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Recurrent TERT promoter mutations identified in a large-scale study of multiple tumour types are associated with increased TERT expression and telomerase activation

Open access
Huang, Dong-Sheng, Wang, Zhaohui, He, Xu-Jun, Diplas, Bill H., Yang, Rui, Killela, Patrick J., Meng, Qun, Ye, Zai-Yuan, Wang, Wei, Jiang, Xiao-Ting, Xu, Li, He, Xiang-Lei, Zhao, Zhong-Sheng, Xu, Wen-Juan, Wang, Hui-Ju, Ma, Ying-Yu, Xia, Ying-Jie, Li, Li, Zhang, Ru-Xuan, Jin, Tao, Zhao, Zhong-Kuo, Xu, Ji, Yu, Sheng, Wu, Fang, Liang, Junbo, Wang, Sizhen, Jiao, Yuchen, Yan, Hai, Tao, Hou-Quan·2015·European Journal of Cancer

Abstract

Background Several somatic mutation hotspots were recently identified in the TERT promoter region in human cancers. Large scale studies of these mutations in multiple tumor types are limited, in particular in Asian populations. This study aimed to: analyze TERT promoter mutations in multiple tumor types in a large Chinese patient cohort, investigate novel tumor types and assess the functional significance of the mutations. Methods TERT promoter mutation status was assessed by Sanger sequencing for 13 different tumor types and 799 tumor tissues from Chinese cancer patients. Thymic epithelial tumors, gastrointestinal leiomyoma, and gastric schwannoma were included, for which the TERT promoter has not been previously sequenced. Functional studies included TERT expression by RT-qPCR, telomerase activity by the TRAP assay, and promoter activity by the luciferase reporter assay. Results TERT promoter mutations were highly frequent in glioblastoma (83.9%), urothelial carcinoma (64.5%), oligodendroglioma (70.0%), medulloblastoma (33.3%), and hepatocellular carcinoma (31.4%). C228T and C250T were the most common mutations. In urothelial carcinoma, several novel rare mutations were identified. TERT promoter mutations were absent in GIST, thymic epithelial tumors, gastrointestinal leiomyoma, gastric schwannoma, cholangiocarcinoma, gastric and pancreatic cancer. TERT promoter mutations highly correlated with upregulated TERT mRNA expression and telomerase activity in adult gliomas. These mutations differentially enhanced the transcriptional activity of the TERT core promoter. Conclusions TERT promoter mutations are frequent in multiple tumor types and have similar distributions in Chinese cancer patients. The functional significance of these mutations reflect the importance to telomere maintenance and hence tumorigenesis, making them potential therapeutic targets.

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Metadata

Authors
Huang, D.-S., Wang, Z., He, X.-J., Diplas, B. H., Yang, R., Killela, P. J., Meng, Q., Ye, Z.-Y., Wang, W., Jiang, X.-T., Xu, L., He, X.-L., Zhao, Z.-S., Xu, W.-J., Wang, H.-J., Ma, Y.-Y., Xia, Y.-J., Li, L., Zhang, R.-X., Jin, T., Zhao, Z.-K., Xu, J., Yu, S., Wu, F., Liang, J., Wang, S., Jiao, Y., Yan, H., & Tao, H.-Q.
Venue
European Journal of Cancer
Publisher
Elsevier BV
Published
2015-05
Volume
51
Issue
8
Pages
969-976
ISSN
0959-8049 (ISSN-L)
OpenAlex
W2105401493
Cited by
193
References
2
FWCI
14.63
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Recurrent TERT promoter mutations identified in a large-scale study of multiple tumour types are associated with increased TERT expression and telomerase activation. https://app.cochat.ai/papers/10.1016/j.ejca.2015.03.010
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Huang, D.-S., Wang, Z., He, X.-J., Diplas, B. H., Yang, R., Killela, P. J., Meng, Q., Ye, Z.-Y., Wang, W., Jiang, X.-T., Xu, L., He, X.-L., Zhao, Z.-S., Xu, W.-J., Wang, H.-J., Ma, Y.-Y., Xia, Y.-J., Li, L., Zhang, R.-X., . . . Tao, H.-Q. (2015). Recurrent TERT promoter mutations identified in a large-scale study of multiple tumour types are associated with increased TERT expression and telomerase activation. European Journal of Cancer. https://doi.org/10.1016/j.ejca.2015.03.010

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