A new GTF2I-BRAF fusion mediating MAPK pathway activation in pilocytic astrocytoma

PLoS One. 2017 Apr 27;12(4):e0175638. doi: 10.1371/journal.pone.0175638. eCollection 2017.

Abstract

Pilocytic astrocytoma (PA) is the most common pediatric brain tumor. A recurrent feature of PA is deregulation of the mitogen activated protein kinase (MAPK) pathway most often through KIAA1549-BRAF fusion, but also by other BRAF- or RAF1-gene fusions and point mutations (e.g. BRAFV600E). These features may serve as diagnostic and prognostic markers, and also facilitate development of targeted therapy. The aims of this study were to characterize the genetic alterations underlying the development of PA in six tumor cases, and evaluate methods for fusion oncogene detection. Using a combined analysis of RNA sequencing and copy number variation data we identified a new BRAF fusion involving the 5' gene fusion partner GTF2I (7q11.23), not previously described in PA. The new GTF2I-BRAF 19-10 fusion was found in one case, while the other five cases harbored the frequent KIAA1549-BRAF 16-9 fusion gene. Similar to other BRAF fusions, the GTF2I-BRAF fusion retains an intact BRAF kinase domain while the inhibitory N-terminal domain is lost. Functional studies on GTF2I-BRAF showed elevated MAPK pathway activation compared to BRAFWT. Comparing fusion detection methods, we found Fluorescence in situ hybridization with BRAF break apart probe as the most sensitive method for detection of different BRAF rearrangements (GTF2I-BRAF and KIAA1549-BRAF). Our finding of a new BRAF fusion in PA further emphasis the important role of B-Raf in tumorigenesis of these tumor types. Moreover, the consistency and growing list of BRAF/RAF gene fusions suggests these rearrangements to be informative tumor markers in molecular diagnostics, which could guide future treatment strategies.

MeSH terms

  • Adolescent
  • Astrocytoma / genetics*
  • Astrocytoma / pathology*
  • Base Sequence
  • Child
  • Child, Preschool
  • DNA Copy Number Variations / genetics
  • Exons / genetics
  • Female
  • Gene Expression Regulation, Neoplastic / genetics
  • HEK293 Cells
  • Humans
  • Infant
  • MAP Kinase Signaling System / genetics*
  • Male
  • Mitogen-Activated Protein Kinases / metabolism*
  • Oncogene Fusion*
  • Proto-Oncogene Proteins B-raf / genetics*
  • Transcription Factors, TFII / genetics*

Substances

  • GTF2I protein, human
  • Transcription Factors, TFII
  • Proto-Oncogene Proteins B-raf
  • Mitogen-Activated Protein Kinases

Grants and funding

This work was supported by the Swedish Children's Cancer Foundation (grant numbers PR2013-0010, FoAss10/008, NBCNSDoktBidr11/006, 2011-2013 to FA and NC2014-0036 to TT), the Swedish Assar Gabrielsson Foundation (grant numbers FB 15-75 2015 to TT, FB 13-68 2014 to AW); the Swedish Wilhelm and Martina Lundgren Research Foundation (year 2011-2013 to TT, AW and FA). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.