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Clonal Integration of a Polyomavirus in Human Merkel Cell Carcinoma
Huichen Feng,Masahiro Shuda,Yuan Chang,*Patrick S. Moore*
Merkel cell carcinoma (MCC) is a rare but aggressive human skincancer that typically affects elderly and immunosuppressed individuals,a feature suggestive of an infectious origin. We studied MCCsamples by digital transcriptome subtraction and detected afusion transcript between a previously undescribed virus T antigenand a human receptor tyrosine phosphatase. Further investigationled to identification and sequence analysis of the 5387–base-pairgenome of a previously unknown polyomavirus that we call Merkelcell polyomavirus (MCV or MCPyV). MCV sequences were detectedin 8 of 10 (80%) MCC tumors but only 5 of 59 (8%) control tissuesfrom various body sites and 4 of 25 (16%) control skin tissues.In six of eight MCV-positive MCCs, viral DNA was integratedwithin the tumor genome in a clonal pattern, suggesting thatMCV infection and integration preceded clonal expansion of thetumor cells. Thus, MCV may be a contributing factor in the pathogenesisof MCC.
Molecular Virology Program, University of Pittsburgh Cancer Institute, University of Pittsburgh, 5117 Centre Avenue, Suite 1.8, Pittsburgh, PA 15213, USA.
* These authors contributed equally to this work. To whom correspondence should be addressed. E-mail: yc70{at}pitt.edu (Y.C.); psm9{at}pitt.edu (P.S.M.)
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T antigen mutations are a human tumor-specific signature for Merkel cell polyomavirus.
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359, 1629-1631
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Cancer Res.
68, 5009-5013
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N. Engl. J. Med.
358, 2717-2723
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