Abstract
The genetic background in small intestinal neuroendocrine tumors is poorly understood,
but several studies have revealed numerical imbalances. Loss of one copy of chromosome
18 is the most frequent genetic aberration in this tumor type, which indirectly suggests
that a driver mutation may be present in the remaining allele. The aim of this study
was to evaluate the mutation status on chromosome 18 in small intestinal neuroendocrine
tumors. DNAs from 7 small intestinal neuroendocrine tumors were subjected to whole
exome capture, followed by next generation sequencing and high resolution SNP array
followed by copy number variation analysis. Exome capture sequencing generated an
average coverage of 50.6−138.2. Only 19 genes were covered less than 8X. No tumor-specific
somatic mutation was identified. Genomic profiling revealed loss of chromosome 18
in 5 out of 7 small intestinal neuroendocrine tumors and a number of other aberrancies.
Loss of chromosome 18 is the most frequent genetic aberration in small intestinal
neuroendocrine tumors, but no evidence for eventual mutations in the remaining allele.
This suggests involvement of other mechanisms than point mutations in small intestinal
neuroendocrine tumors tumorigenesis.
Key words
SI-NETs - genetics - SNP - midgut carcinoids - exome sequencing