The pancreatic cancer genome revisited Review
| Authors: | Hayashi, A.; Hong, J.; Iacobuzio-Donahue, C. A. |
| Review Title: | The pancreatic cancer genome revisited |
| Abstract: | Pancreatic cancer is a genetic disease, and the recurrent genetic alterations characteristic of pancreatic cancer indicate the cellular processes that are targeted for malignant transformation. In addition to somatic alterations in the most common driver genes (KRAS, CDKN2A, TP53 and SMAD4), large-scale studies have revealed major roles for genetic alterations of the SWI/SNF and COMPASS complexes, copy number alterations in GATA6 and MYC that partially define phenotypes of pancreatic cancer, and the role(s) of polyploidy and chromothripsis as factors contributing to pancreatic cancer biology and progression. Germline variants that increase the risk of pancreatic cancer continue to be discovered along with a greater appreciation of the features of pancreatic cancers with mismatch repair deficiencies and homologous recombination deficiencies that confer sensitivity to therapeutic targeting. Wild-type KRAS pancreatic cancers, some of which are driven by alternative oncogenic events affecting NRG1 or NTRK1 — for which targeted therapies exist — further underscore that pancreatic cancer is formally entering the era of precision medicine. Given the vast developments within this field, here we review the wide-ranging and most current information related to pancreatic cancer genomics with the goal of integrating this information into a unifying description of the life history of pancreatic cancer. © 2021, Springer Nature Limited. |
| Keywords: | single nucleotide polymorphism; somatic mutation; clinical feature; review; cancer growth; nonhuman; pancreas cancer; gene; genetic association; risk factor; tumor suppressor gene; genome; gene inactivation; oncogene k ras; oncogene myc; copy number variation; cdkn2a gene; smad4 gene; human; gnas gene; rbm10 gene; sf3b1 gene; oncogenomics; gata6 gene; compass gene; robo gene; slit gene; swi snf gene |
| Journal Title: | Nature Reviews Gastroenterology & Hepatology |
| Volume: | 18 |
| Issue: | 7 |
| ISSN: | 1759-5045 |
| Publisher: | Nature Publishing Group |
| Date Published: | 2021-07-01 |
| Start Page: | 469 |
| End Page: | 481 |
| Language: | English |
| DOI: | 10.1038/s41575-021-00463-z |
| PUBMED: | 34089011 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Review -- Export Date: 2 August 2021 -- Source: Scopus |
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