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Erschienen in: Reviews in Endocrine and Metabolic Disorders 3/2019

31.07.2019

Clinical applications of (epi)genetics in gastroenteropancreatic neuroendocrine neoplasms: Moving towards liquid biopsies

verfasst von: Gitta Boons, Timon Vandamme, Marc Peeters, Guy Van Camp, Ken Op de Beeck

Erschienen in: Reviews in Endocrine and Metabolic Disorders | Ausgabe 3/2019

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Abstract

High-throughput analysis, including next-generation sequencing and microarrays, have strongly improved our understanding of cancer biology. However, genomic data on rare cancer types, such as neuroendocrine neoplasms, has been lagging behind. Neuroendocrine neoplasms (NENs) develop from endocrine cells spread throughout the body and are highly heterogeneous in biological behavior. In this challenging disease, there is an urgent need for new therapies and new diagnostic, prognostic, follow-up and predictive biomarkers to aid patient management. The last decade, molecular data on neuroendocrine neoplasms of the gastrointestinal tract and pancreas, termed gastroenteropancreatic NENs (GEP-NENs), has strongly expanded. The aim of this review is to give an overview of the recent advances on (epi)genetic level and highlight their clinical applications to address the current needs in GEP-NENs. We illustrate how molecular alterations can be and are being used as therapeutic targets, how mutations in DAXX/ATRX and copy number variations could be used as prognostic biomarkers, how far we are in identifying predictive biomarkers and how genetics can contribute to GEP-NEN classification. Finally, we discuss recent studies on liquid biopsies in the field of GEP-NENs and illustrate how liquid biopsies can play a role in patient management. In conclusion, molecular studies have suggested multiple potential biomarkers, but further validation is ongoing.
Literatur
7.
Zurück zum Zitat Lloyd RVOR, Klöppel G, Rosai J. WHO classification of tumours of endocrine organs. 4th edition ed. Lyon, France: IARC Press; 2017. Lloyd RVOR, Klöppel G, Rosai J. WHO classification of tumours of endocrine organs. 4th edition ed. Lyon, France: IARC Press; 2017.
9.
Zurück zum Zitat Kulke MH, Shah MH, Benson AB 3rd, Bergsland E, Berlin JD, Blaszkowsky LS, et al. Neuroendocrine tumors, version 1.2015. Journal of the National Comprehensive Cancer Network : JNCCN. 2015;13(1):78–108.CrossRefPubMed Kulke MH, Shah MH, Benson AB 3rd, Bergsland E, Berlin JD, Blaszkowsky LS, et al. Neuroendocrine tumors, version 1.2015. Journal of the National Comprehensive Cancer Network : JNCCN. 2015;13(1):78–108.CrossRefPubMed
10.
20.
Zurück zum Zitat Raj N, Shah R, Stadler Z, Mukherjee S, Chou J, Untch B, et al. Real-time genomic characterization of metastatic pancreatic neuroendocrine tumors has prognostic implications and identifies potential germline actionability. JCO Precis Oncol. 2018;2:1–18. https://doi.org/10.1200/po.17.00267.CrossRef Raj N, Shah R, Stadler Z, Mukherjee S, Chou J, Untch B, et al. Real-time genomic characterization of metastatic pancreatic neuroendocrine tumors has prognostic implications and identifies potential germline actionability. JCO Precis Oncol. 2018;2:1–18. https://​doi.​org/​10.​1200/​po.​17.​00267.CrossRef
21.
Zurück zum Zitat Hemminki K, Li X. Incidence trends and risk factors of carcinoid tumors: a nationwide epidemiologic study from Sweden. Cancer. 2001;92(8):2204–10.CrossRefPubMed Hemminki K, Li X. Incidence trends and risk factors of carcinoid tumors: a nationwide epidemiologic study from Sweden. Cancer. 2001;92(8):2204–10.CrossRefPubMed
26.
Zurück zum Zitat Zhuang Z, Vortmeyer AO, Pack S, Huang S, Pham TA, Wang C, et al. Somatic mutations of the MEN1 tumor suppressor gene in sporadic gastrinomas and insulinomas. Cancer Res. 1997;57(21):4682–6.PubMed Zhuang Z, Vortmeyer AO, Pack S, Huang S, Pham TA, Wang C, et al. Somatic mutations of the MEN1 tumor suppressor gene in sporadic gastrinomas and insulinomas. Cancer Res. 1997;57(21):4682–6.PubMed
29.
Zurück zum Zitat Yao JC, Lombard-Bohas C, Baudin E, Kvols LK, Rougier P, Ruszniewski P, et al. Daily oral everolimus activity in patients with metastatic pancreatic neuroendocrine tumors after failure of cytotoxic chemotherapy: a phase II trial. J Clin Oncol Off J Am Soc Clin Oncol. 2010;28(1):69–76. https://doi.org/10.1200/JCO.2009.24.2669.CrossRef Yao JC, Lombard-Bohas C, Baudin E, Kvols LK, Rougier P, Ruszniewski P, et al. Daily oral everolimus activity in patients with metastatic pancreatic neuroendocrine tumors after failure of cytotoxic chemotherapy: a phase II trial. J Clin Oncol Off J Am Soc Clin Oncol. 2010;28(1):69–76. https://​doi.​org/​10.​1200/​JCO.​2009.​24.​2669.CrossRef
41.
43.
44.
Zurück zum Zitat Kim DH, Nagano Y, Choi IS, White JA, Yao JC, Rashid A. Allelic alterations in well-differentiated neuroendocrine tumors (carcinoid tumors) identified by genome-wide single nucleotide polymorphism analysis and comparison with pancreatic endocrine tumors. Genes Chromosomes Cancer. 2008;47(1):84–92. https://doi.org/10.1002/gcc.20510.CrossRefPubMed Kim DH, Nagano Y, Choi IS, White JA, Yao JC, Rashid A. Allelic alterations in well-differentiated neuroendocrine tumors (carcinoid tumors) identified by genome-wide single nucleotide polymorphism analysis and comparison with pancreatic endocrine tumors. Genes Chromosomes Cancer. 2008;47(1):84–92. https://​doi.​org/​10.​1002/​gcc.​20510.CrossRefPubMed
50.
Zurück zum Zitat Furlan D, Cerutti R, Uccella S, La Rosa S, Rigoli E, Genasetti A, et al. Different molecular profiles characterize well-differentiated endocrine tumors and poorly differentiated endocrine carcinomas of the gastroenteropancreatic tract. Clin Cancer Res. 2004;10(3):947–57.CrossRefPubMed Furlan D, Cerutti R, Uccella S, La Rosa S, Rigoli E, Genasetti A, et al. Different molecular profiles characterize well-differentiated endocrine tumors and poorly differentiated endocrine carcinomas of the gastroenteropancreatic tract. Clin Cancer Res. 2004;10(3):947–57.CrossRefPubMed
56.
77.
Zurück zum Zitat Kim HS, Lee HS, Nam KH, Choi J, Kim WH. Telomere length abnormalities and telomerase RNA component expression in gastroenteropancreatic neuroendocrine tumors. Anticancer Res. 2015;35(6):3501–10.PubMed Kim HS, Lee HS, Nam KH, Choi J, Kim WH. Telomere length abnormalities and telomerase RNA component expression in gastroenteropancreatic neuroendocrine tumors. Anticancer Res. 2015;35(6):3501–10.PubMed
84.
Zurück zum Zitat Cros J, Moati E, Raffenne J, Hentic O, Svrcek M, de Mestier L, et al. Gly388Arg FGFR4 Polymorphism Is Not Predictive of Everolimus Efficacy in Well-Differentiated Digestive Neuroendocrine Tumors. Neuroendocrinology. 2016;103(5):495–9.CrossRefPubMed Cros J, Moati E, Raffenne J, Hentic O, Svrcek M, de Mestier L, et al. Gly388Arg FGFR4 Polymorphism Is Not Predictive of Everolimus Efficacy in Well-Differentiated Digestive Neuroendocrine Tumors. Neuroendocrinology. 2016;103(5):495–9.CrossRefPubMed
86.
Zurück zum Zitat Yao JC, Fazio N, Singh S, Buzzoni R, Carnaghi C, Wolin E et al. Everolimus for the treatment of advanced, non-functional neuroendocrine tumours of the lung or gastrointestinal tract (RADIANT-4): a randomised, placebo-controlled, phase 3 study. Lancet (London, England). 2016;387(10022):968-77. https://doi.org/10.1016/s0140-6736(15)00817-x.CrossRef Yao JC, Fazio N, Singh S, Buzzoni R, Carnaghi C, Wolin E et al. Everolimus for the treatment of advanced, non-functional neuroendocrine tumours of the lung or gastrointestinal tract (RADIANT-4): a randomised, placebo-controlled, phase 3 study. Lancet (London, England). 2016;387(10022):968-77. https://​doi.​org/​10.​1016/​s0140-6736(15)00817-x.CrossRef
88.
95.
Zurück zum Zitat Stricker I, Tzivras D, Nambiar S, Wulf J, Liffers ST, Vogt M, et al. Site- and grade-specific diversity of LINE1 methylation pattern in gastroenteropancreatic neuroendocrine tumours. Anticancer Res. 2012;32(9):3699–706.PubMed Stricker I, Tzivras D, Nambiar S, Wulf J, Liffers ST, Vogt M, et al. Site- and grade-specific diversity of LINE1 methylation pattern in gastroenteropancreatic neuroendocrine tumours. Anticancer Res. 2012;32(9):3699–706.PubMed
98.
102.
104.
Zurück zum Zitat Yoshimoto T, Motoi N, Yamamoto N, Nagano H, Ushijima M, Matsuura M, et al. Pulmonary carcinoids and low-grade gastrointestinal neuroendocrine tumors show common MicroRNA expression profiles, different from adenocarcinomas and small cell carcinomas. Neuroendocrinology. 2018;106(1):47–57. https://doi.org/10.1159/000461582.CrossRefPubMed Yoshimoto T, Motoi N, Yamamoto N, Nagano H, Ushijima M, Matsuura M, et al. Pulmonary carcinoids and low-grade gastrointestinal neuroendocrine tumors show common MicroRNA expression profiles, different from adenocarcinomas and small cell carcinomas. Neuroendocrinology. 2018;106(1):47–57. https://​doi.​org/​10.​1159/​000461582.CrossRefPubMed
107.
Zurück zum Zitat Thorns C, Schurmann C, Gebauer N, Wallaschofski H, Kumpers C, Bernard V, et al. Global microRNA profiling of pancreatic neuroendocrine neoplasias. Anticancer Res. 2014;34(5):2249–54.PubMed Thorns C, Schurmann C, Gebauer N, Wallaschofski H, Kumpers C, Bernard V, et al. Global microRNA profiling of pancreatic neuroendocrine neoplasias. Anticancer Res. 2014;34(5):2249–54.PubMed
117.
Zurück zum Zitat Wang M, Xia X, Chu W, Xia L, Meng T, Liu L, et al. Roles of miR-186 and PTTG1 in colorectal neuroendocrine tumors. Int J Clin Exp Med. 2015;8(12):22149–57.PubMedPubMedCentral Wang M, Xia X, Chu W, Xia L, Meng T, Liu L, et al. Roles of miR-186 and PTTG1 in colorectal neuroendocrine tumors. Int J Clin Exp Med. 2015;8(12):22149–57.PubMedPubMedCentral
118.
122.
Zurück zum Zitat Dussol AS, Joly MO, Vercherat C, Forestier J, Hervieu V, Scoazec JY, et al. Gemcitabine and oxaliplatin or alkylating agents for neuroendocrine tumors: Comparison of efficacy and search for predictive factors guiding treatment choice. Cancer. 2015;121(19):3428–34. https://doi.org/10.1002/cncr.29517.CrossRefPubMed Dussol AS, Joly MO, Vercherat C, Forestier J, Hervieu V, Scoazec JY, et al. Gemcitabine and oxaliplatin or alkylating agents for neuroendocrine tumors: Comparison of efficacy and search for predictive factors guiding treatment choice. Cancer. 2015;121(19):3428–34. https://​doi.​org/​10.​1002/​cncr.​29517.CrossRefPubMed
123.
126.
Zurück zum Zitat Ashworth T. A case of cancer in which cells similar to those in the tumours were seen in the blood after death. Med J Aust. 1869;14:146–7. Ashworth T. A case of cancer in which cells similar to those in the tumours were seen in the blood after death. Med J Aust. 1869;14:146–7.
138.
Zurück zum Zitat Leon SA, Shapiro B, Sklaroff DM, Yaros MJ. Free DNA in the serum of cancer patients and the effect of therapy. Cancer Res. 1977;37(3):646–50.PubMed Leon SA, Shapiro B, Sklaroff DM, Yaros MJ. Free DNA in the serum of cancer patients and the effect of therapy. Cancer Res. 1977;37(3):646–50.PubMed
142.
Zurück zum Zitat Botezatu I, Serdyuk O, Potapova G, Shelepov V, Alechina R, Molyaka Y, et al. Genetic analysis of DNA excreted in urine: a new approach for detecting specific genomic DNA sequences from cells dying in an organism. Clin Chem. 2000;46(8 Pt 1):1078–84.PubMed Botezatu I, Serdyuk O, Potapova G, Shelepov V, Alechina R, Molyaka Y, et al. Genetic analysis of DNA excreted in urine: a new approach for detecting specific genomic DNA sequences from cells dying in an organism. Clin Chem. 2000;46(8 Pt 1):1078–84.PubMed
150.
Zurück zum Zitat Modlin IM, Gustafsson BI, Drozdov I, Nadler B, Pfragner R, Kidd M. Principal component analysis, hierarchical clustering, and decision tree assessment of plasma mrna and hormone levels as an early detection strategy for small intestinal neuroendocrine (carcinoid) tumors. Ann Surg Oncol. 2008;16(2):487. https://doi.org/10.1245/s10434-008-0251-1.CrossRefPubMed Modlin IM, Gustafsson BI, Drozdov I, Nadler B, Pfragner R, Kidd M. Principal component analysis, hierarchical clustering, and decision tree assessment of plasma mrna and hormone levels as an early detection strategy for small intestinal neuroendocrine (carcinoid) tumors. Ann Surg Oncol. 2008;16(2):487. https://​doi.​org/​10.​1245/​s10434-008-0251-1.CrossRefPubMed
154.
Zurück zum Zitat Modlin IM, Drozdov I, Alaimo D, Callahan S, Teixiera N, Bodei L, et al. A multianalyte PCR blood test outperforms single analyte ELISAs (chromogranin A, pancreastatin, neurokinin A) for neuroendocrine tumor detection. Endocrine-related cancer. 2014;21(4):615–28. https://doi.org/10.1530/erc-14-0190.CrossRefPubMed Modlin IM, Drozdov I, Alaimo D, Callahan S, Teixiera N, Bodei L, et al. A multianalyte PCR blood test outperforms single analyte ELISAs (chromogranin A, pancreastatin, neurokinin A) for neuroendocrine tumor detection. Endocrine-related cancer. 2014;21(4):615–28. https://​doi.​org/​10.​1530/​erc-14-0190.CrossRefPubMed
157.
162.
Zurück zum Zitat Bodei L, Kidd M, Modlin IM, Severi S, Drozdov I, Nicolini S, et al. Measurement of circulating transcripts and gene cluster analysis predicts and defines therapeutic efficacy of peptide receptor radionuclide therapy (PRRT) in neuroendocrine tumors. Eur J Nucl Med Mol Imaging. 2016;43(5):839–51. https://doi.org/10.1007/s00259-015-3250-z.CrossRefPubMed Bodei L, Kidd M, Modlin IM, Severi S, Drozdov I, Nicolini S, et al. Measurement of circulating transcripts and gene cluster analysis predicts and defines therapeutic efficacy of peptide receptor radionuclide therapy (PRRT) in neuroendocrine tumors. Eur J Nucl Med Mol Imaging. 2016;43(5):839–51. https://​doi.​org/​10.​1007/​s00259-015-3250-z.CrossRefPubMed
167.
Zurück zum Zitat Apostolidis L, Kreutzfeldt S, Oles M, Gieldon L, Heining C, Horak P et al. Abstract Book of the 43rd ESMO Congress (ESMO 2018) 19–23 October 2018, Munich, Germany: Prospective genome and transcriptome sequencing in advanced-stage neuroendocrine neoplasms. Ann Oncol. 2018;29(suppl_8):viii467-viii78. https://doi.org/10.1093/annonc/mdy293.003. Apostolidis L, Kreutzfeldt S, Oles M, Gieldon L, Heining C, Horak P et al. Abstract Book of the 43rd ESMO Congress (ESMO 2018) 19–23 October 2018, Munich, Germany: Prospective genome and transcriptome sequencing in advanced-stage neuroendocrine neoplasms. Ann Oncol. 2018;29(suppl_8):viii467-viii78. https://​doi.​org/​10.​1093/​annonc/​mdy293.​003.
Metadaten
Titel
Clinical applications of (epi)genetics in gastroenteropancreatic neuroendocrine neoplasms: Moving towards liquid biopsies
verfasst von
Gitta Boons
Timon Vandamme
Marc Peeters
Guy Van Camp
Ken Op de Beeck
Publikationsdatum
31.07.2019
Verlag
Springer US
Erschienen in
Reviews in Endocrine and Metabolic Disorders / Ausgabe 3/2019
Print ISSN: 1389-9155
Elektronische ISSN: 1573-2606
DOI
https://doi.org/10.1007/s11154-019-09508-w

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