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A Comprehensive Pan-Cancer Molecular Study of Gynecologic and Breast Cancers.


ABSTRACT: We analyzed molecular data on 2,579 tumors from The Cancer Genome Atlas (TCGA) of four gynecological types plus breast. Our aims were to identify shared and unique molecular features, clinically significant subtypes, and potential therapeutic targets. We found 61 somatic copy-number alterations (SCNAs) and 46 significantly mutated genes (SMGs). Eleven SCNAs and 11 SMGs had not been identified in previous TCGA studies of the individual tumor types. We found functionally significant estrogen receptor-regulated long non-coding RNAs (lncRNAs) and gene/lncRNA interaction networks. Pathway analysis identified subtypes with high leukocyte infiltration, raising potential implications for immunotherapy. Using 16 key molecular features, we identified five prognostic subtypes and developed a decision tree that classified patients into the subtypes based on just six features that are assessable in clinical laboratories.

SUBMITTER: Berger AC 

PROVIDER: S-EPMC5959730 | biostudies-literature | 2018 Apr

REPOSITORIES: biostudies-literature

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A Comprehensive Pan-Cancer Molecular Study of Gynecologic and Breast Cancers.

Berger Ashton C AC   Korkut Anil A   Kanchi Rupa S RS   Hegde Apurva M AM   Lenoir Walter W   Liu Wenbin W   Liu Yuexin Y   Fan Huihui H   Shen Hui H   Ravikumar Visweswaran V   Rao Arvind A   Schultz Andre A   Li Xubin X   Sumazin Pavel P   Williams Cecilia C   Mestdagh Pieter P   Gunaratne Preethi H PH   Yau Christina C   Bowlby Reanne R   Robertson A Gordon AG   Tiezzi Daniel G DG   Wang Chen C   Cherniack Andrew D AD   Godwin Andrew K AK   Kuderer Nicole M NM   Rader Janet S JS   Zuna Rosemary E RE   Sood Anil K AK   Lazar Alexander J AJ   Ojesina Akinyemi I AI   Adebamowo Clement C   Adebamowo Sally N SN   Baggerly Keith A KA   Chen Ting-Wen TW   Chiu Hua-Sheng HS   Lefever Steve S   Liu Liang L   MacKenzie Karen K   Orsulic Sandra S   Roszik Jason J   Shelley Carl Simon CS   Song Qianqian Q   Vellano Christopher P CP   Wentzensen Nicolas N   Weinstein John N JN   Mills Gordon B GB   Levine Douglas A DA   Akbani Rehan R  

Cancer cell 20180402 4


We analyzed molecular data on 2,579 tumors from The Cancer Genome Atlas (TCGA) of four gynecological types plus breast. Our aims were to identify shared and unique molecular features, clinically significant subtypes, and potential therapeutic targets. We found 61 somatic copy-number alterations (SCNAs) and 46 significantly mutated genes (SMGs). Eleven SCNAs and 11 SMGs had not been identified in previous TCGA studies of the individual tumor types. We found functionally significant estrogen recep  ...[more]

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