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Identification of somatic gene mutations in penile squamous cell carcinoma
Authors:Carla Ferrándiz‐Pulido  Javier Hernández‐Losa  Emili Masferrer  Ana Vivancos  Rosa Somoza  Roso Marés  Claudia Valverde  Carlos Salvador  Jose Placer  Juan Morote  Ramon M. Pujol  Santiago Ramon  y Cajal  Vicente García‐Patos
Affiliation:1. Dermatology Department, Hospital Universitari Vall D'hebron, Barcelona, Spain;2. Faculty of Medicine, Universitat Autònoma De Barcelona, Barcelona, Spain;3. Pathology Department, Hospital Universitari Vall D'hebron, Barcelona, Spain;4. Dermatology Department, Hospital Del Mar‐IMIM, Barcelona, Spain;5. Faculty of Medicine, Universitat De Barcelona, Barcelona, Spain;6. Vall D'Hebron Institute of Oncology, Barcelona, Spain;7. Oncology Department, Hospital Universitari Vall D'hebron, Barcelona, Spain;8. Urology Department, Hospital Universitari Vall D'hebron, Barcelona, Spain;9. Faculty of Medicine, Universitat Pompeu Fabra, Barcelona, Spain
Abstract:There is a lack of studies on somatic gene mutations and cell signaling driving penile carcinogenesis. Our objective was to analyze somatic mutations in genes downstream of EGFR in penile squamous cell carcinomas, especially the mTOR and RAS/MAPK pathways. We retrospectively analyzed somatic mutations in 10 in situ and 65 invasive penile squamous cell carcinomas by using Sequenom's Mass Spectrometry iPlex Technology and Oncocarta v1.0 Panel. The DNA was extracted from FFPE blocks and we identified somatic missense mutations in three in situ tumors and in 19 invasive tumors, mostly in PIK3CA, KRAS, HRAS, NRAS, and PDGFA genes. Somatic mutations in the PIK3CA gene or RAS family genes were neither associated with tumor grade, stage or outcome, and were equally often identified in hrHPV positive and in hrHPV negative tumors that showed no p53 expression. Mutations in PIK3CA, KRAS, and HRAS are frequent in penile squamous cell carcinoma and likely play a role in the development of p53‐negative tumors. Although the presence of these mutations does not seem to correlate with tumoral behavior or outcome, they could be biomarkers of treatment failure with anti‐EGFR mAb in patients with penile squamous cell carcinoma. © 2015 Wiley Periodicals, Inc.
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