Publication Date

1-1-2025

Journal

Nature Genetics

DOI

10.1038/s41588-024-02014-z

PMID

39753768

PMCID

PMC11735403

PubMedCentral® Posted Date

1-3-2025

PubMedCentral® Full Text Version

Post-print

Published Open-Access

yes

Keywords

Medulloblastoma, Transcription Factors, Humans, Animals, Mice, Cerebellar Neoplasms, Gene Expression Regulation, Neoplastic, Cell Proliferation, Hedgehog Proteins, Mutation, Loss of Function Mutation, Embryonic Structures, Metencephalon, Epigenomics, Oncogenes, CNS cancer, Mutagenesis

Abstract

Transcription factors are frequent cancer driver genes, exhibiting noted specificity based on the precise cell of origin. We demonstrate that ZIC1 exhibits loss-of-function (LOF) somatic events in group 4 (G4) medulloblastoma through recurrent point mutations, subchromosomal deletions and mono-allelic epigenetic repression (60% of G4 medulloblastoma). In contrast, highly similar SHH medulloblastoma exhibits distinct and diametrically opposed gain-of-function mutations and copy number gains (20% of SHH medulloblastoma). Overexpression of ZIC1 suppresses the growth of group 3 medulloblastoma models, whereas it promotes the proliferation of SHH medulloblastoma precursor cells. SHH medulloblastoma ZIC1 mutants show increased activity versus wild-type ZIC1, whereas G4 medulloblastoma ZIC1 mutants exhibit LOF phenotypes. Distinct ZIC1 mutations affect cells of the rhombic lip in diametrically opposed ways, suggesting that ZIC1 is a critical developmental transcriptional regulator in both the normal and transformed rhombic lip and identifying ZIC1 as an exquisitely context-dependent driver gene in medulloblastoma.

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