Genomic comparison of esophageal squamous cell carcinoma and its precursor lesions by multi-region whole-exome sequencing.

Genomic comparison of esophageal squamous cell carcinoma and its precursor lesions by multi-region whole-exome sequencing.
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通过多区域全外显子组测序对食管鳞状细胞癌及其癌前病变进行基因组比较。

DOI:
10.1038/s41467-017-00650-0
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发表时间:
2017-09-12
影响因子:
16.6
通讯作者:
Zeng MS
Zeng MS
中科院分区:
综合性期刊1区
文献类型:
--
作者:
Chen XX;Zhong Q;Liu Y;Yan SM;Chen ZH;Jin SZ;Xia TL;Li RY;Zhou AJ;Su Z;Huang YH;Huang QT;Huang LY;Zhang X;Zhao YN;Yun JP;Wu QL;Lin DX;Bai F;Zeng MS

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食管鳞状上皮异型增生被认为是食管鳞状细胞癌(ESCC)的前驱病变,然而,从不典型增生到食管鳞状细胞癌的遗传进化尚不清楚。在这里,我们对来自两个队列的样本进行了多区域全外显子组测序,其中45名ESCC患者有匹配的异型增生和癌样本,13名无肿瘤患者仅有异型增生样本。我们的分析显示,异型增生是严重突变的,并包含了ESCC报告的大多数司机事件。此外,异型增生是多克隆的,肿瘤与其邻近的异型增生标本之间经常观察到显著的异质性。值得注意的是,拷贝数改变在不典型增生中普遍存在,并在ESCC进展过程中持续存在,这与食管腺癌的发展不同。两组人群中TP53基因“两次打击”事件的发生率形成鲜明对比,提示TP53基因的完全失活在促进ESCC的发展中是必不可少的。食道鳞状细胞癌的发病机制是一个多步骤的过程,但这一进展背后的遗传决定因素尚不清楚。在这里,作者使用多区域外显子组测序来全面研究前体发育不良病变和未转化的食道的遗传进化。
Esophageal squamous dysplasia is believed to be the precursor lesion of esophageal squamous cell carcinoma (ESCC); however, the genetic evolution from dysplasia to ESCC remains poorly understood. Here, we applied multi-region whole-exome sequencing to samples from two cohorts, 45 ESCC patients with matched dysplasia and carcinoma samples, and 13 tumor-free patients with only dysplasia samples. Our analysis reveals that dysplasia is heavily mutated and harbors most of the driver events reported in ESCC. Moreover, dysplasia is polyclonal, and remarkable heterogeneity is often observed between tumors and their neighboring dysplasia samples. Notably, copy number alterations are prevalent in dysplasia and persist during the ESCC progression, which is distinct from the development of esophageal adenocarcinoma. The sharp contrast in the prevalence of the ‘two-hit’ event on TP53 between the two cohorts suggests that the complete inactivation of TP53 is essential in promoting the development of ESCC. The pathogenesis of oesophageal squamous cell carcinoma is a multi-step process but the genetic determinants behind this progression are unknown. Here the authors use multi-region exome sequencing to comprehensively investigate the genetic evolution of precursor dysplastic lesions and untransformed oesophagus.
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