机构地区:[1]State Key Laboratory of Genetic Engineering and Collaborative Innovation Center for Genetics and Development,School of Life Sciences,Institute of Biomedical Sciences,Human Phenome Institute,Zhongshan Hospital,Fudan University,Shanghai,China [2]Department of Neurosurgery,Huashan Hospital,Shanghai Medical College,Fudan University,Shanghai,China [3]National Center for Neurological Disorders,Huashan Hospital,Shanghai Medical College,Fudan University,Shanghai,China [4]State Key Laboratory of Cell Differentiation and Regulation,Henan International Joint Laboratory of Pulmonary Fibrosis,Henan center for outstanding overseas scientists of pulmonary fibrosis,College of Life Science,Institute of Biomedical Science,Henan Normal University,Xinxiang,Henan,China [5]Department of Radiology,Huashan Hospital,Shanghai Medical College,Fudan University,Shanghai,China [6]State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science,Institutes of Brain Science,Fudan University,Shanghai,China [7]Shanghai Key laboratory of Brain Function Restoration and Neural Regeneration,Shanghai,China [8]Neurosurgical Institute of Fudan University,Shanghai,China [9]National Clinical Research Center for Aging and Medicine,Huashan Hospital,Fudan University,Shanghai,China
出 处:《Cell Research》2022年第12期1047-1067,共21页细胞研究(英文版)
基 金:supported by the National Program on Key Basic Research Project(2019YFA0801900 to C.D.,2019YFC1316000 to C.D.);China Pituitary Adenoma Specialist Council(CPASC)to Y.Zhao;the National Key R&D Program of China(2017YFA0505102 to C.D.,2016YFA0502500 to C.D.,2018YFE0201603 to C.D.,2017YFA0505101 to C.D.,2020YFE0201600 to C.D.);the National High Technology Research and Development Program of China(863 program,2014AA020611 to Y.Zhao);the National Natural Science Foundation of China(31770886 to C.D.,31972933 to C.D.);the Chang Jiang Scholars Program to Y.Zhao;Shanghai Municipal Science and Technology Major Project(2017SHZDZX01 to C.D.);the National Program for Support of Top-Notch Young Professionals to Y.Zhao;the National Science Fund for Distinguished Young Scholars(81725011 to Y.Zhao);Major Project of Special Development Funds of Zhangjiang National Independent Innovation Demonstration Zone(ZJ2019-ZD-004 to C.D.);National Natural Science Funds of China(U21A20389 to Y.Zhao,81802495 to Q.Z.);CAMS Innovation Fund for Medical Sciences(2021-I2M-C&T-A-025 to Y.Zhao);Clinical Research Plan of SHDC(2020CR2004A to Y.Zhao);Shanghai Sailing Program(18YF1403400 to Q.Z.);Shanghai Chenguang Scholar(19CG08 to Q.Z.);Fudan Original Research Personalized Support Project to C.D.;2018 Postdoctoral Innovation Talents Support Program to Yunzhi Wang.
摘 要:Pituitary neuroendocrine tumor(PitNET)is one of the most common intracranial tumors.Due to its extensive tumor heterogeneity and the lack of high-quality tissues for biomarker discovery,the causative molecular mechanisms are far from being fully defined.Therefore,more studies are needed to improve the current clinicopathological classification system,and advanced treatment strategies such as targeted therapy and immunotherapy are yet to be explored.Here,we performed the largest integrative genomics,transcriptomics,proteomics,and phosphoproteomics analysis reported to date for a cohort of 200 PitNET patients.Genomics data indicate that GNAS copy number gain can serve as a reliable diagnostic marker for hyperproliferation of the PIT1 lineage.Proteomics-based classification of PitNETs identified 7 clusters,among which,tumors overexpressing epithelial-mesenchymal transition(EMT)markers clustered into a more invasive subgroup.Further analysis identified potential therapeutic targets,including CDK6,TWIST1,EGFR,and VEGFR2,for different clusters.Immune subtyping to explore the potential for application of immunotherapy in PitNET identified an association between alterations in the JAK1-STAT1-PDL1 axis and immune exhaustion,and between changes in the JAK3-STAT6-FOS/JUN axis and immune infiltration.These identified molecular markers and alternations in various clusters/subtypes were further confirmed in an independent cohort of 750 PitNET patients.This proteogenomic analysis across traditional histological boundaries improves our current understanding of PitNET pathophysiology and suggests novel therapeutic targets and strategies.
关 键 词:HISTOLOGICAL NEUROENDOCRINE TUMORS
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