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González-Vela, MDC; Curiel-Olmo, S; Derdak, S; Beltran, S; Santibañez, M; Martínez, N; Castillo-Trujillo, A; Gut, M; Sánchez-Pacheco, R; Almaraz, C; Cereceda, L; Llombart, B; Agraz-Doblas, A; Revert-Arce, J; López Guerrero, JA; Mollejo, M; Marrón, PI; Ortiz-Romero, P; Fernandez-Cuesta, L; Varela, I; Gut, I; Cerroni, L; Piris, MÁ; Vaqué, JP.
Shared Oncogenic Pathways Implicated in Both Virus-Positive and UV-Induced Merkel Cell Carcinomas.
J Invest Dermatol. 2017; 137(1):197-206
Doi: 10.1016/j.jid.2016.08.015
[OPEN ACCESS]
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PubMed
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- Co-authors Med Uni Graz
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Cerroni Lorenzo
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Merkel cell carcinoma (MCC) is a highly malignant neuroendocrine tumor of the skin whose molecular pathogenesis is not completely understood, despite the role that Merkel cell polyomavirus can play in 55-90% of cases. To study potential mechanisms driving this disease in clinically characterized cases, we searched for somatic mutations using whole-exome sequencing, and extrapolated our findings to study functional biomarkers reporting on the activity of the mutated pathways. Confirming previous results, Merkel cell polyomavirus-negative tumors had higher mutational loads with UV signatures and more frequent mutations in TP53 and RB compared with their Merkel cell polyomavirus-positive counterparts. Despite important genetic differences, the two Merkel cell carcinoma etiologies both exhibited nuclear accumulation of oncogenic transcription factors such as NFAT or nuclear factor of activated T cells (NFAT), P-CREB, and P-STAT3, indicating commonly deregulated pathogenic mechanisms with the potential to serve as targets for therapy. A multivariable analysis identified phosphorylated CRE-binding protein as an independent survival factor with respect to clinical variables and Merkel cell polyomavirus status in our cohort of Merkel cell carcinoma patients.
Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.
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Aged, 80 and over -
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Biomarkers, Tumor - genetics
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Biopsy, Needle -
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Carcinogenesis - genetics
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Carcinoma, Merkel Cell - genetics
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Carcinoma, Merkel Cell - mortality
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Carcinoma, Merkel Cell - pathology
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Carcinoma, Merkel Cell - virology
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Cohort Studies -
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Female -
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Gene Expression Regulation, Neoplastic -
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Humans -
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Immunohistochemistry -
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Male -
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Merkel cell polyomavirus - genetics
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Merkel cell polyomavirus - isolation & purification
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Multivariate Analysis -
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Mutation -
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Oncogenes - genetics
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Prognosis -
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Risk Assessment -
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Signal Transduction - genetics
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Skin Neoplasms - genetics
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Skin Neoplasms - mortality
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Skin Neoplasms - pathology
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Skin Neoplasms - virology
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Survival Analysis -
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Tumor Suppressor Protein p53 - genetics
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Tumor Suppressor Protein p53 - metabolism
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Tumor Virus Infections - mortality
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Tumor Virus Infections - pathology
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Ultraviolet Rays - adverse effects