Integrated Genomic Characterization of Pancreatic Ductal Adenocarcinoma.

Integrated Genomic Characterization of Pancreatic Ductal Adenocarcinoma.
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DOI:
10.1016/j.ccell.2017.07.007
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发表时间:
2017-08-14
期刊:
影响因子:
50.3
通讯作者:
Cancer Genome Atlas Research Network
Cancer Genome Atlas Research Network
中科院分区:
医学1区
文献类型:
--
作者:
Cancer Genome Atlas Research Network. Electronic address: andrew_aguirre@dfci.harvard.edu;Cancer Genome Atlas Research Network

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We performed integrated genomic, transcriptomic and proteomic profiling of 150 pancreatic ductal adenocarcinoma (PDAC) specimens, including samples with characteristic low neoplastic cellularity. Deep whole-exome sequencing revealed recurrent somatic mutations in KRAS, TP53, CDKN2A, SMAD4, RNF43, ARID1A, TGFβR2, GNAS, RREB1 and PBRM1. KRAS wild-type tumors harbored alterations in other oncogenic drivers, including GNAS, BRAF, CTNNB1 and additional RAS pathway genes. A subset of tumors harbored multiple KRAS mutations, with some showing evidence of biallelic mutations. Protein profiling identified a favorable prognosis subset with low epithelial-mesenchymal transition and high MTOR pathway scores. Associations of non-coding RNAs with tumor-specific mRNA subtypes were also identified. Our integrated multi-platform analysis reveals a complex molecular landscape of PDAC and provides a roadmap for precision medicine. This TCGA study shows that some PDAC carry multiple KRAS mutations, including biallelic mutations, that KRAS wild-type PDAC harbor alterations in other RAS pathway genes and other oncogenic drivers, and that low epithelial-mesenchymal transition and high MTOR pathway scores correlate with a favorable prognosis.
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