» Articles » PMID: 26551668

Mutations in the Transcriptional Repressor REST Predispose to Wilms Tumor

Abstract

Wilms tumor is the most common childhood renal cancer. To identify mutations that predispose to Wilms tumor, we are conducting exome sequencing studies. Here we describe 11 different inactivating mutations in the REST gene (encoding RE1-silencing transcription factor) in four familial Wilms tumor pedigrees and nine non-familial cases. Notably, no similar mutations were identified in the ICR1000 control series (13/558 versus 0/993; P < 0.0001) or in the ExAC series (13/558 versus 0/61,312; P < 0.0001). We identified a second mutational event in two tumors, suggesting that REST may act as a tumor-suppressor gene in Wilms tumor pathogenesis. REST is a zinc-finger transcription factor that functions in cellular differentiation and embryonic development. Notably, ten of 11 mutations clustered within the portion of REST encoding the DNA-binding domain, and functional analyses showed that these mutations compromise REST transcriptional repression. These data establish REST as a Wilms tumor predisposition gene accounting for ∼2% of Wilms tumor.

Citing Articles

Long-term kidney outcomes in survivors of Wilms tumor: a single-center retrospective cohort study.

Reinert S, Benoit S, Nagarajan R Pediatr Nephrol. 2025; .

PMID: 39779510 DOI: 10.1007/s00467-024-06624-x.


Predisposition Footprints in the Somatic Genome of Wilms Tumors.

Treger T, Wegert J, Wenger A, Coorens T, Al-Saadi R, Kemps P Cancer Discov. 2024; 15(2):286-298.

PMID: 39665570 PMC: 7617291. DOI: 10.1158/2159-8290.CD-24-0878.


Re-envisioning genetic predisposition to childhood and adolescent cancers.

Kratz C Nat Rev Cancer. 2024; 25(2):109-128.

PMID: 39627375 DOI: 10.1038/s41568-024-00775-7.


Curating genomic disease-gene relationships with Gene2Phenotype (G2P).

Yates T, Ansari M, Thompson L, Hunt S, Uhalte E, Hobson R Genome Med. 2024; 16(1):127.

PMID: 39506859 PMC: 11539801. DOI: 10.1186/s13073-024-01398-1.


Nephroblastoma in Older Adult: Case Report and Review of Literature.

Fernandez-Ferreira R, Torres-Zazueta J, Martinez-Medrano C, Melendez-Mendoza A, Tavares-Garcia S, Munoz Rubiano M Case Rep Oncol. 2024; 17(1):818-830.

PMID: 39144242 PMC: 11324259. DOI: 10.1159/000540279.


References
1.
Scott R, Walker L, Olsen O, Levitt G, Kenney I, Maher E . Surveillance for Wilms tumour in at-risk children: pragmatic recommendations for best practice. Arch Dis Child. 2006; 91(12):995-9. PMC: 2083016. DOI: 10.1136/adc.2006.101295. View

2.
Kreisler A, Strissel P, Strick R, Neumann S, Schumacher U, Becker C . Regulation of the NRSF/REST gene by methylation and CREB affects the cellular phenotype of small-cell lung cancer. Oncogene. 2010; 29(43):5828-38. DOI: 10.1038/onc.2010.321. View

3.
Ruark E, Munz M, Renwick A, Clarke M, Ramsay E, Hanks S . The ICR1000 UK exome series: a resource of gene variation in an outbred population. F1000Res. 2016; 4:883. PMC: 4706061. DOI: 10.12688/f1000research.7049.1. View

4.
Hohenstein P, Pritchard-Jones K, Charlton J . The yin and yang of kidney development and Wilms' tumors. Genes Dev. 2015; 29(5):467-82. PMC: 4358399. DOI: 10.1101/gad.256396.114. View

5.
Ooi L, Wood I . Chromatin crosstalk in development and disease: lessons from REST. Nat Rev Genet. 2007; 8(7):544-54. DOI: 10.1038/nrg2100. View