soft-tissue sarcoma in children. Major subtypes of rhabdomyosarcoma include alveolar (ARMS) and embryonal (ERMS) tumors,. Whereas ARMS tumors typically contain translocations generating PAX3-FOXO1 or PAX7-FOXO1 fusions that block terminal myogenic differentiation,,, no functionally comparable genetic event has been found in ERMS tumors. Here we report the discovery, through whole-exome sequencing, of a recurrent somatic mutation encoding p.Leu122Arg in the myogenic transcription factor MYOD1 in a distinct subset of ERMS tumors with poor outcomes that also often contain mutations altering PI3K-AKT pathway components. Previous mutagenesis studies had shown that MYOD1 with a p.Leu122Arg substitution can block wild-type MYOD1 function and bind to MYC consensus sequences, suggesting a possible switch from differentiation to proliferation. Our functional data now confirm this prediction. Thus, MYOD1 p.Leu122Arg defines a subset of rhabdomyosarcomas eligible for high-risk protocols and the development of targeted therapeutics.
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