General
- C19MC= miRNA cluster on chromosome 19
- Structural alterations of a microRNA cluster on chromosome 19q13.42 (C19MC), including
- Focal high-level amplification
- Fusion to TTYH1
- Other rare rearrangements (e.g. fusion to MYO9B or MIRLET7BHG)
miRNA processing in ETMRs
- Step 1: C19MC miRNAs are transcribed by RNA polymerase (RNA POL) into long non-coding RNA precursors (pri-miRNAs).
- Step 2: The pri-miRNAs are processed in the nucleus by the microprocessor complex, which includes DGCR8 and DROSHA, generating pre-miRNAs.
- Step 3: These pre-miRNAs are exported out of the nucleus by exportin-5 (XPO5) in complex with RAN.
- Step 4: In the cytoplasm, DICER (along with TRBP) further cleaves the pre-miRNA into two mature miRNA strands: the 5p and 3p forms.
- Step 5: One strand (either 5p or 3p, depending on the miRNA) is loaded into the Argonaute protein (AGO) to form the RNA-induced silencing complex (RISC); the other strand is usually degraded.
- Step 6: The RISC complex uses the miRNA as a guide to bind target mRNA via the seed sequence.
- Step 7: The outcome for the target mRNA can be repression of translation (red), degradation of mRNA (red), or formation of a scaffold (green), depending on the context. The coloring reflects whether translation decreases (red) or increases (green).
- Wildtype DICER1 (left):
- Both 5p and 3p mature miRNAs are correctly processed. The dominant strand is loaded onto AGO and the non-dominant strand is degraded. miRNAs function normally.
- DICER1 RNASE-III mutations (middle):
- These mutations mainly affect the 5p processing. As a result, the amount of 5p mature miRNAs is reduced while 3p processing may be less affected.
- Lead to Embryonal tumour with multi-layered rosettes, C19MC-altered
- Loss-of-function DICER1 (right):
- Both 5p and 3p mature miRNAs are severely depleted, and virtually no mature miRNAs are produced, resulting in wholesale loss of miRNA-mediated regulation.
- Leads to Embryonal tumour with multi-layered rosettes, DICER1-altered
DICER1 Status | 5p miRNA | 3p miRNA | Overall Processing |
Wildtype | Normal | Normal | Normal miRNA maturation |
RNASE-III Mutations | Reduced | Normal | 5p dominant miRNAs are reduced |
Loss-of-function DICER1 | Depleted | Depleted | All miRNAs depleted |