MAML3-fusions modulate vascular and immune tumour microenvironment and confer high metastatic risk in pheochromocytoma and paraganglioma.

Fecha de publicación: Fecha Ahead of Print:

Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Monteagudo M
  • Calsina B
  • Salazar-Hidalgo ME
  • Martínez-Montes ÁM
  • Piñeiro-Yáñez E
  • Caleiras E
  • Martín MC
  • Rodríguez-Perales S
  • Letón R
  • Gil E
  • Buffet A
  • Burnichon N
  • Fernández-Sanromán Á
  • Díaz-Talavera A
  • Mellid S
  • Arroba E
  • Reglero C
  • Martínez-Puente N
  • Roncador G
  • Corrales PJP
  • Oliveira CL
  • Álvarez-Escolá C
  • Gutiérrez MC
  • López-Fernández A
  • García NP
  • Regojo RM
  • Díaz LR
  • Laorden NR
  • Guadarrama OS
  • Bechmann N
  • Beuschlein F
  • Canu L
  • Eisenhofer G
  • Fassnacht M
  • Nölting S
  • Quinkler M
  • Rapizzi E
  • Remde H
  • Timmers HJ
  • Favier J
  • Gimenez-Roqueplo AP
  • Rodriguez-Antona C
  • Currás-Freixes M
  • Al-Shahrour F
  • Cascón A
  • Leandro-García LJ
  • Montero-Conde C
  • Robledo M

Grupos

Abstract

Pheochromocytomas and paragangliomas are rare neuroendocrine tumours. Around 20-25 % of patients develop metastases, for which there is an urgent need of prognostic markers and therapeutic stratification strategies. The presence of a MAML3-fusion is associated with increased metastatic risk, but neither the processes underlying disease progression, nor targetable vulnerabilities have been addressed. We have compiled a cohort of 850 patients, which has shown a 3.65 % fusion prevalence and represents the largest MAML3-positive series reported to date. While MAML3-fusions mainly cause single pheochromocytomas, we also observed somatic post-zygotic events, resulting in multiple tumours in the same patient. MAML3-tumours show increased expression of neuroendocrine-to-mesenchymal transition markers, MYC-targets, and angiogenesis-related genes, leading to a distinct tumour microenvironment with unique vascular and immune profiles. Importantly, our findings have identified MAML3-tumours specific vulnerabilities beyond Wnt-pathway dysregulation, such as a rich vascular network, and overexpression of PD-L1 and CD40, suggesting potential therapeutic targets.

Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.

Datos de la publicación

ISSN/ISSNe:
1521-690X, 1532-1908

BEST PRACTICE & RESEARCH CLINICAL ENDOCRINOLOGY & METABOLISM  ELSEVIER SCI LTD

Tipo:
Article
Páginas:
101931-101931
PubMed:
39218714
Factor de Impacto:
1,166 SCImago
Cuartil:
Q1 SCImago

Citas Recibidas en Web of Science: 7

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Keywords

  • MAML3 screening procedure; MAML3-fusion; metastasis; paraganglioma; pheochromocytoma; tumour microenvironment; vasculature

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