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Small intestinal neuroendocrine tumors lack early genomic drivers, acquire DNA repair defects and harbor hallmarks of low REST expression

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Item Type:Article
Title:Small intestinal neuroendocrine tumors lack early genomic drivers, acquire DNA repair defects and harbor hallmarks of low REST expression
Creators Name:Bolduan, F., Müller-Bötticher, N., Debnath, O., Eichhorn, I., Giesecke, Y., Wetzel, A., Sahay, S., Zemojtel, T., Jaeger, M., Ungethuem, U., Roderburg, C., Kunze, C.A., Lehmann, A., Horst, D., Tacke, F., Eils, R., Wiedenmann, B., Sigal, M. and Ishaque, N.
Abstract:The tumorigenesis of small intestinal neuroendocrine tumors (siNETs) is not understood and comprehensive genomic and transcriptomic data sets are limited. Therefore, we performed whole genome and transcriptome analysis of 39 well differentiated siNET samples. Our genomic data revealed a lack of recurrent driver mutations and demonstrated that multifocal siNETs from individual patients can arise genetically independently. We detected germline mutations in Fanconi anemia DNA repair pathway (FANC) genes, involved in homologous recombination (HR) DNA repair, in 9% of patients and found mutational signatures of defective HR DNA repair in late-stage tumor evolution. Furthermore, transcriptomic analysis revealed low expression of the transcriptional repressor REST. Summarizing, we identify a novel common transcriptomic signature of siNETs and demonstrate that genomic alterations alone do not explain initial tumor formation, while impaired DNA repair likely contributes to tumor evolution and represents a potential pharmaceutical target in a subset of patients.
Keywords:DNA Repair, Gene Expression Profiling, Genomics, Germ-Line Mutation, Intestinal Neoplasms, Neoplastic Gene Expression Regulation, Neuroendocrine Tumors, Repressor Proteins, Small Intestine, Transcriptome
Source:Scientific Reports
ISSN:2045-2322
Publisher:Nature Publishing Group
Volume:15
Number:1
Page Range:17969
Date:23 May 2025
Official Publication:https://doi.org/10.1038/s41598-025-01912-4
PubMed:View item in PubMed

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