The molecular cartography of malignant and benign sebaceous tumours

Sebaceous tumours (STs) are rare skin appendage tumours and include benign sebaceous adenoma (SA) and sebaceoma (SM), malignant extra-ocular sebaceous carcinoma (SC-E) and peri-ocular sebaceous carcinoma (SC-O). Here, an extensive worldwide collection of 286 tumours is deeply characterised, revealing a propensity to develop in the context of a high tumour mutational burden (except in SC-O) which is most frequently associated with mismatch repair deficiency (dMMR), followed by UV-induced damage, POLE/POLD1 mutations, and AID/APOBEC activation signatures. Biallelic TP53 inactivation with concomitant ZNF750 and/or RB1 mutation is seen in SC-E/SC-O. Amplification of 8q (including MYC) is related to SC-O, while amplification of 1q21.3 (including HRNR) and chromosome 20 are shared by SC-O and SC-E, as is deletion of 13q14.3 (where RB1 resides). The most frequently mutated gene is NOTCH1. Extensive fusion gene, expression and molecular cluster analyses provide a molecular portrait of this rare and enigmatic tumour type.

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Publication Details

Journal
Nature Communications
Published
2025-12-19
DOI
https://doi.org/10.1038/s41467-025-66584-0
Primary Topic
Nonmelanoma Skin Cancer Studies
Type
article
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0.00
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article

The molecular cartography of malignant and benign sebaceous tumours

Prashant Gupta, Oscar M. Rueda, Anca Oniscu, Oliver Cast et al.
Nature Communications
Nonmelanoma Skin Cancer Studies
article

The molecular cartography of malignant and benign sebaceous tumours

Prashant Gupta, Oscar M. Rueda, Anca Oniscu, Oliver Cast, Thomas Brenn, Tobi Alegbe, Masakazu Fujimoto, Mark J. Arends, Kun Wang, Martin Del Castillo Velasco‐Herrera, Louise van der Weyden, Ashray Gunjur, A. Stratigos, Katharina Wiedemeyer, Ingrid Ferreira, Jacqueline Marcia Boccacino, Eytan Ruppin, Kim Wong, Ian M. Frayling, Helen Caldwell, Ishan Mehta, Victoria Harle, Pieter Demetter, Kaori Azuma Koga, Sahil Sahni, David J. Adams, I. Matzusaki
article en

Abstract

Sebaceous tumours (STs) are rare skin appendage tumours and include benign sebaceous adenoma (SA) and sebaceoma (SM), malignant extra-ocular sebaceous carcinoma (SC-E) and peri-ocular sebaceous carcinoma (SC-O). Here, an extensive worldwide collection of 286 tumours is deeply characterised, revealing a propensity to develop in the context of a high tumour mutational burden (except in SC-O) which is most frequently associated with mismatch repair deficiency (dMMR), followed by UV-induced damage, POLE/POLD1 mutations, and AID/APOBEC activation signatures. Biallelic TP53 inactivation with concomitant ZNF750 and/or RB1 mutation is seen in SC-E/SC-O. Amplification of 8q (including MYC) is related to SC-O, while amplification of 1q21.3 (including HRNR) and chromosome 20 are shared by SC-O and SC-E, as is deletion of 13q14.3 (where RB1 resides). The most frequently mutated gene is NOTCH1. Extensive fusion gene, expression and molecular cluster analyses provide a molecular portrait of this rare and enigmatic tumour type.

Nature CommunicationsVol. 17(1)
European Bioinformatics Institute (GB), Université Libre de Bruxelles (BE), Karolinska University Hospital (SE), University of Illinois Urbana-Champaign (US), University of Calgary (CA), Wakayama Medical University (JP), National and Kapodistrian University of Athens (GR), University of Cambridge (GB), University of Michigan (US), Institut Jules Bordet (BE), Wellcome Sanger Institute (GB), Edinburgh Cancer Research (GB), Open Targets (GB), Cancer Research UK Cambridge Center (GB), Office of the Director (US), Fukuoka University Hospital (JP), Andreas Sygros Hospital (GR), MRC Biostatistics Unit (GB), National Cancer Institute (US), Centre d'Enseignement et de Recherches des Industries Alimentaires et Chimiques (BE), Kyoto University Hospital (JP), Cardiff University (GB)
Openalex Percentile: Top 47%
Nonmelanoma Skin Cancer Studies
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