CTNNB1 mutational analysis of solid-pseudopapillary neoplasms of the pancreas using endoscopic ultrasound-guided fine-needle aspiration and next-generation deep sequencing

J Gastroenterol. 2015 Feb;50(2):203-10. doi: 10.1007/s00535-014-0954-y. Epub 2014 Apr 4.

Abstract

Background: Solid-pseudopapillary neoplasm (SPN), a rare neoplasm of the pancreas, frequently harbors mutations in exon 3 of the cadherin-associated protein beta 1 (CTNNB1) gene. Here, we analyzed SPN tissue for CTNNB1 mutations by deep sequencing using next-generation sequencing (NGS).

Methods: Tissue samples from 7 SPNs and 31 other pancreatic lesions (16 pancreatic ductal adenocarcinomas (PDAC), 11 pancreatic neuroendocrine tumors (PNET), 1 acinar cell carcinoma, 1 autoimmune pancreatitis lesion, and 2 focal pancreatitis lesions) were analyzed by NGS for mutations in exon 3 of CTNNB1.

Results: A single-base-pair missense mutations in exon 3 of CTNNB1 was observed in all 7 SPNs and in 1 of 11 PNET samples. However, mutations were not observed in the tissue samples of any of the 16 PDAC or other four pancreatic disease cases. The variant frequency of CTNNB1 ranged from 5.4 to 48.8 %.

Conclusions: Mutational analysis of CTNNB1 by NGS is feasible and was achieved using SPN samples obtained by endoscopic ultrasound-guided fine needle aspiration.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Carcinoma, Papillary / diagnostic imaging
  • Carcinoma, Papillary / genetics*
  • Carcinoma, Papillary / pathology
  • DNA Mutational Analysis / methods
  • Endoscopic Ultrasound-Guided Fine Needle Aspiration
  • Female
  • High-Throughput Nucleotide Sequencing / methods
  • Humans
  • Male
  • Middle Aged
  • Mutation*
  • Pancreatic Neoplasms / diagnostic imaging
  • Pancreatic Neoplasms / genetics*
  • Pancreatic Neoplasms / pathology
  • Young Adult
  • beta Catenin / genetics*

Substances

  • CTNNB1 protein, human
  • beta Catenin