Integrative clinical genomics of metastatic cancer Journal Article


Authors: Robinson, D. R.; Wu, Y. M.; Lonigro, R. J.; Vats, P.; Cobain, E.; Everett, J.; Cao, X.; Rabban, E.; Kumar-Sinha, C.; Raymond, V.; Schuetze, S.; Alva, A.; Siddiqui, J.; Chugh, R.; Worden, F.; Zalupski, M. M.; Innis, J.; Mody, R. J.; Tomlins, S. A.; Lucas, D.; Baker, L. H.; Ramnath, N.; Schott, A. F.; Hayes, D. F.; Vijai, J.; Offit, K.; Stoffel, E. M.; Roberts, J. S.; Smith, D. C.; Kunju, L. P.; Talpaz, M.; Cieślik, M.; Chinnaiyan, A. M.
Article Title: Integrative clinical genomics of metastatic cancer
Abstract: Metastasis is the primary cause of cancer-related deaths. Although The Cancer Genome Atlas has sequenced primary tumour types obtained from surgical resections, much less comprehensive molecular analysis is available from clinically acquired metastatic cancers. Here we perform whole-exome and -transcriptome sequencing of 500 adult patients with metastatic solid tumours of diverse lineage and biopsy site. The most prevalent genes somatically altered in metastatic cancer included TP53, CDKN2A, PTEN, PIK3CA, and RB1. Putative pathogenic germline variants were present in 12.2% of cases of which 75% were related to defects in DNA repair. RNA sequencing complemented DNA sequencing to identify gene fusions, pathway activation, and immune profiling. Our results show that integrative sequence analysis provides a clinically relevant, multi-dimensional view of the complex molecular landscape and microenvironment of metastatic cancers. © 2017 Macmillan Publishers Limited, part of Springer Nature. All rights reserved.
Journal Title: Nature
Volume: 548
Issue: 7667
ISSN: 0028-0836
Publisher: Nature Publishing Group  
Date Published: 2017-08-17
Start Page: 297
End Page: 303
Language: English
DOI: 10.1038/nature23306
PROVIDER: scopus
PUBMED: 28783718
PMCID: PMC5995337
DOI/URL:
Notes: Article -- Export Date: 5 September 2017 -- Source: Scopus
Altmetric
Citation Impact
BMJ Impact Analytics
MSK Authors
  1. Kenneth Offit
    788 Offit
  2. Vijai Joseph
    211 Joseph