TY - JOUR
T1 - Integrated exome and RNA sequencing of TFE3-translocation renal cell carcinoma
AU - Sun, Guangxi
AU - Chen, Junru
AU - Liang, Jiayu
AU - Yin, Xiaoxue
AU - Zhang, Mengni
AU - Yao, Jin
AU - He, Ning
AU - Armstrong, Cameron M.
AU - Zheng, Linmao
AU - Zhang, Xingming
AU - Zhu, Sha
AU - Sun, Xiaomeng
AU - Yang, Xiaoxia
AU - Zhao, Wanbin
AU - Liao, Banghua
AU - Pan, Xiuyi
AU - Nie, Ling
AU - Yang, Ling
AU - Chen, Yuntian
AU - Zhao, Jinge
AU - Zhang, Haoran
AU - Dai, Jindong
AU - Shen, Yali
AU - Liu, Jiyan
AU - Huang, Rui
AU - Liu, Jiandong
AU - Wang, Zhipeng
AU - Ni, Yuchao
AU - Wei, Qiang
AU - Li, Xiang
AU - Zhou, Qiao
AU - Huang, Haojie
AU - Liu, Zhenhua
AU - Shen, Pengfei
AU - Chen, Ni
AU - Zeng, Hao
N1 - Funding Information:
The authors thank all patients involved in this study, as well as their families/caregivers. We offer sincere gratitude to Prof. Allen C. Gao from UC Davis Medical Center for the constructive suggestions and careful revision for this manuscript. Thanks to Mrs. Dan Qin from basebiotech Co., Ltd and Ph.D Menghuan Zhang from GloriousMed Clinical Laboratory (Shanghai) Co., Ltd for providing help for bioinformatic analysis and raw data uploading. This work was supported by the Natural Science Foundation of China (NSFC 81972502, 81902577, 81974398,81872107 and 81872108), China Postdoctoral Science Foundation (2020M673239), Research Foundation for the Postdoctoral Program of Sichuan University (2021SCU12014), Post-Doctor Research Project, West China Hospital, Sichuan University (20HXBH026), 1.3.5 project for disciplines of excellence, West China Hospital, Sichuan University (No.0040205301E21), and Science and Technology Support Program of Sichuan Province (2021YFS0119).
Publisher Copyright:
© 2021, The Author(s).
PY - 2021/12/1
Y1 - 2021/12/1
N2 - TFE3-translocation renal cell carcinoma (TFE3-tRCC) is a rare and heterogeneous subtype of kidney cancer with no standard treatment for advanced disease. We describe comprehensive molecular characteristics of 63 untreated primary TFE3-tRCCs based on whole-exome and RNA sequencing. TFE3-tRCC is highly heterogeneous, both clinicopathologically and genotypically. ASPSCR1-TFE3 fusion and several somatic copy number alterations, including the loss of 22q, are associated with aggressive features and poor outcomes. Apart from tumors with MED15-TFE3 fusion, most TFE3-tRCCs exhibit low PD-L1 expression and low T-cell infiltration. Unsupervised transcriptomic analysis reveals five molecular clusters with distinct angiogenesis, stroma, proliferation and KRAS down signatures, which show association with fusion patterns and prognosis. In line with the aggressive nature, the high angiogenesis/stroma/proliferation cluster exclusively consists of tumors with ASPSCR1-TFE3 fusion. Here, we describe the genomic and transcriptomic features of TFE3-tRCC and provide insights into precision medicine for this disease.
AB - TFE3-translocation renal cell carcinoma (TFE3-tRCC) is a rare and heterogeneous subtype of kidney cancer with no standard treatment for advanced disease. We describe comprehensive molecular characteristics of 63 untreated primary TFE3-tRCCs based on whole-exome and RNA sequencing. TFE3-tRCC is highly heterogeneous, both clinicopathologically and genotypically. ASPSCR1-TFE3 fusion and several somatic copy number alterations, including the loss of 22q, are associated with aggressive features and poor outcomes. Apart from tumors with MED15-TFE3 fusion, most TFE3-tRCCs exhibit low PD-L1 expression and low T-cell infiltration. Unsupervised transcriptomic analysis reveals five molecular clusters with distinct angiogenesis, stroma, proliferation and KRAS down signatures, which show association with fusion patterns and prognosis. In line with the aggressive nature, the high angiogenesis/stroma/proliferation cluster exclusively consists of tumors with ASPSCR1-TFE3 fusion. Here, we describe the genomic and transcriptomic features of TFE3-tRCC and provide insights into precision medicine for this disease.
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U2 - 10.1038/s41467-021-25618-z
DO - 10.1038/s41467-021-25618-z
M3 - Article
C2 - 34489456
AN - SCOPUS:85114635952
SN - 2041-1723
VL - 12
JO - Nature communications
JF - Nature communications
IS - 1
M1 - 5262
ER -