A genetic basis for sex differences in Xp11 translocation renal cell carcinoma.
Cell
; 2024 Aug 14.
Article
in En
| MEDLINE
| ID: mdl-39168126
ABSTRACT
Xp11 translocation renal cell carcinoma (tRCC) is a rare, female-predominant cancer driven by a fusion between the transcription factor binding to IGHM enhancer 3 (TFE3) gene on chromosome Xp11.2 and a partner gene on either chromosome X (chrX) or an autosome. It remains unknown what types of rearrangements underlie TFE3 fusions, whether fusions can arise from both the active (chrXa) and inactive X (chrXi) chromosomes, and whether TFE3 fusions from chrXi translocations account for the female predominance of tRCC. To address these questions, we performed haplotype-specific analyses of chrX rearrangements in tRCC whole genomes. We show that TFE3 fusions universally arise as reciprocal translocations and that oncogenic TFE3 fusions can arise from chrXiautosomal translocations. Female-specific chrXiautosomal translocations result in a 21 female-to-male ratio of TFE3 fusions involving autosomal partner genes and account for the female predominance of tRCC. Our results highlight how X chromosome genetics constrains somatic chrX alterations and underlies cancer sex differences.
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1
Collection:
01-internacional
Database:
MEDLINE
Language:
En
Journal:
Cell
Year:
2024
Document type:
Article
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