Comparative Molecular Analysis of Gastrointestinal Adenocarcinomas.

Comparative Molecular Analysis of Gastrointestinal Adenocarcinomas.
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DOI:
10.1016/j.ccell.2018.03.010
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发表时间:
2018-04-09
期刊:
影响因子:
50.3
通讯作者:
Laird PW
Laird PW
中科院分区:
医学1区
文献类型:
--
作者:
Liu Y;Sethi NS;Hinoue T;Schneider BG;Cherniack AD;Sanchez-Vega F;Seoane JA;Farshidfar F;Bowlby R;Islam M;Kim J;Chatila W;Akbani R;Kanchi RS;Rabkin CS;Willis JE;Wang KK;McCall SJ;Mishra L;Ojesina AI;Bullman S;Pedamallu CS;Lazar AJ;Sakai R;Cancer Genome Atlas Research Network;Thorsson V;Bass AJ;Laird PW

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We analyzed 921 adenocarcinomas of esophagus, stomach, colon and rectum to examine shared and distinguishing molecular characteristics of gastrointestinal tract adenocarcinomas (GIAC). Hypermutated (HM) tumors were distinct regardless of cancer type and comprised those enriched for insertions/deletions, representing microsatellite instability cases with epigenetic silencing of MLH1 in the context of CpG Island Methylator Phenotype (CIMP), plus tumors with elevated single nucleotide variants (HM-SNV) associated with mutations in POLE. Tumors with chromosomal instability (CIN) were diverse, with gastroesophageal adenocarcinomas harboring fragmented genomes associated with genomic doubling and distinct mutational signatures. We identified a group of tumors in the colon and rectum lacking hypermutation and aneuploidy termed Genome Stable (GS) and enriched in DNA hypermethylation and mutations in KRAS, SOX9 and PCBP1. Liu et al. analyze 921 gastrointestinal (GI) tract adenocarcinomas and find that hypermutated tumors are enriched for insertions/deletions, upper GI tumors with chromosomal instability harbor fragmented genomes, and a group of genome stable colorectal tumors are enriched in mutations in SOX9 and PCBP1.
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