Whole genome sequencing of skull-base chordoma reveals genomic alterations associated with recurrence and chordoma-specific survival

Nat Commun. 2021 Feb 3;12(1):757. doi: 10.1038/s41467-021-21026-5.

Abstract

Chordoma is a rare bone tumor with an unknown etiology and high recurrence rate. Here we conduct whole genome sequencing of 80 skull-base chordomas and identify PBRM1, a SWI/SNF (SWItch/Sucrose Non-Fermentable) complex subunit gene, as a significantly mutated driver gene. Genomic alterations in PBRM1 (12.5%) and homozygous deletions of the CDKN2A/2B locus are the most prevalent events. The combination of PBRM1 alterations and the chromosome 22q deletion, which involves another SWI/SNF gene (SMARCB1), shows strong associations with poor chordoma-specific survival (Hazard ratio [HR] = 10.55, 95% confidence interval [CI] = 2.81-39.64, p = 0.001) and recurrence-free survival (HR = 4.30, 95% CI = 2.34-7.91, p = 2.77 × 10-6). Despite the low mutation rate, extensive somatic copy number alterations frequently occur, most of which are clonal and showed highly concordant profiles between paired primary and recurrence/metastasis samples, indicating their importance in chordoma initiation. In this work, our findings provide important biological and clinical insights into skull-base chordoma.

Publication types

  • Research Support, N.I.H., Intramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Chordoma / genetics*
  • Chordoma / pathology
  • DNA Copy Number Variations
  • DNA-Binding Proteins / genetics*
  • Female
  • Genetic Predisposition to Disease / genetics*
  • Genomics / methods
  • Humans
  • Kaplan-Meier Estimate
  • Male
  • Middle Aged
  • Mutation
  • Neoplasm Recurrence, Local
  • SMARCB1 Protein / genetics*
  • Skull Base Neoplasms / genetics*
  • Skull Base Neoplasms / pathology
  • Transcription Factors / genetics*
  • Whole Genome Sequencing / methods*
  • Young Adult

Substances

  • DNA-Binding Proteins
  • PBRM1 protein, human
  • SMARCB1 Protein
  • SMARCB1 protein, human
  • Transcription Factors