2017
DOI: 10.1038/bjc.2017.147
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Sequencing of DICER1 in sarcomas identifies biallelic somatic DICER1 mutations in an adult-onset embryonal rhabdomyosarcoma

Abstract: Background:Sarcomas are rare and heterogeneous cancers. We assessed the contribution of DICER1 mutations to sarcoma development.Methods:The coding region of DICER1 was sequenced in 67 sarcomas using a custom Fluidigm Access Array. The RNase III domains were Sanger sequenced in six additional sarcomas to identify hotspot DICER1 variants.Results:The median age of sarcoma diagnosis was 45.7 years (range: 3 months to 87.4 years). A recurrent embryonal rhabdomyosarcoma (ERMS) of the broad ligament, first diagnosed … Show more

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Cited by 31 publications
(21 citation statements)
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“…During the validation phase, 24 CPTs (8 CPPs, 8 aCPPs, and 8 CPCs) were also studied by WES (following the protocol described above). Tumor DNA from 50 sporadic CPTs, 67 schwannomas (66 primary tumors and 1 recurrence), and germline DNA from 18 MNGs of suspected hereditary origin was sequenced using a custom Fluidigm Access Array (Fluidigm), which targets all exons and exon-intron boundaries of DGCR8 following the same methodology as for the DICER1 Fluidigm Access Array previously published (42).…”
Section: Dgcr8 Screening Methods In Schwannomas Cpts Mngs and Thyrmentioning
confidence: 99%
“…During the validation phase, 24 CPTs (8 CPPs, 8 aCPPs, and 8 CPCs) were also studied by WES (following the protocol described above). Tumor DNA from 50 sporadic CPTs, 67 schwannomas (66 primary tumors and 1 recurrence), and germline DNA from 18 MNGs of suspected hereditary origin was sequenced using a custom Fluidigm Access Array (Fluidigm), which targets all exons and exon-intron boundaries of DGCR8 following the same methodology as for the DICER1 Fluidigm Access Array previously published (42).…”
Section: Dgcr8 Screening Methods In Schwannomas Cpts Mngs and Thyrmentioning
confidence: 99%
“…The presence of a DICER1 VUS in trans with an RNase IIIb hotspot mutation is supportive of the VUS being pathogenic, although not conclusive. Careful sequencing of the full DICER1 coding sequence in tumor‐derived DNA should be performed in such cases to screen for a potential somatically acquired loss‐of‐function alteration occurring in trans with the RNase IIIb hotspot mutation, which together, would outweigh the VUS (de Kock, Rivera, et al, ). The recurrent observation of a variant in population databases [either in individuals who have (e.g., TCGA) or have not developed tumors (e.g., ExAC and gnomAD)], may assist with its interpretation.…”
Section: Variant Impact and Clinical Relevancementioning
confidence: 99%
“…Although we do not think these features constitute a distinct syndrome, such pleiotropic presentations of RNase IIIb mosaic mutations have been considered to represent “GLOW (global delay, lung cysts, overgrowth and Wilms) syndrome” (Klein et al, ). A small subset of patients have a single tumor harboring tumor‐specific biallelic DICER1 pathogenic variants (typically one loss‐of‐function and one involving an RNase IIIb hotpot; Brenneman et al, ; de Kock, Rivera, et al, ). These patients represent sporadic instances of DICER1 ‐related disease and are not at risk of future DICER1 ‐related tumors, although mosaicism for the loss‐of‐function mutation could remain a possibility (Brenneman et al, ).…”
Section: Introductionmentioning
confidence: 99%
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“…allele is inactivated by a germline mutation in DICER1 and the other allele has a somatic missense mutation that affects one of the RNase IIIb metal ion-binding sites (Doros et al 2014). Several publications in the literature report sarcomas arising from germline and somatic mutations in DICER1, including urogenital ERMS cases (Doros et al 2012;de Kock et al 2017). In this case, however, no germline mutations were found in DICER1, and the expression of DICER1 (198.53 TPM) was not decreased compared to the normal cohort of skeletal muscles from the GTEx project (median TPM, 14.03).…”
Section: Molecular Case Studiesmentioning
confidence: 99%