Proteogenomic characterization of skull-base chordoma

Nat Commun. 2024 Sep 27;15(1):8338. doi: 10.1038/s41467-024-52285-7.

Abstract

Skull-base chordoma is a rare, aggressive bone cancer with a high recurrence rate. Despite advances in genomic studies, its molecular characteristics and effective therapies remain unknown. Here, we conduct integrative genomics, transcriptomics, proteomics, and phosphoproteomics analyses of 187 skull-base chordoma tumors. In our study, chromosome instability is identified as a prognostic predictor and potential therapeutic target. Multi-omics data reveals downstream effects of chromosome instability, with RPRD1B as a putative target for radiotherapy-resistant patients. Chromosome 1q gain, associated with chromosome instability and upregulated mitochondrial functions, lead to poorer clinical outcomes. Immune subtyping identify an immune cold subtype linked to chromosome 9p/10q loss and immune evasion. Proteomics-based classification reveals subtypes (P-II and P-III) with high chromosome instability and immune cold features, with P-II tumors showing increased invasiveness. These findings, confirmed in 17 paired samples, provide insights into the biology and treatment of skull-base chordoma.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Chordoma* / genetics
  • Chordoma* / metabolism
  • Chordoma* / pathology
  • Chromosomal Instability*
  • Chromosomes, Human, Pair 1 / genetics
  • Female
  • Gene Expression Regulation, Neoplastic
  • Humans
  • Male
  • Middle Aged
  • Prognosis
  • Proteogenomics* / methods
  • Proteomics
  • Skull Base Neoplasms* / genetics
  • Skull Base Neoplasms* / metabolism
  • Skull Base Neoplasms* / pathology