ARID1A Mutations in Endometriosis-Associated Ovarian Carcinomas
Open accessAbstract
BACKGROUND: Ovarian clear-cell and endometrioid carcinomas may arise from endometriosis, but the molecular events involved in this transformation have not been described. METHODS: We sequenced the whole transcriptomes of 18 ovarian clear-cell carcinomas and 1 ovarian clear-cell carcinoma cell line and found somatic mutations in ARID1A (the AT-rich interactive domain 1A [SWI-like] gene) in 6 of the samples. ARID1A encodes BAF250a, a key component of the SWI–SNF chromatin remodeling complex. We sequenced ARID1A in an additional 210 ovarian carcinomas and a second ovarian clear-cell carcinoma cell line and measured BAF250a expression by means of immunohistochemical analysis in an additional 455 ovarian carcinomas. RESULTS: ARID1A mutations were seen in 55 of 119 ovarian clear-cell carcinomas (46%), 10 of 33 endometrioid carcinomas (30%), and none of the 76 high-grade serous ovarian carcinomas. Seventeen carcinomas had two somatic mutations each. Loss of the BAF250a protein correlated strongly with the ovarian clear-cell carcinoma and endometrioid carcinoma subtypes and the presence of ARID1A mutations. In two patients, ARID1A mutations and loss of BAF250a expression were evident in the tumor and contiguous atypical endometriosis but not in distant endometriotic lesions. CONCLUSIONS: These data implicate ARID1A as a tumor-suppressor gene frequently disrupted in ovarian clear-cell and endometrioid carcinomas. Since ARID1A mutation and loss of BAF250a can be seen in the preneoplastic lesions, we speculate that this is an early event in the transformation of endometriosis into cancer. (Funded by the British Columbia Cancer Foundation and the Vancouver General Hospital–University of British Columbia Hospital Foundation.).
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Detection of PTEN, PIK3CA, and ARID1A mutations in benign or atypical endometriotic lesions, which have also been reported in ovarian clear cell carcinoma and endometrioid carcinoma, supports the possibility of malignant transformation of endometriosis.
“Recently, the detection of PTEN, PIK3CA, and ARID1A mutations in benign or atypical endometriotic lesions [15][16][17], which have been also reported in ovarian clear cell carcinoma and endometrioid carcinoma, supports the possibility of malignant transformation of endometriosis.”
From Malignancies Associated with Extraovarian Endometriosis: A Literature Review (2021) · cites this paper as [16]
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- Authors
- Wiegand, K. C., Shah, S. P., Al-Agha, O. M., Zhao, Y., Tse, K., Zeng, T., Senz, J., McConechy, M. K., Anglesio, M. S., Kalloger, S. E., Yang, W., Heravi-Moussavi, A., Giuliany, R., Chow, C., Fee, J., Zayed, A., Prentice, L., Melnyk, N., Turashvili, G., Delaney, A. D., Madore, J., Yip, S., McPherson, A. W., Ha, G., Bell, L., Fereday, S., Tam, A., Galletta, L., Tonin, P. N., Provencher, D., Miller, D., Jones, S. J. M., Moore, R. A., Morin, G. B., Oloumi, A., Boyd, N., Aparicio, S. A., Shih, I.-M., Mes-Masson, A.-M., Bowtell, D. D., Hirst, M., Gilks, B., Marra, M. A., & Huntsman, D. G.
- Affiliations
- BC Cancer Agency (CA)
- Hôpital Notre-Dame (CA)
- Peter MacCallum Cancer Centre (AU)
- Research Institute of the McGill University Health Centre (CA)
- University of British Columbia (CA)
- Johns Hopkins University (US)
- The University of Melbourne (AU)
- ORCID
- Shah, Sohrab P.
- Zhao, Yongjun
- Senz, Janine
- McConechy, Melissa K.
- Anglesio, Michael S.
- Kalloger, Steve E.
- Yang, Winnie
- Chow, Christine
- Prentice, Leah
- Turashvili, Gulisa
- Madore, Jason
- Yip, Stephen
- McPherson, Andrew W.
- Ha, Gavin
- Tam, Angela
- Tonin, Patricia N.
- Provencher, Diane
- Miller, Dianne
- Jones, Steven J.M.
- Moore, Richard A.
- Morin, Gregg B.
- Boyd, Niki
- Aparicio, Samuel A.
- Shih, Ie-Ming
- Bowtell, David D.
- Hirst, Martin
- Marra, Marco A.
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 2010-10-14
- Volume
- 363
- Issue
- 16
- Pages
- 1532-1543
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- PMC
- PMC2976679
- OpenAlex
- W2034852369
- Cited by
- 1,712
- References
- 35
- Citations by year
- 2026: 73 · 2025: 74 · 2024: 84 · 2023: 109 · 2022: 79 · 2021: 106 · 2020: 118 · 2019: 105 · 2018: 106 · 2017: 111 · 2016: 103 · 2015: 137 · 2014: 122 · 2013: 143 · 2012: 131
- FWCI
- 49.54
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- New England Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Sanofi
- Genome Canada
- Canada's Michael Smith Genome Sciences Centre
- Ovarian Cancer Canada
- Michael Smith Health Research BC
- University of British Columbia
- National Institutes of Health (RO1CA129080)
- Canadian Institutes of Health Research (STP53912)
- Medical Research Council
- National Health and Medical Research Council
- Cancer Council Tasmania
- National Cancer Institute (R01CA103937, RO1CA129080, RO1CA103937, R01CA129080)
- Medical Research and Materiel Command (DAMD17-O1-1-0729)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Chromatin Remodeling and Cancer
- Health Sciences › Medicine › Reproductive Medicine › Ovarian cancer diagnosis and treatment
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Keywords
- ARID1A mutation, endometriosis-associated ovarian cancer, ovarian clear cell carcinoma, endometrioid carcinoma, ARID1A, SWI/SNF complex, tumor suppressor, somatic mutations, precancerous lesions, transcriptome sequencing
- MeSH terms
- DNA-Binding Proteins, Endometriosis, Female, Humans, Mutation, Nuclear Proteins, Ovarian Neoplasms, Transcription Factors, Gene Expression, Genes, Tumor Suppressor, Sequence Analysis, RNA, Adenocarcinoma, Clear Cell, Carcinoma, Endometrioid, Gene Expression Profiling, Cell Line, Tumor
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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