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Integrative genomic profiling of large-cell neuroendocrine carcinomas reveals distinct subtypes of high-grade neuroendocrine lung tumors

Author

Listed:
  • Julie George

    (University of Cologne)

  • Vonn Walter

    (University of North Carolina at Chapel Hill
    500 University Drive)

  • Martin Peifer

    (University of Cologne
    University of Cologne)

  • Ludmil B. Alexandrov

    (University of California)

  • Danila Seidel

    (University of Cologne)

  • Frauke Leenders

    (University of Cologne)

  • Lukas Maas

    (University of Cologne)

  • Christian Müller

    (University of Cologne)

  • Ilona Dahmen

    (University of Cologne)

  • Tiffany M. Delhomme

    (International Agency for Research on Cancer (IARC-WHO))

  • Maude Ardin

    (International Agency for Research on Cancer (IARC-WHO))

  • Noemie Leblay

    (International Agency for Research on Cancer (IARC-WHO))

  • Graham Byrnes

    (International Agency for Research on Cancer (IARC-WHO))

  • Ruping Sun

    (Max Planck Institute for Molecular Genetics)

  • Aurélien Reynies

    (Ligue Nationale Contre le Cancer)

  • Anne McLeer-Florin

    (CHU Grenoble Alpes, UGA/INSERM U1209/CNRS)

  • Graziella Bosco

    (University of Cologne)

  • Florian Malchers

    (University of Cologne)

  • Roopika Menon

    (NEO New Oncology GmbH)

  • Janine Altmüller

    (University of Cologne
    University of Cologne
    University Hospital Cologne)

  • Christian Becker

    (University of Cologne)

  • Peter Nürnberg

    (University of Cologne
    University of Cologne
    University of Cologne)

  • Viktor Achter

    (University of Cologne)

  • Ulrich Lang

    (University of Cologne
    University of Cologne)

  • Peter M. Schneider

    (University Hospital Cologne)

  • Magdalena Bogus

    (University Hospital Cologne)

  • Matthew G. Soloway

    (University of North Carolina at Chapel Hill)

  • Matthew D. Wilkerson

    (The University of North Carolina at Chapel Hill)

  • Yupeng Cun

    (University of Cologne
    University of Cologne)

  • James D. McKay

    (International Agency for Research on Cancer (IARC-WHO))

  • Denis Moro-Sibilot

    (University Grenoble Alpes, Institute of Advanced Biosciences (IAB), 38043)

  • Christian G. Brambilla

    (University Grenoble Alpes, Institute of Advanced Biosciences (IAB), 38043)

  • Sylvie Lantuejoul

    (University of Grenobles Alpes, Institute of Advanced Biosciences (IAB), 38043
    Centre Léon Bérard UNICANCER)

  • Nicolas Lemaitre

    (University of Grenobles Alpes, Institute of Advanced Biosciences (IAB), 38043)

  • Alex Soltermann

    (University Hospital Zurich)

  • Walter Weder

    (University Hospital Zurich)

  • Verena Tischler

    (University Hospital Zurich)

  • Odd Terje Brustugun

    (University of Oslo
    Oslo University Hospital)

  • Marius Lund-Iversen

    (Oslo University Hospital)

  • Åslaug Helland

    (University Hospital Zurich
    University of Oslo)

  • Steinar Solberg

    (Oslo University Hospital)

  • Sascha Ansén

    (University Hospital Cologne)

  • Gavin Wright

    (St. Vincent’s Hospital, Peter MacCallum Cancer Centre)

  • Benjamin Solomon

    (Peter MacCallum Cancer Centre)

  • Luca Roz

    (Fondazione IRCCS—Istituto Nazionale Tumori)

  • Ugo Pastorino

    (Fondazione IRCCS Istituto Nazionale Tumori)

  • Iver Petersen

    (Friedrich-Schiller-University)

  • Joachim H. Clement

    (Friedrich-Schiller-University)

  • Jörg Sänger

    (Institute for Pathology Bad Berka)

  • Jürgen Wolf

    (University Hospital Cologne)

  • Martin Vingron

    (Max Planck Institute for Molecular Genetics)

  • Thomas Zander

    (University Hospital of Cologne
    University Hospital Cologne)

  • Sven Perner

    (Leibniz Center for Medicine and Biosciences)

  • William D. Travis

    (Memorial Sloan-Kettering Cancer Center)

  • Stefan A. Haas

    (Max Planck Institute for Molecular Genetics)

  • Magali Olivier

    (International Agency for Research on Cancer (IARC-WHO))

  • Matthieu Foll

    (International Agency for Research on Cancer (IARC-WHO))

  • Reinhard Büttner

    (University Hospital Cologne)

  • David Neil Hayes

    (University of North Carolina at Chapel Hill)

  • Elisabeth Brambilla

    (University of Grenobles Alpes, Institute of Advanced Biosciences (IAB), 38043)

  • Lynnette Fernandez-Cuesta

    (University of Cologne
    International Agency for Research on Cancer (IARC-WHO))

  • Roman K. Thomas

    (University of Cologne
    University Hospital Cologne
    German Cancer Consortium (DKTK))

Abstract

Pulmonary large-cell neuroendocrine carcinomas (LCNECs) have similarities with other lung cancers, but their precise relationship has remained unclear. Here we perform a comprehensive genomic (n = 60) and transcriptomic (n = 69) analysis of 75 LCNECs and identify two molecular subgroups: “type I LCNECs” with bi-allelic TP53 and STK11/KEAP1 alterations (37%), and “type II LCNECs” enriched for bi-allelic inactivation of TP53 and RB1 (42%). Despite sharing genomic alterations with adenocarcinomas and squamous cell carcinomas, no transcriptional relationship was found; instead LCNECs form distinct transcriptional subgroups with closest similarity to SCLC. While type I LCNECs and SCLCs exhibit a neuroendocrine profile with ASCL1high/DLL3high/NOTCHlow, type II LCNECs bear TP53 and RB1 alterations and differ from most SCLC tumors with reduced neuroendocrine markers, a pattern of ASCL1low/DLL3low/NOTCHhigh, and an upregulation of immune-related pathways. In conclusion, LCNECs comprise two molecularly defined subgroups, and distinguishing them from SCLC may allow stratified targeted treatment of high-grade neuroendocrine lung tumors.

Suggested Citation

  • Julie George & Vonn Walter & Martin Peifer & Ludmil B. Alexandrov & Danila Seidel & Frauke Leenders & Lukas Maas & Christian Müller & Ilona Dahmen & Tiffany M. Delhomme & Maude Ardin & Noemie Leblay &, 2018. "Integrative genomic profiling of large-cell neuroendocrine carcinomas reveals distinct subtypes of high-grade neuroendocrine lung tumors," Nature Communications, Nature, vol. 9(1), pages 1-13, December.
  • Handle: RePEc:nat:natcom:v:9:y:2018:i:1:d:10.1038_s41467-018-03099-x
    DOI: 10.1038/s41467-018-03099-x
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