Genomics of Pediatric Liver Tumors

Genomics of Pediatric Liver Tumors

Team Leader

Théo Hirsch
CRCN Inserm

PhD

Projects

Our research explores the genomic and molecular basis of pediatric liver tumors to advance knowledge and improve treatment.

In the Genomics of Pediatric Liver Tumors group, we study tumor evolution using data from patient clinical features, whole-genome and exome sequencing, bulk RNAseq, single-cell, and spatial transcriptomics. We focus primarily on hepatoblastoma (HB), the most common pediatric liver cancer, as well as pediatric hepatocellular carcinoma (HCC), fibrolamellar carcinoma (FLC), and hepatocellular adenoma (HCA).

We partner with clinicians across France to gather samples and address key research questions, and work with Japanese teams to validate findings. We develop computational tools to integrate multi-scale data, exploring tumor evolution and chemotherapy resistance (Figure 1).

Axis 1: Identifying Germline, Mosaic, and Somatic Driver Alterations in Pediatric Liver Cancers

Context:
Tumor cells carry molecular changes (mutations, chromosome alterations) that affect gene function. We use computational methods to find recurring altered genes driving cancer, which can be somatic (tumor-specific) or germline/mosaic (predisposing), especially in early childhood cancers.

Published results:

By analyzing 122 tumor samples from 84 patients using whole-genome or whole-exome sequencing, we pinpointed key driver alterations in pediatric liver cancers (Hirsch et al, Cancer Discov 2021) (Figure 2).

HB and HCC converge on pathways like Wnt/β-catenin and IGF2 but differ in alteration types: HB often have mutations (e.g., CTNNB1), while HCC show deletions (e.g., AXIN1). Some HB patients have germline APC mutations linked to familial adenomatous polyposis, and a somatic second hit (Morcrette et al, Oncoimmunology 2019). Rare driver alterations predict poor chemotherapy response and survival (Pire et al, Eur J Cancer 2024). Alterations at the 11p15.5 locus, causing IGF2 overexpression, are a major driver. We found mosaic 11p15.5 changes in ~20% of HB patients’ non-tumor liver, marking preneoplastic cells and affecting liver function (Pilet et al, Nat Commun 2023).

Ongoing projects:

We aim to identify new driver alterations of pediatric liver cancers by expanding our cohort analyzed by whole-genome sequencing and bulk RNAseq. We have specific projects to further explore mosaic alterations at the single-cell and spatial level.

Axis 2: Linking Phenotypic Diversity, Subclonal Evolution, and Spatial Expansion in Hepatoblastoma

Context:

Tumor evolution is a multi-step process driven by mutations under immune and treatment pressures, leading to diverse phenotypes. We study how clonal changes and phenotypes connect to tumor evolution and resistance.

Published results: 

Using RNAseq on 100 HB samples, we defined three transcriptomic groups tied to differentiation, proliferation, and immune response (Hirsch et al, Cancer Discov 2021) (Figure 3a). Multiple samples from the same tumor showed varied phenotypes despite shared drivers, indicating plasticity. Chemotherapy boosts immune infiltration in ‘Hepatocytic’ tumors but not ‘Liver Progenitor’ ones. Single-cell analysis confirmed these groups, revealing a continuum of cell states and subclonal diversity (Roehrig et al, Nat Commun 2024) (Figure 3b).

Ongoing projects:

We currently explore the intra-tumor heterogeneity of hepatoblastoma at the spatially-resolved single-cell level, by combining high-plex immunofluorescence, single-nucleus RNAseq and spatial transcriptomics.

Axis 3: Leveraging Cisplatin Mutational Signatures to Understand Chemoresistance and Relapses in Hepatoblastoma

Context:

Hepatoblastoma is treated with cisplatin-based chemotherapy, but some cases resist treatment, with few therapeutic alternatives.

Published results:

Whole-genome sequencing revealed cisplatin’s SBS35 mutational signature (Figure 4a) in a subset of primary hepatoblastomas post-chemotherapy, associated with poor treatment response (Hirsch et al, Cancer Discov 2021 ; Pire et al, Eur J Cancer 2024). In primary tumors, SBS35 mutations were subclonal, meaning they appeared in only a fraction of tumor cells, specifically within ‘Liver Progenitor’ sectors, while ‘Hepatocytic’ and ‘Mesenchymal’ areas lacked them. In contrast, relapse samples showed thousands of clonal SBS35 mutations, present in all tumor cells, indicating relapses arise from a single resistant cell that accumulated cisplatin-induced mutations during treatment (Figure 4b). Overall, the longitudinal analysis of cisplatin-induced mutations, integrated with the transcriptomic classification, pinpoints the ‘Liver Progenitor’ cells as being chemoresistant and at the origin of relapses.

Targeting PLK1, a ‘Liver Progenitor’ marker, reduced tumor growth in proof-of-concept experiments developed with Sandra Rebouissou’s group (Hirsch et al, Cancer Discov 2021).

Ongoing projects:

We’re refining detection of cisplatin mutations with machine learning and, with Sandra Rebouissou’s group, seeking drugs to reverse chemoresistance.

Team

Sandrine IMBEAUD
IR1 CNRS

PhD

Guillaume MORCRETTE
PHC AP-HP

MD

Mallaury VIE
Postdoctoral researcher

PhD

Aurore PIRE
PhD student

MD

Zoé GAUTIER
IR
Marianna GONTRAN
M2 student

MD

Single-cell multiomics reveals the interplay of clonal evolution and cellular plasticity in hepatoblastoma. 

Roehrig A, Hirsch TZ, Pire A, Morcrette G, Gupta B, Marcaillou C, Imbeaud S, Chardot C, Gonzales E, Jacquemin E, Sekiguchi M, Takita J, Nagae G, Hiyama E, Guérin F, Fabre M, Aerts I, Taque S, Laithier V, Branchereau S, Guettier C, Brugières L, Fresneau B, Zucman-Rossi J, Letouzé E. Nat Commun. 2024 Apr 8;15(1):3031. doi: 10.1038/s41467-024-47280-x. PMID: 38589411

Mutational signature, cancer driver genes mutations and transcriptomic subgroups predict hepatoblastoma survival. 

Pire A, Hirsch TZ, Morcrette G, Imbeaud S, Gupta B, Pilet J, Cornet M, Fabre M, Guettier C, Branchereau S, Brugières L, Guerin F, Laithier V, Coze C, Nagae G, Hiyama E, Laurent-Puig P, Rebouissou S, Sarnacki S, Chardot C, Capito C, Faure-Conter C, Aerts I, Taque S, Fresneau B, Zucman-Rossi J. Eur J Cancer. 2024 Mar;200:113583. doi: 10.1016/j.ejca.2024.113583. Epub 2024 Feb 1. PMID: 38330765

Preneoplastic liver colonization by 11p15.5 altered mosaic cells in young children with hepatoblastoma. 

Pilet J, Hirsch TZ, Gupta B, Roehrig A, Morcrette G, Pire A, Letouzé E, Fresneau B, Taque S, Brugières L, Branchereau S, Chardot C, Aerts I, Sarnacki S, Fabre M, Guettier C, Rebouissou S, Zucman-Rossi J. Nat Commun. 2023 Nov 6;14(1):7122. doi: 10.1038/s41467-023-42418-9. PMID: 37932266

Integrated Genomic Analysis Identifies Driver Genes and Cisplatin-Resistant Progenitor Phenotype in Pediatric Liver Cancer. 

Hirsch TZ, Pilet J, Morcrette G, Roehrig A, Monteiro BJE, Molina L, Bayard Q, Trépo E, Meunier L, Caruso S, Renault V, Deleuze JF, Fresneau B, Chardot C, Gonzales E, Jacquemin E, Guerin F, Fabre M, Aerts I, Taque S, Laithier V, Branchereau S, Guettier C, Brugières L, Rebouissou S, Letouzé E, Zucman-Rossi J. Cancer Discov. 2021 Oct;11(10):2524-2543. doi: 10.1158/2159-8290.CD-20-1809. Epub 2021 Apr 23. PMID: 33893148

BAP1 mutations define a homogeneous subgroup of hepatocellular carcinoma with fibrolamellar-like features and activated PKA. 

Hirsch TZ, Negulescu A, Gupta B, Caruso S, Noblet B, Couchy G, Bayard Q, Meunier L, Morcrette G, Scoazec JY, Blanc JF, Amaddeo G, Nault JC, Bioulac-Sage P, Ziol M, Beaufrère A, Paradis V, Calderaro J, Imbeaud S, Zucman-Rossi J. J Hepatol. 2020 May;72(5):924-936. doi: 10.1016/j.jhep.2019.12.006. Epub 2019 Dec 18. PMID: 31862487

APC germline hepatoblastomas demonstrate cisplatin-induced intratumor tertiary lymphoid structures. 

Morcrette G, Hirsch TZ, Badour E, Pilet J, Caruso S, Calderaro J, Martin Y, Imbeaud S, Letouzé E, Rebouissou S, Branchereau S, Taque S, Chardot C, Guettier C, Scoazec JY, Fabre M, Brugières L, Zucman-Rossi J. Oncoimmunology. 2019 Mar 28;8(6):e1583547. doi: 10.1080/2162402X.2019.1583547. eCollection 2019. PMID: 31069152

More on Pubmed

Our Public Data

2019


Gastroenterology – Caruso et al – Analysis of Liver Cancer Cell Lines Identifies Agents With Likely Efficacy Against Hepatocellular Carcinoma and Markers of Response.

Data:

Item Data Details
Cell lines LCCL_description Description of liver cancer cell lines.
Cell lines Somatic_alterations List of putative somatic genomic alterations identified in 34 Liver Cancer Cell Lines by whole-exome sequencing.
Cell lines Fusion_transcripts Fusion transcripts identified in 34 liver cancer cell lines by RNA-sequencing.
Cell lines HBV_fusions HBV RNA fusions identified by RNA-sequencing among 34 liver cancer cell lines.
Cell lines Drivers List of the 252 cancer driver genes used to analyze association between drug sensitivity and genetic alterations in 34 liver cancer cell lines.
Cell lines RNAseq_vsn RNA expression in 34 liver cancer cell lines (vsn)
Cell lines RNAseq_FPMK RNA expression in 34 liver cancer cell lines (FPKM)
Cell lines microRNAseq_vsn microRNA expression in 34 liver cancer cell lines (vsn)
Cell lines microRNAseq_RPM microRNA expression in 34 liver cancer cell lines (RPM)
Cell lines Protein_expression Expression of 126 proteins analyzed by RPPA in 34 liver cancer cell lines (log2-transformed).
Cell lines/Drugs AUC Drug sensitivity in 34 liver cancer cell lines. Table of AUC values for each drug
Cell lines/Drugs GI50 Drug sensitivity in 34 liver cancer cell lines. Table of GI50 values for each drug
Drugs Screened_compounds Description of screened compounds.

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Molecular & Cellular Analysis Instruments

Advanced Technologies within FunGeST lab

Persons in charge

Illumina MiSeq

Manufacturer’s description: The MiSeq desktop sequencer allows you to access more focused applications such as targeted gene sequencing, metagenomics, small genome sequencing, targeted gene expression, amplicon sequencing, and HLA typing. New MiSeq reagents enable up to 15 Gb of output with 25 M sequencing reads and 2×300 bp read lengths.

Applications currently used: Targeted sequencing (paired-end 2x150bp) using multiplexed PCR for library preparation.


Applied Biosystems 3500 XL Genetic Analyzer (24-Capillary arrays)

Manufacturer’s description: Based on one of the most widely used, widely trusted sequencing methodologies available (Sanger sequencing) the 3500 Series Genetic Analyzer is designed to deliver the accuracy you demand. The 3500 platform can run a wide variety of applications, including de novo sequencing and resequencing (mutational profiling), microsatellite analysis, MLPA, AFLP, LOH, MLST, and SNP validation or screening.

Applications currently used: Sanger sequencing (read length up to 1000bp)


Nanostring nCounter Analysis System

Manufacturer’s description: The nCounter® Analysis System offers a simple, cost-effective way to profile hundreds of mRNAs, microRNAs, or DNA targets simultaneously with high sensitivity and precision. The digital quantification of target molecules and high levels of multiplexing eliminate the compromise between data quality and data quantity, producing excellent sensitivity and high reproducibility for studies of hundreds of targets. The system uses molecular “barcodes” and single molecule imaging to quantitate up to 800 unique transcripts in a single reaction.

Applications currently used: Gene expression and miRNA analysis on FFPE tumor samples


Fluidigm Biomark HD System 

Controller AX (Access Array 48.48), Controller HX (Dynamic Array 96.96), Controller MX (Dynamic Array 48.48)

Manufacturer’s description: Fluidigm’s revolutionary integrated fluidic circuits (IFCs) empower life science research by automating PCR reactions in nanoliter volumes. This means using less sample and reagent, and a single microfluidic device, to achieve the high-quality, consistent results your work depends on. The Biomark HD system runs IFCs in either real-time or end-point read modes, bringing flexible, efficient and economical PCR solutions to a range of applications such as digital PCR, gene expression, genotyping, library preparation for next generation sequencing.

Application currently used: Gene expression, genotyping and library preparation


Applied Biosystems 7900 HT Fast Real-Time PCR System

Manufacturer’s description: The Applied Biosystems 7900HT Fast Real-Time PCR System is the only real-time quantitative PCR system that combines 384-well plate compatibility with fully automated robotic loading. Acknowledged as the gold standard in real-time PCR, the 7900HT system combined with TaqMan®Assays enables you to achieve unprecedented throughput and flexibility, allowing you to pursue projects beyond the scope of previous real-time instruments

Application currently used: Gene expression analysis, allelic discrimination, library quantification


Operetta CLS High-Content Analysis System

Manufacturer’s description: The Operetta CLS system combines speed and sensitivity with the powerful and intuitive data analysis. It is a combination of technologies with a powerful, stable 8x LED light source for optimal excitation of fluorophores and confidence in results. It contains also a proprietary automated water-immersion objectives with very high numerical aperture enable high resolution and fast read times with minimal photodamage. The confocal spinning disk technology provides a fast and gentle imaging process, enabling efficient background rejection, live cell experiments, and 3D imaging. Its large format sCMOS camera delivers low noise, wide dynamic range, and high resolution for sensitive and quantitative measurements at short exposure time.

Application currently used: Fixed-cell assays, Live-cell assays, Complex cellular models, FRET assays, Phenotypic fingerprinting


Biotek MultiFlo™ FX

Manufacturer’s description: MultiFlo™ FX is an automated multi-mode reagent dispenser for 6- to 1536-well microplates. MultiFlo FX incorporates several unique technologies in its modular design, such as Parallel Dispense, RAD™ Random Access Dispense and the new, patent-pending AMX™ Automated Media Exchange modules to facilitate a variety of liquid handling applications from 2D and 3D cell culture to concentration normalization assays, ELISA, bead-based assays and more. A fully configured MultiFlo FX replaces up to five liquid handlers, saving space, time and instrumentation budgets.

Application currently used: Cell culture for automated reagent dispensing and washing (6to 384 wellplates)


TECAN HP D300 digital Dispenser

Manufacturer’s description: Fast and accurate determination of a candidate compound’s IC50 provides drug discovery biologists with valuable information for the development of new pharmaceuticals, yet traditional techniques are both time­ consuming and laborious, with no standardization across the industry. The HP D300 Digital Dispenser offers a simple method for streamlining your workflow, offering picoliter to microliter non-contact dispensing of small molecules in DMSO directly into your assay plate. Using HP’s Direct Digital Dispensing technology, this convenient benchtop solution requires almost no set up time, and single use T8 Dispenseheads virtually eliminate the risk of cross­contamination. It allows rapid delivery of any dose to any well, saving time, minimizing waste of valuable compounds and accelerating drug discovery.

Application currently used: Cell culture for delivery of pharmacological compounds in 96 and 384 well plates

Our Lab

FunGeST Lab – A Multidisciplinary, Young & Motivated Team

Brief history of the team

FunGeST “Functional genomics of solid tumors”, directed by Jessica Zucman-Rossi, was created in 2005, as Inserm U674, it was renewed in 2009, 2014 as UMR1162, ranked “incontournable” by Inserm as a mixed structure endorsed by four entities: Inserm, Universities Paris Diderot, Paris Descartes and Paris Nord. It is currently located at the University Hematology Institute site in a building managed by the CEPH (Centre d’Etude du Polymorphisme Humain, Foundation Jean Dausset). Since January 2019, the lab take part of Centre de Recherche des Cordeliers  Research Center – Inserm UMR S1138, and as been recently renewed in January 2024.

Jessica Zucman-Rossi, is professor of Medicine in Oncology (PUPHex) at the University Paris Descartes and HEGP, dedicated full-time for research. She has directed the Inserm U674,  U1162, and UMRS1138 FunGeST team since 2007, and served as chairman of the Inserm scientific committee devoted to Oncology, Genetics and Bioinformatics from 2012 to 2016. She is editor at the Journal of Hepatology (2023 IF=26.8), and the executive secretary of the International Liver Cancer Association (ILCA). She is internationally recognized in the field of genomics of human cancers, and particularly in liver tumors. Since January 2019, Pr. Zucman-Rossi has been the director of the Cordeliers Research Center, and was renewed for another 5-years in 2024.

Our missions

Our mission is to develop basic genomic approaches based on human tumors analyses to identify new mechanisms of tumorigenesis and to transfer this knowledge into biomarkers and therapeutic targets that could be introduced in clinical care. In particular, we aim to identify new genomic alterations and mechanisms of carcinogenesis. We also aim to identify new risk factors and genetic predispositions promoting the development of tumors. Our major fields of research are related to liver tumors, mesothelioma and HPV-related cancers, mainly in adults but also in children for liver tumors.

Our team is multidisciplinary mixing basic researchers in genomics, genetics, cell biology, and bioinformatics with clinicians.

Our approach

Our major topics are all centered on “bench to bedside” discoveries and vice versa:

  • the identification of new cancer driver genes and tumor molecular classification to identify new therapeutic targets functionally validated to be translated into therapeutic targets and improve clinical management of the patients,
  • the identification of genetic markers associated with cancer development to better predict the individual risk of cancer occurrence,
  • understanding gene-environment interactions to identify early oncogenic events and improve cancer prevention,
  • the identification of viral-induced cancer secondary to HPV, HBV, HCV, and AAV infections,
  • to understand the bases of tumor heterogeneity and evolution
  • to identify mechanisms of resistance to treatment using integrated strategies.

Our strategies are based on large tumor collections with extensive clinical annotation (PRB Hôpitaux Universitaires Paris-Seine-Saint Denis, M Ziol, and other CRB at APHP hospitals and a national network), the development of innovative integrative genomic analyses, and the transfer into clinical care for the benefit of the patients. We are also actively developing productive scientific collaborations at CRC, regional, national, international, and industrial levels.

Our task forces

The team include a total of 45 peoples  organized in 6 groups with their founded projects:

 

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