• Media type: E-Article
  • Title: Genetic instability and recurrent MYC amplification in ALK‐translocated NSCLC: a central role of TP53 mutations
  • Contributor: Alidousty, Christina; Baar, Till; Martelotto, Luciano G; Heydt, Carina; Wagener, Svenja; Fassunke, Jana; Duerbaum, Nicolai; Scheel, Andreas H; Frank, Sandra; Holz, Barbara; Binot, Elke; Kron, Anna; Merkelbach‐Bruse, Sabine; Ihle, Michaela A; Wolf, Jürgen; Buettner, Reinhard; Schultheis, Anne Maria
  • imprint: Wiley, 2018
  • Published in: The Journal of Pathology
  • Language: English
  • DOI: 10.1002/path.5110
  • ISSN: 1096-9896; 0022-3417
  • Origination:
  • Footnote:
  • Description: <jats:title>Abstract</jats:title><jats:p>The anaplastic lymphoma kinase (<jats:italic>ALK</jats:italic>) rearrangement defines a distinct molecular subtype of non‐small cell lung cancer (NSCLC). Despite the excellent initial efficacy of ALK inhibitors in patients with <jats:italic>ALK+</jats:italic> lung cancer, resistance occurs almost inevitably. To date, there is no reliable biomarker allowing the identification of patients at higher risk of relapse. Here, we analysed a subset of 53 <jats:italic>ALK+</jats:italic> tumours with and without <jats:italic>TP53</jats:italic> mutation and <jats:italic>ALK+</jats:italic> NSCLC cell lines by NanoString nCounter technology. We found that the co‐occurrence of early <jats:italic>TP53</jats:italic> mutations in <jats:italic>ALK+</jats:italic> NSCLC can lead to chromosomal instability: 24% of <jats:italic>TP53</jats:italic>‐mutated patients showed amplifications of known cancer genes such as <jats:italic>MYC</jats:italic> (14%), <jats:italic>CCND1</jats:italic> (10%), <jats:italic>TERT</jats:italic> (5%), <jats:italic>BIRC2</jats:italic> (5%), <jats:italic>ORAOV1</jats:italic> (5%), and <jats:italic>YAP1</jats:italic> (5%). MYC‐overexpressing <jats:italic>ALK+ TP53</jats:italic>‐mutated cells had a proliferative advantage compared to wild‐type cells. ChIP‐Seq data revealed MYC‐binding sites within the promoter region of <jats:italic>EML4</jats:italic>, and MYC overexpression in <jats:italic>ALK</jats:italic>+ <jats:italic>TP53</jats:italic>‐mutated cells resulted in an upregulation of EML4–ALK, indicating a potential MYC‐dependent resistance mechanism in patients with increased <jats:italic>MYC</jats:italic> copy number. Our study reveals that <jats:italic>ALK+</jats:italic> NSCLC represents a more heterogeneous subgroup of tumours than initially thought, and that <jats:italic>TP53</jats:italic> mutations in that particular cancer type define a subset of tumours that harbour chromosomal instability, leading to the co‐occurrence of pathogenic aberrations. © 2018 The Authors. <jats:italic>The Journal of Pathology</jats:italic> published by John Wiley &amp; Sons Ltd on behalf of Pathological Society of Great Britain and Ireland.</jats:p>