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Low DICER1 expression is associated with poor clinical outcome in adrenocortical carcinoma

Low DICER1 expression was associated with poor outcome in several cancers. Recently, hot-spot DICER1 mutations were found in ovarian tumors, and TARBP2 truncating mutations in tumor cell lines with microsatellite instability. In this study, we assessed DICER1 e TRBP protein expression in 154 adult a...

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Published in:Oncotarget 2015-09, Vol.6 (26), p.22724-22733
Main Authors: de Sousa, Gabriela Resende Vieira, Ribeiro, Tamaya C, Faria, Andre M, Mariani, Beatriz M P, Lerario, Antonio M, Zerbini, Maria Claudia N, Soares, Iberê C, Wakamatsu, Alda, Alves, Venancio A F, Mendonca, Berenice B, Fragoso, Maria Candida B V, Latronico, Ana Claudia, Almeida, Madson Q
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creator de Sousa, Gabriela Resende Vieira
Ribeiro, Tamaya C
Faria, Andre M
Mariani, Beatriz M P
Lerario, Antonio M
Zerbini, Maria Claudia N
Soares, Iberê C
Wakamatsu, Alda
Alves, Venancio A F
Mendonca, Berenice B
Fragoso, Maria Candida B V
Latronico, Ana Claudia
Almeida, Madson Q
description Low DICER1 expression was associated with poor outcome in several cancers. Recently, hot-spot DICER1 mutations were found in ovarian tumors, and TARBP2 truncating mutations in tumor cell lines with microsatellite instability. In this study, we assessed DICER1 e TRBP protein expression in 154 adult adrenocortical tumors (75 adenomas and 79 carcinomas). Expression of DICER1 and TARBP2 gene was assessed in a subgroup of 61 tumors. Additionally, we investigated mutations in metal biding sites located at the RNase IIIb domain of DICER1 and in the exon 5 of TARBP2 in 61 tumors. A strong DICER1 expression was demonstrated in 32% of adenomas and in 51% of carcinomas (p = 0.028). Similarly, DICER1 gene overexpression was more frequent in carcinomas (60%) than in adenomas (23%, p = 0.006). But, among adrenocortical carcinomas, a weak DICER1 expression was significantly more frequent in metastatic than in non-metastatic adrenocortical carcinomas (66% vs. 31%; p = 0.002). Additionally, a weak DICER1 expression was significantly correlated with a reduced overall (p = 0.004) and disease-free (p = 0.005) survival. In the multivariate analysis, a weak DICER1 expression (p = 0.048) remained as independent predictor of recurrence. Regarding TARBP2 gene, its protein and gene expression did not correlate with histopathological and clinical parameters. No variant was identified in hot spot areas of DICER1 and TARBP2. In conclusion, a weak DICER1 protein expression was associated with reduced disease-free and overall survival and was a predictor of recurrence in adrenocortical carcinomas.
doi_str_mv 10.18632/oncotarget.4261
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Recently, hot-spot DICER1 mutations were found in ovarian tumors, and TARBP2 truncating mutations in tumor cell lines with microsatellite instability. In this study, we assessed DICER1 e TRBP protein expression in 154 adult adrenocortical tumors (75 adenomas and 79 carcinomas). Expression of DICER1 and TARBP2 gene was assessed in a subgroup of 61 tumors. Additionally, we investigated mutations in metal biding sites located at the RNase IIIb domain of DICER1 and in the exon 5 of TARBP2 in 61 tumors. A strong DICER1 expression was demonstrated in 32% of adenomas and in 51% of carcinomas (p = 0.028). Similarly, DICER1 gene overexpression was more frequent in carcinomas (60%) than in adenomas (23%, p = 0.006). But, among adrenocortical carcinomas, a weak DICER1 expression was significantly more frequent in metastatic than in non-metastatic adrenocortical carcinomas (66% vs. 31%; p = 0.002). Additionally, a weak DICER1 expression was significantly correlated with a reduced overall (p = 0.004) and disease-free (p = 0.005) survival. In the multivariate analysis, a weak DICER1 expression (p = 0.048) remained as independent predictor of recurrence. Regarding TARBP2 gene, its protein and gene expression did not correlate with histopathological and clinical parameters. No variant was identified in hot spot areas of DICER1 and TARBP2. 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Additionally, a weak DICER1 expression was significantly correlated with a reduced overall (p = 0.004) and disease-free (p = 0.005) survival. In the multivariate analysis, a weak DICER1 expression (p = 0.048) remained as independent predictor of recurrence. Regarding TARBP2 gene, its protein and gene expression did not correlate with histopathological and clinical parameters. No variant was identified in hot spot areas of DICER1 and TARBP2. In conclusion, a weak DICER1 protein expression was associated with reduced disease-free and overall survival and was a predictor of recurrence in adrenocortical carcinomas.</abstract><cop>United States</cop><pub>Impact Journals LLC</pub><pmid>26087193</pmid><doi>10.18632/oncotarget.4261</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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subjects Adenoma - genetics
Adenoma - metabolism
Adenoma - pathology
Adolescent
Adrenal Cortex Neoplasms - genetics
Adrenal Cortex Neoplasms - metabolism
Adrenal Cortex Neoplasms - pathology
Adrenocortical Carcinoma - genetics
Adrenocortical Carcinoma - metabolism
Adrenocortical Carcinoma - pathology
Adult
Aged
DEAD-box RNA Helicases - biosynthesis
DEAD-box RNA Helicases - genetics
Disease Progression
Disease-Free Survival
Female
Humans
Male
Middle Aged
Research Paper
Ribonuclease III - biosynthesis
Ribonuclease III - genetics
RNA-Binding Proteins - biosynthesis
RNA-Binding Proteins - genetics
Survival Analysis
Treatment Outcome
Young Adult
title Low DICER1 expression is associated with poor clinical outcome in adrenocortical carcinoma
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