Calebiro, D.* ; Grassi, E.S.* ; Eszlinger, M.* ; Ronchi, C.L.* ; Godbole, A.* ; Bathon, K.* ; Guizzardi, F.* ; de Filippis, T.* ; Krohn, K.* ; Jaeschke, H.* ; Schwarzmayr, T. ; Bircan, R.* ; Gozu, H.I.* ; Sancak, S.* ; Niedziela, M.* ; Strom, T.M. ; Fassnacht, M.* ; Persani, L.* ; Paschke, R.*
     
    
        
Recurrent EZH1 mutations are a second hit in autonomous thyroid adenomas.
    
    
        
    
    
        
        J. Clin. Invest. 126, 3383-3388 (2016)
    
    
    
      
      
	
	    Autonomous thyroid adenomas (ATAs) are a frequent cause of hyperthyroidism. Mutations in the genes encoding the TSH receptor (TSHR) or the Gs protein α subunit (GNAS) are found in approximately 70% of ATAs. The involvement of other genes and the pathogenesis of the remaining cases are presently unknown. Here, we performed whole-exome sequencing in 19 ATAs that were paired with normal DNA samples and identified a recurrent hot-spot mutation (c.1712A>G; p.Gln571Arg) in the enhancer of zeste homolog 1 (EZH1) gene, which codes for a catalytic subunit of the polycomb complex. Targeted screening in an independent cohort confirmed that this mutation occurs with high frequency (27%) in ATAs. EZH1 mutations were strongly associated with known (TSHR, GNAS) or presumed (adenylate cyclase 9 [ADCY9]) alterations in cAMP pathway genes. Furthermore, functional studies revealed that the p.Gln571Arg EZH1 mutation caused increased histone H3 trimethylation and increased proliferation of thyroid cells. In summary, this study revealed that a hot-spot mutation in EZH1 is the second most frequent genetic alteration in ATAs. The association between EZH1 and TSHR mutations suggests a 2-hit model for the pathogenesis of these tumors, whereby constitutive activation of the cAMP pathway and EZH1 mutations cooperate to induce the hyperproliferation of thyroid cells.
	
	
	    
	
       
      
	
	    
		Impact Factor
		Scopus SNIP
		Web of Science
Times Cited
		Scopus
Cited By
		Altmetric
		
	     
	    
	 
       
      
     
    
        Publication type
        Article: Journal article
    
 
    
        Document type
        Scientific Article
    
 
    
        Thesis type
        
    
 
    
        Editors
        
    
    
        Keywords
        Somatic Mutations; Constitutive Activation; Germline Mutation; Hyperthyroidism
    
 
    
        Keywords plus
        
    
 
    
    
        Language
        
    
 
    
        Publication Year
        2016
    
 
    
        Prepublished in Year
        
    
 
    
        HGF-reported in Year
        2016
    
 
    
    
        ISSN (print) / ISBN
        0021-9738
    
 
    
        e-ISSN
        1558-8238
    
 
    
        ISBN
        
    
    
        Book Volume Title
        
    
 
    
        Conference Title
        
    
 
	
        Conference Date
        
    
     
	
        Conference Location
        
    
 
	
        Proceedings Title
        
    
 
     
	
    
        Quellenangaben
        
	    Volume: 126,  
	    Issue: 9,  
	    Pages: 3383-3388 
	    Article Number: ,  
	    Supplement: ,  
	
    
 
    
        
            Series
            
        
 
        
            Publisher
            American Society of Clinical Investigation
        
 
        
            Publishing Place
            Ann Arbor
        
 
	
        
            Day of Oral Examination
            0000-00-00
        
 
        
            Advisor
            
        
 
        
            Referee
            
        
 
        
            Examiner
            
        
 
        
            Topic
            
        
 
	
        
            University
            
        
 
        
            University place
            
        
 
        
            Faculty
            
        
 
    
        
            Publication date
            0000-00-00
        
 
         
        
            Application date
            0000-00-00
        
 
        
            Patent owner
            
        
 
        
            Further owners
            
        
 
        
            Application country
            
        
 
        
            Patent priority
            
        
 
    
        Reviewing status
        Peer reviewed
    
 
     
    
        POF-Topic(s)
        30501 - Systemic Analysis of Genetic and Environmental Factors that Impact Health
    
 
    
        Research field(s)
        Genetics and Epidemiology
    
 
    
        PSP Element(s)
        G-500700-001
    
 
    
        Grants
        
    
 
    
        Copyright
        
    
 	
    
    
    
    
    
        Erfassungsdatum
        2016-09-06