Solid pseudopapillary neoplasms of the pancreas are dependent on the Wnt pathway Journal Article


Authors: Selenica, P.; Raj, N.; Kumar, R.; Brown, D. N.; Arqués, O.; Reidy, D.; Klimstra, D.; Snuderl, M.; Serrano, J.; Palmer, H. G.; Weigelt, B.; Reis-Filho, J. S.; Scaltriti, M.
Article Title: Solid pseudopapillary neoplasms of the pancreas are dependent on the Wnt pathway
Abstract: Solid pseudopapillary neoplasms (SPNs) are rare and relatively indolent tumors of the pancreas. While primary SPNs can be surgically resected, there are currently no therapies available for patients with advanced stage disease. Given that these tumors frequently carry CTNNB1 hotspot (recurrently mutated loci in a gene) mutations resulting in β-catenin nuclear accumulation, it has been speculated that the Wnt pathway may be a driver in this disease. Here, we present a comprehensive “multi-omics” study where the genome, transcriptome, and methylome of SPNs were analyzed. We found that SPNs are characterized by a low-complexity genome where somatic mutations in CTNNB1, present in 100% of the cases, are the only actionable genomic lesions. Compared to more common subtypes of pancreatic tumors (adenocarcinomas and pancreatic neuroendocrine tumors), SPNs show high expression levels of genes belonging to the Wnt pathway. Their methylome was consistent with an epithelial cell origin and a general upregulation of Wnt pathway genes. Clinical studies to evaluate the exquisite sensitivity of SPNs to inhibitors of the Wnt pathway are warranted. © 2019 The Authors. Published by FEBS Press and John Wiley & Sons Ltd.
Keywords: methylation; pancreas; gene expression; wnt; beta-catenin; spn
Journal Title: Molecular Oncology
Volume: 13
Issue: 8
ISSN: 1878-0261
Publisher: FEBS Press  
Date Published: 2019-08-01
Start Page: 1684
End Page: 1692
Language: English
DOI: 10.1002/1878-0261.12490
PUBMED: 30972907
PROVIDER: scopus
PMCID: PMC6670010
DOI/URL:
Notes: Article -- Export Date: 4 September 2019 -- Source: Scopus
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MSK Authors
  1. Diane Lauren Reidy
    294 Reidy
  2. David S Klimstra
    978 Klimstra
  3. Britta Weigelt
    633 Weigelt
  4. Maurizio Scaltriti
    169 Scaltriti
  5. Nitya Prabhakar Raj
    106 Raj
  6. Pier Selenica
    190 Selenica
  7. Rahul Kumar
    23 Kumar
  8. David Norman Brown
    91 Brown