Authors: | Xu, J.; Reznik, E.; Lee, H. J.; Gundem, G.; Jonsson, P.; Sarungbam, J.; Bialik, A.; Sanchez-Vega, F.; Creighton, C. J.; Hoekstra, J.; Zhang, L.; Sajjakulnukit, P.; Kremer, D.; Tolstyka, Z.; Casuscelli, J.; Stirdivant, S.; Tang, J.; Schultz, N.; Jeng, P.; Dong, Y.; Su, W.; Cheng, E. H.; Russo, P.; Coleman, J. A.; Papaemmanuil, E.; Chen, Y. B.; Reuter, V. E.; Sander, C.; Kennedy, S. R.; Hsieh, J. J.; Lyssiotis, C. A.; Tickoo, S. K.; Hakimi, A. A. |
Article Title: | Abnormal oxidative metabolism in a quiet genomic background underlies clear cell papillary renal cell carcinoma |
Abstract: | While genomic sequencing routinely identifies oncogenic alterations for the majority of cancers, many tumors harbor no discernable driver lesion. Here, we describe the exceptional molecular phenotype of a genomically quiet kidney tumor, clear cell papillary renal cell carcinoma (CCPAP). In spite of a largely wild-type nuclear genome, CCPAP tumors exhibit severe depletion of mitochondrial DNA (mtDNA) and RNA and high levels of oxidative stress, reflecting a shift away from respiratory metabolism. Moreover, CCPAP tumors exhibit a distinct metabolic phenotype uniquely characterized by accumulation of the sugar alcohol sorbitol. Immunohistochemical staining of primary CCPAP tumor specimens recapitulates both the depletion of mtDNA-encoded proteins and a lipid-depleted metabolic phenotype, suggesting that the cytoplasmic clarity in CCPAP is primarily related to the presence of glycogen. These results argue for non-genetic profiling as a tool for the study of cancers of unknown driver. |
Keywords: | gene; tumor; mutations; degradation; landscape; metabolomics; distinct; emphasis; mitochondrial-dna; set enrichment analysis |
Journal Title: | eLife |
Volume: | 8 |
ISSN: | 2050-084X |
Publisher: | eLife Sciences Publications Ltd. |
Date Published: | 2019-04-01 |
Start Page: | e38986 |
Language: | English |
ACCESSION: | WOS:000464311600001 |
DOI: | 10.7554/eLife.38986 |
PROVIDER: | wos |
PMCID: | PMC6459676 |
PUBMED: | 30924768 |
Notes: | Article -- e38986 -- Source: Wos |