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Integrative genomic and transcriptomic analysis of leiomyosarcoma.


ABSTRACT: Leiomyosarcoma (LMS) is an aggressive mesenchymal malignancy with few therapeutic options. The mechanisms underlying LMS development, including clinically actionable genetic vulnerabilities, are largely unknown. Here we show, using whole-exome and transcriptome sequencing, that LMS tumors are characterized by substantial mutational heterogeneity, near-universal inactivation of TP53 and RB1, widespread DNA copy number alterations including chromothripsis, and frequent whole-genome duplication. Furthermore, we detect alternative telomere lengthening in 78% of cases and identify recurrent alterations in telomere maintenance genes such as ATRX, RBL2, and SP100, providing insight into the genetic basis of this mechanism. Finally, most tumors display hallmarks of "BRCAness", including alterations in homologous recombination DNA repair genes, multiple structural rearrangements, and enrichment of specific mutational signatures, and cultured LMS cells are sensitive towards olaparib and cisplatin. This comprehensive study of LMS genomics has uncovered key biological features that may inform future experimental research and enable the design of novel therapies.

SUBMITTER: Chudasama P 

PROVIDER: S-EPMC5762758 | biostudies-literature | 2018 Jan

REPOSITORIES: biostudies-literature

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Integrative genomic and transcriptomic analysis of leiomyosarcoma.

Chudasama Priya P   Mughal Sadaf S SS   Sanders Mathijs A MA   Hübschmann Daniel D   Chung Inn I   Deeg Katharina I KI   Wong Siao-Han SH   Rabe Sophie S   Hlevnjak Mario M   Zapatka Marc M   Ernst Aurélie A   Kleinheinz Kortine K   Schlesner Matthias M   Sieverling Lina L   Klink Barbara B   Schröck Evelin E   Hoogenboezem Remco M RM   Kasper Bernd B   Heilig Christoph E CE   Egerer Gerlinde G   Wolf Stephan S   von Kalle Christof C   Eils Roland R   Stenzinger Albrecht A   Weichert Wilko W   Glimm Hanno H   Gröschel Stefan S   Kopp Hans-Georg HG   Omlor Georg G   Lehner Burkhard B   Bauer Sebastian S   Schimmack Simon S   Ulrich Alexis A   Mechtersheimer Gunhild G   Rippe Karsten K   Brors Benedikt B   Hutter Barbara B   Renner Marcus M   Hohenberger Peter P   Scholl Claudia C   Fröhling Stefan S  

Nature communications 20180110 1


Leiomyosarcoma (LMS) is an aggressive mesenchymal malignancy with few therapeutic options. The mechanisms underlying LMS development, including clinically actionable genetic vulnerabilities, are largely unknown. Here we show, using whole-exome and transcriptome sequencing, that LMS tumors are characterized by substantial mutational heterogeneity, near-universal inactivation of TP53 and RB1, widespread DNA copy number alterations including chromothripsis, and frequent whole-genome duplication. Fu  ...[more]

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