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KMT2D/MLL2 inactivation is associated with recurrence in adult-type granulosa cell tumors of the ovary

Author

Listed:
  • R. Tyler Hillman

    (The University of Texas MD Anderson Cancer Center
    The University of Texas MD Anderson Cancer Center)

  • Joseph Celestino

    (The University of Texas MD Anderson Cancer Center)

  • Christopher Terranova

    (The University of Texas MD Anderson Cancer Center)

  • Hannah C. Beird

    (The University of Texas MD Anderson Cancer Center)

  • Curtis Gumbs

    (The University of Texas MD Anderson Cancer Center)

  • Latasha Little

    (The University of Texas MD Anderson Cancer Center)

  • Tri Nguyen

    (The University of Texas MD Anderson Cancer Center)

  • Rebecca Thornton

    (The University of Texas MD Anderson Cancer Center)

  • Samantha Tippen

    (The University of Texas MD Anderson Cancer Center)

  • Jianhua Zhang

    (The University of Texas MD Anderson Cancer Center)

  • Karen H. Lu

    (The University of Texas MD Anderson Cancer Center)

  • David M. Gershenson

    (The University of Texas MD Anderson Cancer Center)

  • Kunal Rai

    (The University of Texas MD Anderson Cancer Center)

  • Russell R. Broaddus

    (The University of Texas MD Anderson Cancer Center)

  • P. Andrew Futreal

    (The University of Texas MD Anderson Cancer Center)

Abstract

Adult-type granulosa cell tumors of the ovary (aGCTs) are rare gynecologic malignancies that exhibit a high frequency of somatic FOXL2 c.C402G (p.Cys134Trp) mutation. Treatment of relapsed aGCT remains a significant clinical challenge. Here we show, using whole-exome and cancer gene panel sequencing of 79 aGCTs from two independent cohorts, that truncating mutation of the histone lysine methyltransferase gene KMT2D (also known as MLL2) is a recurrent somatic event in aGCT. Mono-allelic KMT2D-truncating mutations are more frequent in recurrent (10/44, 23%) compared with primary (1/35, 3%) aGCTs (p = 0.02, two-sided Fisher’s exact test). IHC detects additional non-KMT2D-mutated aGCTs with loss of nuclear KMT2D expression, suggesting that non-genetic KMT2D inactivation may occur in this tumor type. These findings identify KMT2D inactivation as a novel driver event in aGCTs and suggest that mutation of this gene may increase the risk of disease recurrence.

Suggested Citation

  • R. Tyler Hillman & Joseph Celestino & Christopher Terranova & Hannah C. Beird & Curtis Gumbs & Latasha Little & Tri Nguyen & Rebecca Thornton & Samantha Tippen & Jianhua Zhang & Karen H. Lu & David M., 2018. "KMT2D/MLL2 inactivation is associated with recurrence in adult-type granulosa cell tumors of the ovary," Nature Communications, Nature, vol. 9(1), pages 1-7, December.
  • Handle: RePEc:nat:natcom:v:9:y:2018:i:1:d:10.1038_s41467-018-04950-x
    DOI: 10.1038/s41467-018-04950-x
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