Novel PRKD gene rearrangements and variant fusions in cribriform adenocarcinoma of salivary gland origin Journal Article


Authors: Weinreb, I.; Zhang, L.; Tirunagari, L. M. S.; Sung, Y. S.; Chen, C. L.; Perez-Ordonez, B.; Clarke, B. A.; Skalova, A.; Chiosea, S. I.; Seethala, R. R.; Waggott, D.; Boutros, P. C.; How, C.; Liu, F. F.; Irish, J. C.; Goldstein, D. P.; Gilbert, R.; ud Din, N.; Assaad, A.; Hornick, J. L.; Thompson, L. D. R.; Antonescu, C. R.
Article Title: Novel PRKD gene rearrangements and variant fusions in cribriform adenocarcinoma of salivary gland origin
Abstract: Polymorphous low-grade adenocarcinoma (PLGA) and cribriform adenocarcinoma of minor salivary gland (CAMSG) are low-grade carcinomas arising most often in oral cavity and oropharynx, respectively. Controversy exists as to whether these tumors represent separate entities or variants of one spectrum, as they appear to have significant overlap, but also clinicopathologic differences. As many salivary carcinomas harbor recurrent translocations, paired-end RNA sequencing and FusionSeq data analysis was applied for novel fusion discovery on two CAMSGs and two PLGAs. Validated rearrangements were then screened by fluorescence in situ hybridization (FISH) in 60 cases. Histologic classification was performed without knowledge of fusion status and included: 21 CAMSG, 18 classic PLGA, and 21 with "mixed/indeterminate" features. The RNAseq of 2 CAMSGs showed ARID1A-PRKD1 and DDX3X-PRKD1 fusions, respectively, while no fusion candidates were identified in two PLGAs. FISH for PRKD1 rearrangements identified 11 additional cases (22%), two more showing ARID1A-PRKD1 fusions. As PRKD2 and PRKD3 share similar functions with PRKD1 in the diacylglycerol and protein kinase C signal transduction pathway, we expanded the investigation for these genes by FISH. Six additional cases each showed PRKD2 and PRKD3 rearrangements. Of the 26 (43%) fusion-positive tumors, there were 16 (80%) CAMSGs and 9 (45%) indeterminate cases. A PRKD2 rearrangement was detected in one PLGA (6%). We describe novel and recurrent gene rearrangements in PRKD1-3 primarily in CAMSG, suggesting a possible pathogenetic dichotomy from "classic" PLGA. However, the presence of similar genetic findings in half of the indeterminate cases and a single PLGA suggests a possible shared pathogenesis for these tumor types. © 2014 Wiley Periodicals, Inc.
Keywords: signal transduction; adult; controlled study; human tissue; aged; major clinical study; histopathology; pathogenesis; genetic variability; oncogene; fluorescence in situ hybridization; gene rearrangement; fusion gene; protein kinase c; salivary gland carcinoma; diacylglycerol; rna sequence; polymorphous low grade adenocarcinoma; human; male; female; priority journal; article; arid1a prkd1 fusion gene; cribriform adenocarcinoma of minor salivary gland; ddx3x prkd1 fusion gene; prkd gene
Journal Title: Genes Chromosomes and Cancer
Volume: 53
Issue: 10
ISSN: 1045-2257
Publisher: Wiley Periodicals, Inc  
Date Published: 2014-10-01
Start Page: 845
End Page: 856
Language: English
DOI: 10.1002/gcc.22195
PROVIDER: scopus
PUBMED: 24942367
DOI/URL:
Notes: Export Date: 2 September 2014 -- CODEN: GCCAE -- Source: Scopus
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  1. Cristina R Antonescu
    902 Antonescu
  2. Lei Zhang
    194 Zhang
  3. Yun Shao Sung
    124 Sung
  4. Chun Liang Chen
    35 Chen