Clear cell mesotheliomas with inactivating VHL mutations and near-haploid genomic features

© 2022 Wiley Periodicals LLC..

Clear cell mesothelioma is uncommon and shows predominance of clear cells with resemblance to clear cell carcinomas. Clinicopathologic and molecular descriptions of clear cell mesothelioma remained limited. In this study, we identified an index patient with clear cell mesothelioma, confirmed by immunohistochemical and ultrastructural studies. Targeted next-generation sequencing revealed the presence of an inactivating VHL mutation. We then systematically searched for VHL-mutant mesotheliomas in a comprehensive genomic profiling database of 1532 mesotheliomas. Collectively, we identified a cohort of four VHL-mutant clear cell mesotheliomas, including three peritoneal and one pleural tumors from three females and one male, with age range of 47-68 (median 63) years. Histologically, each tumor showed a microcystic to tubulopapillary architecture with prominent clear cells. By next-generation DNA sequencing, each of the four clear cell mesotheliomas harbored inactivating VHL mutations, while lacking other alterations typical of mesotheliomas such as BAP1, NF2, SETD2, CDKN2A, CDKN2B, TP53, and PTEN. By using low-pass whole genome sequencing on the index case and targeted next-generation sequencing on the remaining three cases, we identified extensive loss of heterozygosity throughout the genome but consistently sparing chromosomes 5, 7, and 20, characteristic of genomic near-haploidization. In summary, clear cell mesotheliomas were characterized by inactivating VHL mutations and genomic near-haploidization and appeared to represent a distinct clinicopathologic and molecular category of mesotheliomas. Our findings implicate VHL in the pathogenesis of a subset of mesotheliomas, particularly those with clear cell morphology.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:62

Enthalten in:

Genes, chromosomes & cancer - 62(2023), 5 vom: 01. Mai, Seite 267-274

Sprache:

Englisch

Beteiligte Personen:

Michal, Michael [VerfasserIn]
Kravtsov, Oleksandr [VerfasserIn]
Ross, Jeffrey S [VerfasserIn]
Skanderová, Daniela [VerfasserIn]
Martínek, Petr [VerfasserIn]
Mosaieby, Elaheh [VerfasserIn]
Mata, Douglas A [VerfasserIn]
Williams, Erik A [VerfasserIn]
Hung, Yin P [VerfasserIn]

Links:

Volltext

Themen:

Clear cell
EC 2.3.2.27
EC 3.4.19.12
EC 6.3.2.-
Genetics
Genomic near haploidization
Journal Article
Mesothelioma
Near haploid
Systematic Review
Ubiquitin Thiolesterase
VHL
VHL protein, human
Von Hippel-Lindau Tumor Suppressor Protein

Anmerkungen:

Date Completed 10.03.2023

Date Revised 28.03.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1002/gcc.23119

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM350274703