Whole-exome sequencing and RNA sequencing analyses of acinic cell carcinomas of the breast Journal Article


Authors: Beca, F.; Lee, S. S. K.; Pareja, F.; Da Cruz Paula, A.; Selenica, P.; Ferrando, L.; Gularte-Mérida, R.; Wen, H. Y.; Zhang, H.; Guerini-Rocco, E.; Rakha, E. A.; Weigelt, B.; Reis-Filho, J. S.
Article Title: Whole-exome sequencing and RNA sequencing analyses of acinic cell carcinomas of the breast
Abstract: Aims: Acinic cell carcinoma (ACC) of the breast is a rare histological form of triple-negative breast cancer (TNBC). Despite its unique histology, targeted sequencing analysis has failed to identify recurrent genetic alterations other than those found in common forms of TNBC. Here we subjected three breast ACCs to whole-exome and RNA sequencing to determine whether they would harbour a pathognomonic genetic alteration. Methods and results: DNA and RNA samples from three breast ACCs were subjected to whole-exome sequencing and RNA-sequencing, respectively. Somatic mutations, copy number alterations, mutational signatures and fusion genes were determined with state-of-the-art bioinformatics methods. Our analyses revealed TP53 hotspot mutations associated with loss of heterozygosity of the wild-type allele in two cases. Mutations affecting homologous recombination DNA repair-related genes were found in two cases, and an MLH1 pathogenic germline variant was found in one case. In addition, copy number analysis revealed the presence of a somatic BRCA1 homozygous deletion and focal amplification of 12q14.3–12q21.1, encompassing MDM2, HMGA2, FRS2, and PTPRB. No oncogenic in-frame fusion transcript was identified in the three breast ACCs analysed. Conclusions: No pathognomonic genetic alterations were detected in the breast ACCs analysed. These tumours have somatic genetic alterations similar to those of common forms of TNBC, and may show homologous recombination deficiency or microsatellite instability. These findings provide further insights into why breast ACCs, which are usually clinically indolent, may evolve into or in parallel with high-grade TNBC. © 2019 John Wiley & Sons Ltd
Keywords: breast cancer; acinic cell carcinoma; massively parallel sequencing; dna damage repair
Journal Title: Histopathology
Volume: 75
Issue: 6
ISSN: 0309-0167
Publisher: Wiley Blackwell  
Date Published: 2019-12-01
Start Page: 931
End Page: 937
Language: English
DOI: 10.1111/his.13962
PUBMED: 31361912
PROVIDER: scopus
PMCID: PMC6878125
DOI/URL:
Notes: Source: Scopus
Altmetric
Citation Impact
BMJ Impact Analytics
MSK Authors
  1. Hannah Yong Wen
    301 Wen
  2. Britta Weigelt
    632 Weigelt
  3. Pier Selenica
    189 Selenica
  4. Hong Zhang
    54 Zhang
  5. Simon Lee
    18 Lee