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Citations to this article

The genomic landscape of small intestine neuroendocrine tumors
Michaela S. Banck, … , Matthew M. Ames, Andreas S. Beutler
Michaela S. Banck, … , Matthew M. Ames, Andreas S. Beutler
Published May 15, 2013
Citation Information: J Clin Invest. 2013;123(6):2502-2508. https://doi.org/10.1172/JCI67963.
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Research Article Oncology Article has an altmetric score of 36

The genomic landscape of small intestine neuroendocrine tumors

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Abstract

Small intestine neuroendocrine tumors (SI-NETs) are the most common malignancy of the small bowel. Several clinical trials target PI3K/Akt/mTOR signaling; however, it is unknown whether these or other genes are genetically altered in these tumors. To address the underlying genetics, we analyzed 48 SI-NETs by massively parallel exome sequencing. We detected an average of 0.1 somatic single nucleotide variants (SNVs) per 106 nucleotides (range, 0–0.59), mostly transitions (C>T and A>G), which suggests that SI-NETs are stable cancers. 197 protein-altering somatic SNVs affected a preponderance of cancer genes, including FGFR2, MEN1, HOOK3, EZH2, MLF1, CARD11, VHL, NONO, and SMAD1. Integrative analysis of SNVs and somatic copy number variations identified recurrently altered mechanisms of carcinogenesis: chromatin remodeling, DNA damage, apoptosis, RAS signaling, and axon guidance. Candidate therapeutically relevant alterations were found in 35 patients, including SRC, SMAD family genes, AURKA, EGFR, HSP90, and PDGFR. Mutually exclusive amplification of AKT1 or AKT2 was the most common event in the 16 patients with alterations of PI3K/Akt/mTOR signaling. We conclude that sequencing-based analysis may provide provisional grouping of SI-NETs by therapeutic targets or deregulated pathways.

Authors

Michaela S. Banck, Rahul Kanwar, Amit A. Kulkarni, Ganesh K. Boora, Franziska Metge, Benjamin R. Kipp, Lizhi Zhang, Erik C. Thorland, Kay T. Minn, Ramesh Tentu, Bruce W. Eckloff, Eric D. Wieben, Yanhong Wu, Julie M. Cunningham, David M. Nagorney, Judith A. Gilbert, Matthew M. Ames, Andreas S. Beutler

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Neuroendocrine neoplasms of the small bowel and pancreas
Clift AK, Kidd M, Bodei L, Toumpanakis C, Baum RP, Oberg K, Modlin IM, Frilling A
Neuroendocrinology 2019
Genetic heterogeneity of primary lesion and metastasis in small intestine neuroendocrine tumors
D Walter, PN Harter, F Battke, R Winkelmann, M Schneider, K Holzer, C Koch, J Bojunga, S Zeuzem, ML Hansmann, J Peveling-Oberhag, O Waidmann
Scientific Reports 2018
Colorectal Cancer: Genetic Abnormalities, Tumor Progression, Tumor Heterogeneity, Clonal Evolution and Tumor-Initiating Cells
U Testa, E Pelosi, G Castelli
Medical Sciences 2018
Gastroenteropancreatic neuroendocrine neoplasms: genes, therapies and models
K Kawasaki, M Fujii, T Sato
Disease models & mechanisms 2018
Whole-exome sequencing of duodenal neuroendocrine tumors in patients with neurofibromatosis type 1
M Noë, A Pea, C Luchini, M Felsenstein, S Barbi, F Bhaijee, R Yonescu, Y Ning, NV Adsay, G Zamboni, RT Lawlor, A Scarpa, GJ Offerhaus, LA Brosens, RH Hruban, NJ Roberts, LD Wood
Modern Pathology 2018
Functional Defects From Endocrine Disease–Associated Mutations in HLXB9 and Its Interacting Partner, NONO
SS Kharade, VI Parekh, SK Agarwal
Endocrinology 2018
Decrease of 5-hydroxymethylcytosine and TET1 with nuclear exclusion of TET2 in small intestinal neuroendocrine tumors
E Barazeghi, S Prabhawa, O Norlén, P Hellman, P Stålberg, G Westin
BMC Cancer 2018
Lactobacillus rhamnosus GG Affects Microbiota and Suppresses Autophagy in the Intestines of Pigs Challenged with Salmonella Infantis
W Zhang, YH Zhu, GY Yang, X Liu, B Xia, X Hu, JH Su, JF Wang
Frontiers in microbiology 2018
A common classification framework for neuroendocrine neoplasms: an International Agency for Research on Cancer (IARC) and World Health Organization (WHO) expert consensus proposal
G Rindi, DS Klimstra, B Abedi-Ardekani, SL Asa, FT Bosman, E Brambilla, KJ Busam, RR de Krijger, M Dietel, AK El-Naggar, L Fernandez-Cuesta, G Klöppel, WG McCluggage, H Moch, H Ohgaki, EA Rakha, NS Reed, BA Rous, H Sasano, A Scarpa, JY Scoazec, WD Travis, G Tallini, J Trouillas, JH van Krieken, IA Cree
Modern Pathology 2018
PD-L1 expression and presence of TILs in small intestinal neuroendocrine tumours
A Lamarca, D Nonaka, W Breitwieser, G Ashton, J Barriuso, MG McNamara, S Moghadam, J Rogan, W Mansoor, RA Hubner, C Clark, B Chakrabarty, JW Valle
Oncotarget 2018
Mutational and copy number asset of primary sporadic neuroendocrine tumors of the small intestine
M Simbolo, C Vicentini, A Mafficini, M Fassan, S Pedron, V Corbo, L Mastracci, B Rusev, C Pedrazzani, L Landoni, F Grillo, S Cingarlini, G Rindi, C Luchini, A Scarpa, RT Lawlor
Virchows Archiv 2018
DAXX Mutation Status of Embolization-Treated Neuroendocrine Tumors Predicts Shorter Time to Hepatic Progression
E Ziv, SL Rice, J Filtes, H Yarmohammadi, FE Boas, JP Erinjeri, EN Petre, LA Brody, KT Brown, AM Covey, GI Getrajdman, M Maybody, N Raj, CT Sofocleous, SB Solomon, D Reidy-Lagunes
Journal of vascular and interventional radiology : JVIR 2018
Comprehensive genomic profiling identifies novel NTRK fusions in neuroendocrine tumors
DS Sigal, MS Bhangoo, JA Hermel, DC Pavlick, G Frampton, VA Miller, JS Ross, SM Ali
Oncotarget 2018
Enteroendocrine cells-sensory sentinels of the intestinal environment and orchestrators of mucosal immunity
JJ Worthington, F Reimann, FM Gribble
Mucosal Immunology 2017
The selective PI3Kα inhibitor BYL719 as a novel therapeutic option for neuroendocrine tumors: Results from multiple cell line models
S Nölting, J Rentsch, H Freitag, K Detjen, F Briest, M Möbs, V Weissmann, B Siegmund, CJ Auernhammer, ET Prada, M Lauseker, A Grossman, S Exner, C Fischer, C Grötzinger, J Schrader, P Grabowski, A Ahmad
PloS one 2017
Targeted therapy of gastroenteropancreatic neuroendocrine tumours: preclinical strategies and future targets
ET Prada, CJ Auernhammer
Endocrine Connections 2017
mTOR inhibitors activate PERK signaling and favor viability of gastrointestinal neuroendocrine cell lines
F Patricia, B Julien, L Justine, M Patrick, F Joëlle, V Cécile, W Thomas, M Serge, R Colette, S Jean-Yves, FP Carole
Oncotarget 2017
Loss of DPC4/SMAD4 expression in primary gastrointestinal neuroendocrine tumors is associated with cancer-related death after resection
CL Roland, LF Starker, Y Kang, D Chatterjee, J Estrella, A Rashid, MH Katz, TA Aloia, JE Lee, A Dasari, JC Yao, JB Fleming
Surgery 2017
Cyto-histology in NET: what is necessary today and what is the future?
F Inzani, G Petrone, G Fadda, G Rindi
Reviews in Endocrine and Metabolic Disorders 2017
Association between the functional polymorphism Ile31Phe in the AURKA gene and susceptibility of hepatocellular carcinoma in chronic hepatitis B virus carriers
Z Bao, L Lu, X Liu, B Guo, Y Zhai, Y Li, Y Wang, B Xie, Q Ren, P Cao, Y Han, W Jia, M Chen, X Liang, X Wang, YX Zeng, F He, H Zhang, Y Cui, G Zhou
Oncotarget 2017
A MUTYH germline mutation is associated with small intestinal neuroendocrine tumors
JP Dumanski, C Rasi, P Björklund, H Davies, AS Ali, M Grönberg, S Welin, H Sorbye, H Grønbæk, JL Cunningham, LA Forsberg, L Lind, E Ingelsson, P Stålberg, P Hellman, ET Janson
Endocrine Related Cancer 2017
Intratumoral heterogeneity of esophageal squamous cell carcinoma
D Walter
Journal of Thoracic Disease 2017
Exploiting induced senescence in intestinal organoids to drive enteroendocrine cell expansion
RG Ramsay, HE Abud
Stem Cell Investigation 2017
Gastroenteropancreatic neuroendocrine tumors: recommendations of Turkish multidisciplinary neuroendocrine tumor study group on diagnosis, treatment and follow-up
S Yalcin, F Bayram, S Erdamar, O Kucuk, N Oruc, A Coker
Archives of Medical Science : AMS 2017
Predicting the survival of patients with small bowel neuroendocrine tumours: comparison of 3 systems
AK Clift, O Faiz, R Goldin, J Martin, H Wasan, MO Liedke, E Schloericke, A Malczewska, G Rindi, M Kidd, IM Modlin, A Frilling
Endocrine Connections 2017
The Treatment Landscape and New Opportunities of Molecular Targeted Therapies in Gastroenteropancreatic Neuroendocrine Tumors
F Amair-Pinedo, I Matos, T Saurí, J Hernando, J Capdevila
Targeted Oncology 2017
Changes in gene expression in small bowel neuroendocrine tumors associated with progression to metastases
KJ Keck, P Breheny, TA Braun, B Darbro, G Li, JS Dillon, AM Bellizzi, TM O'Dorisio, JR Howe
Surgery 2017
Medical Therapy of Gastrointestinal Neuroendocrine Tumors
K Öberg
Viszeralmedizin 2017
Clinical and Preclinical Advances in Gastroenteropancreatic Neuroendocrine Tumor Therapy
JS Crabtree
Frontiers in Endocrinology 2017
Functional malignant cell heterogeneity in pancreatic neuroendocrine tumors revealed by targeting of PDGF-DD
E Cortez, H Gladh, S Braun, M Bocci, E Cordero, NK Björkström, H Miyazaki, IP Michael, U Eriksson, E Folestad, K Pietras
Proceedings of the National Academy of Sciences 2016
Notch Signaling in Neuroendocrine Tumors
JS Crabtree, CS Singleton, L Miele
Frontiers in Oncology 2016
The PI3K/Akt Pathway in Tumors of Endocrine Tissues
HL Robbins, A Hague
Frontiers in Endocrinology 2016
Molecular profiling of neuroendocrine malignancies to identify prognostic and therapeutic markers: a Fox Chase Cancer Center Pilot Study
N Vijayvergia, PM Boland, E Handorf, KS Gustafson, Y Gong, HS Cooper, F Sheriff, I Astsaturov, SJ Cohen, PF Engstrom
British Journal of Cancer 2016
Expression profiling of small intestinal neuroendocrine tumors identifies subgroups with clinical relevance, prognostic markers and therapeutic targets
E Andersson, Y Arvidsson, C Swärd, T Hofving, B Wängberg, E Kristiansson, O Nilsson
Modern Pathology 2016
Genomic Characterization of Poorly Differentiated Neuroendocrine Carcinoma in a Pediatric Patient:
T Bhatla, S Dandekar, BY Lu, J Wang, E Han, D Bitterman, CL Jones, NA Evensen, M Magid, JA Meyer, WL Carroll
Journal of Pediatric Hematology/Oncology 2016
A plausible role for actin gamma smooth muscle 2 (ACTG2) in small intestinal neuroendocrine tumorigenesis
K Edfeldt, P Hellman, G Westin, P Stalberg
BMC Endocrine Disorders 2016
Translational research in neuroendocrine tumors: pitfalls and opportunities
J Capdevila, O Casanovas, R Salazar, D Castellano, A Segura, P Fuster, J Aller, R García-Carbonero, P Jimenez-Fonseca, E Grande, JP Castaño
Oncogene 2016
Towards a new classification of gastroenteropancreatic neuroendocrine neoplasms
M Kidd, I Modlin, K Öberg
Nature Reviews Clinical Oncology 2016
BRAFV600E Mutations in High-Grade Colorectal Neuroendocrine Tumors May Predict Responsiveness to BRAF-MEK Combination Therapy
SJ Klempner, B Gershenhorn, P Tran, TK Lee, MG Erlander, K Gowen, AB Schrock, D Morosini, JS Ross, VA Miller, PJ Stephens, SH Ou, SM Ali
Cancer Discovery 2016
Small bowel neuroendocrine tumors: From pathophysiology to clinical approach
S Xavier
World journal of gastrointestinal pathophysiology 2016
A Genome-Wide Association Study of Cutaneous Squamous Cell Carcinoma among European Descendants
SJ Siiskonen, M Zhang, WQ Li, L Liang, P Kraft, T Nijsten, J Han, AA Qureshi
Cancer epidemiology, biomarkers & prevention 2016
Divergent clonal evolution of castration-resistant neuroendocrine prostate cancer
H Beltran, D Prandi, JM Mosquera, M Benelli, L Puca, J Cyrta, C Marotz, E Giannopoulou, BV Chakravarthi, S Varambally, SA Tomlins, DM Nanus, ST Tagawa, EM van Allen, O Elemento, A Sboner, LA Garraway, MA Rubin, F Demichelis
Nature Medicine 2016
HUR protects NONO from degradation by mir320, which is induced by p53 upon UV irradiation
L Alfano, C Costa, A Caporaso, D Antonini, A Giordano, F Pentimalli
Oncotarget 2016
Summary of emerging personalized medicine in neuroendocrine tumors: are we on track?
MS Lee, BH ONeil
Journal of Gastrointestinal Oncology 2016
A Delphic consensus assessment: imaging and biomarkers in gastroenteropancreatic neuroendocrine tumor disease management
K Oberg, E Krenning, A Sundin, L Bodei, M Kidd, M Tesselaar, V Ambrosini, RP Baum, M Kulke, M Pavel, J Cwikla, I Drozdov, M Falconi, N Fazio, A Frilling, R Jensen, K Koopmans, T Korse, D Kwekkeboom, H Maecke, G Paganelli, R Salazar, S Severi, J Strosberg, V Prasad, A Scarpa, A Grossman, A Walenkamp, M Cives, I Virgolini, A Kjaer, IM Modlin
Endocrine Connections 2016
Everolimus for the treatment of advanced, non-functional neuroendocrine tumours of the lung or gastrointestinal tract (RADIANT-4): a randomised, placebo-controlled, phase 3 study
JC Yao, N Fazio, S Singh, R Buzzoni, C Carnaghi, E Wolin, J Tomasek, M Raderer, H Lahner, M Voi, LB Pacaud, N Rouyrre, C Sachs, JW Valle, GD Fave, EV Cutsem, M Tesselaar, Y Shimada, DY Oh, J Strosberg, MH Kulke, ME Pavel
Lancet 2016
A Selected Lactobacillus rhamnosus Strain Promotes EGFR-Independent Akt Activation in an Enterotoxigenic Escherichia coli K88-Infected IPEC-J2 Cell Model
W Zhang, YH Zhu, JC Yang, GY Yang, D Zhou, JF Wang, M Koval
PloS one 2015
Nuclear imaging of neuroendocrine tumors with unknown primary: why, when and how?
P Santhanam, S Chandramahanti, A Kroiss, R Yu, P Ruszniewski, R Kumar, D Taïeb
European Journal of Nuclear Medicine and Molecular Imaging 2015
Decoding the Molecular and Mutational Ambiguities of Gastroenteropancreatic Neuroendocrine Neoplasm Pathobiology
M Kidd, IM Modlin, L Bodei, I Drozdov
CMGH Cellular and Molecular Gastroenterology and Hepatology 2015
Liver Metastases of Small Intestine Neuroendocrine Tumors: Ki-67 Heterogeneity and World Health Organization Grade Discordance With Primary Tumors
C Shi, RS Gonzalez, Z Zhao, T Koyama, TC Cornish, KR Hande, R Walker, M Sandler, J Berlin, EH Liu
American Journal of Clinical Pathology 2015
Combined comparative genomic hybridization and transcriptomic analyses of ovarian granulosa cell tumors point to novel candidate driver genes
S Caburet, M Anttonen, AL Todeschini, L Unkila-Kallio, D Mestivier, R Butzow, RA Veitia
BMC Cancer 2015
NONO regulates the intra-S-phase checkpoint in response to UV radiation
L Alfano, C Costa, A Caporaso, A Altieri, P Indovina, M Macaluso, A Giordano, F Pentimalli
Oncogene 2015
A Hereditary Form of Small Intestinal Carcinoid Associated With a Germline Mutation in Inositol Polyphosphate Multikinase
Y Sei, X Zhao, J Forbes, S Szymczak, Q Li, A Trivedi, M Voellinger, G Joy, J Feng, M Whatley, MP Jones, UL Harper, SJ Marx, AM Venkatesan, SC Chandrasekharappa, M Raffeld, MM Quezado, A Louie, CC Chen, RM Lim, R Agarwala, AA Schäffer, MS Hughes, JE Bailey-Wilson, SA Wank
Gastroenterology 2015
High-Level HOOK3 Expression Is an Independent Predictor of Poor Prognosis Associated with Genomic Instability in Prostate Cancer
N Melling, L Harutyunyan, C Hube-Magg, M Kluth, R Simon, P Lebok, S Minner, MC Tsourlakis, C Koop, M Graefen, M Adam, A Haese, C Wittmer, S Steurer, J Izbicki, G Sauter, W Wilczak, T Schlomm, T Krech, Z Culig
PloS one 2015
Somatic alterations of CDKN1B are associated with small bowel neuroendocrine tumors
JE Maxwell, SK Sherman, G Li, AB Choi, AM Bellizzi, TM O'Dorisio, JR Howe
Cancer Genetics 2015
Application and Dosimetric Requirements for Gallium-68–labeled Somatostatin Analogues in Targeted Radionuclide Therapy for Gastroenteropancreatic Neuroendocrine Tumors
D Taïeb, P Garrigue, M Bardiès, AE Abdullah, K Pacak
PET Clinics 2015
Gene network-based analysis identifies two potential subtypes of small intestinal neuroendocrine tumors
M Kidd, IM Modlin, I Drozdov
BMC Genomics 2014
25 Years of Neuroendocrine Neoplasms of the Gastrointestinal Tract
G Rindi, G Petrone, F Inzani
Endocrine Pathology 2014
Advances in small bowel neuroendocrine neoplasia:
MS Banck, AS Beutler
Current Opinion in Gastroenterology 2014
Clinical Application of MicroRNA Testing in Neuroendocrine Tumors of the Gastrointestinal Tract
C Vicentini, M Fassan, E D'Angelo, V Corbo, N Silvestris, G Nuovo, A Scarpa
Molecules (Basel, Switzerland) 2014
Integrative genetic characterization and phenotype correlations in pheochromocytoma and paraganglioma tumours
J Crona, M Nordling, R Maharjan, D Granberg, P Stålberg, P Hellman, P Björklund
PloS one 2014
Clinical biomarkers of pulmonary carcinoid tumors in never smokers via profiling miRNA and target mRNA
B Deng, J Molina, MC Aubry, Z Sun, L Wang, BW Eckloff, G Vasmatzis, M You, ED Wieben, J Jen, DA Wigle, P Yang
Cell & Bioscience 2014
Cadherin 17 is frequently expressed by ‘sclerosing variant’ pancreatic neuroendocrine tumour
A Johnson, JP Wright, Z Zhao, T Komaya, A Parikh, N Merchant, C Shi
Histopathology 2014
Copy number alterations in small intestinal neuroendocrine tumors determined by array comparative genomic hybridization
J Hashemi, O Fotouhi, L Sulaiman, M Kjellman, A Höög, J Zedenius, C Larsson
BMC Cancer 2013
Current Perspective on the Pathogenesis of Small Intestinal Neuroendocrine Tumors: Progress in Biomarkers and Molecular Events
YX Chen, JY Fang
Gastrointestinal Tumors 2013

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