PRDM6

Overview

PRDM6 encodes a SET-domain-containing transcriptional repressor. In Group 4 medulloblastoma it is the most prevalent driver, activated by SNCAIP-locus tandem duplications that reposition a Group 4-specific super-enhancer into the PRDM6-containing TAD via enhancer hijacking.

Alterations observed in the corpus

  • SET-domain protein activated by SNCAIP-locus tandem duplications in 17% of Group 4 medulloblastoma (most prevalent Group 4 driver); PRDM6 expression is upregulated ≥20-fold in SV-positive vs. SV-negative cases (P=6.07×10⁻²⁴); SV breakpoints cluster near CTCF sites at the TAD boundary separating SNCAIP and PRDM6, repositioning a Group 4-specific super-enhancer into the PRDM6-containing TAD PMID:28726821

Cancer types (linked)

  • MB: most prevalent Group 4 driver; restricted to Group 4 medulloblastoma in a 491-sample WGS/WES pan-MB cohort; nominated as a new actionable target pending functional validation PMID:28726821

Co-occurrence and mutual exclusivity

  • Activates in the same Group 4 context as SNCAIP tandem duplications (mechanistically upstream); mutually exclusive with other Group 4 enhancer-hijacking events targeting GFI1/GFI1B PMID:28726821

Therapeutic relevance

  • Nominated as a new actionable target in Group 4 medulloblastoma, but functional validation of PRDM6 methyltransferase activity and its essentiality is pending before clinical translation PMID:28726821

Open questions

  • The oncogenic mechanism (altered substrate recognition vs. gain of methyltransferase activity) and whether PRDM6 is directly druggable remain to be established experimentally.

Sources

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