Limited heterogeneity of known driver gene mutations among the metastases of individual patients with pancreatic cancer.

Limited heterogeneity of known driver gene mutations among the metastases of individual patients with pancreatic cancer.
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DOI:
10.1038/ng.3764
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发表时间:
2017-03
期刊:
影响因子:
30.8
通讯作者:
Iacobuzio-Donahue CA
Iacobuzio-Donahue CA
中科院分区:
生物学1区
文献类型:
--
作者:
Makohon-Moore AP;Zhang M;Reiter JG;Bozic I;Allen B;Kundu D;Chatterjee K;Wong F;Jiao Y;Kohutek ZA;Hong J;Attiyeh M;Javier B;Wood LD;Hruban RH;Nowak MA;Papadopoulos N;Kinzler KW;Vogelstein B;Iacobuzio-Donahue CA

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The extent of heterogeneity of driver gene mutations present in naturally occurring metastases is largely unknown, i.e. treatment-naïve metastatic disease. To address this issue, 60× whole genome sequencing of 26 metastases from 4 patients was carried out. We found that the identical driver gene mutations were present in every metastatic lesion of each patient studied. Passenger gene mutations not known or predicted to have functional consequences accounted for all intratumoral heterogeneity. Even with respect to these passenger gene mutations, the genetic similarity among the founding cells of metastases was markedly higher than that expected for any two cells randomly taken from a normal tissue. The uniformity of driver gene mutations among metastases in the same patient has critical, encouraging implications for the success of future targeted therapies in advanced stage disease.
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