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Genomic characterization of human brain metastases identifies drivers of metastatic lung adenocarcinoma.
Nature Genetics ( IF 31.7 ) Pub Date : 2020-03-23 , DOI: 10.1038/s41588-020-0592-7
David J H Shih 1, 2, 3 , Naema Nayyar 3, 4, 5, 6 , Ivanna Bihun 3, 5, 6 , Ibiayi Dagogo-Jack 5 , Corey M Gill 5, 6, 7 , Elisa Aquilanti 3, 5, 8 , Mia Bertalan 5, 6 , Alexander Kaplan 5, 6 , Megan R D'Andrea 5, 6 , Ugonma Chukwueke 8 , Franziska Maria Ippen 5, 6 , Christopher Alvarez-Breckenridge 9 , Nicholas D Camarda 2, 8, 10 , Matthew Lastrapes 1, 2, 3, 5, 8 , Devin McCabe 2, 3, 8 , Ben Kuter 5, 6 , Benjamin Kaufman 3, 8, 10 , Matthew R Strickland 5, 6, 8 , Juan Carlos Martinez-Gutierrez 5, 6, 11 , Deepika Nagabhushan 5, 6 , Magali De Sauvage 5, 6 , Michael D White 5, 6 , Brandyn A Castro 5, 6 , Kaitlin Hoang 5, 6 , Andrew Kaneb 5, 6 , Emily D Batchelor 5, 6 , Sun Ha Paek 12, 13 , Sun Hye Park 12, 13 , Maria Martinez-Lage 14 , Anna S Berghoff 15 , Parker Merrill 16 , Elizabeth R Gerstner 6 , Tracy T Batchelor 6 , Matthew P Frosch 14 , Ryan P Frazier 14 , Darrell R Borger 14 , A John Iafrate 14 , Bruce E Johnson 8, 10 , Sandro Santagata 16, 17, 18 , Matthias Preusser 15 , Daniel P Cahill 9 , Scott L Carter 1, 2, 3, 8, 10 , Priscilla K Brastianos 3, 5, 6
Affiliation  

Brain metastases from lung adenocarcinoma (BM-LUAD) frequently cause patient mortality. To identify genomic alterations that promote brain metastases, we performed whole-exome sequencing of 73 BM-LUAD cases. Using case-control analyses, we discovered candidate drivers of brain metastasis by identifying genes with more frequent copy-number aberrations in BM-LUAD compared to 503 primary LUADs. We identified three regions with significantly higher amplification frequencies in BM-LUAD, including MYC (12 versus 6%), YAP1 (7 versus 0.8%) and MMP13 (10 versus 0.6%), and significantly more frequent deletions in CDKN2A/B (27 versus 13%). We confirmed that the amplification frequencies of MYC, YAP1 and MMP13 were elevated in an independent cohort of 105 patients with BM-LUAD. Functional assessment in patient-derived xenograft mouse models validated the notion that MYC, YAP1 or MMP13 overexpression increased the incidence of brain metastasis. These results demonstrate that somatic alterations contribute to brain metastases and that genomic sequencing of a sufficient number of metastatic tumors can reveal previously unknown metastatic drivers.

中文翻译:

人脑转移的基因组特征确定了转移性肺腺癌的驱动因素。

肺腺癌脑转移 (BM-LUAD) 经常导致患者死亡。为了确定促进脑转移的基因组改变,我们对 73 例 BM-LUAD 病例进行了全外显子组测序。通过病例对照分析,我们通过识别 BM-LUAD 中与 503 个原发 LUAD 相比具有更频繁拷贝数畸变的基因,发现了脑转移的候选驱动因素。我们确定了 BM-LUAD 中扩增频率显着较高的三个区域,包括 MYC(12% 对 6%)、YAP1(7% 对 0.8%)和 MMP13(10% 对 0.6%),并且 CDKN2A/B 中的缺失频率明显更高(27相对于 13%)。我们证实,在由 105 名 BM-LUAD 患者组成的独立队列中,MYC、YAP1 和 MMP13 的扩增频率升高。患者来源的异种移植小鼠模型的功能评估验证了 MYC、YAP1 或 MMP13 过度表达会增加脑转移发生率的观点。这些结果表明,体细胞改变导致脑转移,并且对足够数量的转移性肿瘤进行基因组测序可以揭示以前未知的转移驱动因素。
更新日期:2020-04-24
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