Comprehensive Analysis of R-Spondin Fusions and <i>RNF43</i> Mutations Implicate Novel Therapeutic Options in Colorectal Cancer
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- Andreas Seeber
- 1Department of Hematology and Oncology, Comprehensive Cancer Center Innsbruck, Medical University of Innsbruck, Innsbruck, Austria.
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- Francesca Battaglin
- 2Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California, Los Angeles, California.
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- Kai Zimmer
- 1Department of Hematology and Oncology, Comprehensive Cancer Center Innsbruck, Medical University of Innsbruck, Innsbruck, Austria.
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- Florian Kocher
- 1Department of Hematology and Oncology, Comprehensive Cancer Center Innsbruck, Medical University of Innsbruck, Innsbruck, Austria.
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- Yasmine Baca
- 3Caris Life Sciences, Phoenix, Arizona.
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- Joanne Xiu
- 3Caris Life Sciences, Phoenix, Arizona.
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- Gilbert Spizzo
- 1Department of Hematology and Oncology, Comprehensive Cancer Center Innsbruck, Medical University of Innsbruck, Innsbruck, Austria.
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- Veronica Novotny-Diermayr
- 5Experimental Drug Development Center (EDDC), A*Star, Singapore.
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- Dietmar Rieder
- 6Biocenter, Institute of Bioinformatics, Medical University of Innsbruck, Innsbruck, Austria.
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- Alberto Puccini
- 7Oncologia Medica 1, Ospedale Policlinico San Martino—IRCCS, Genova, Italy.
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- Jeff Swensen
- 3Caris Life Sciences, Phoenix, Arizona.
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- Michelle Ellis
- 3Caris Life Sciences, Phoenix, Arizona.
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- Richard M. Goldberg
- 8West Virginia University Cancer Institute, Morgantown, West Virginia.
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- Axel Grothey
- 9West Cancer Center, Germantown, Tennessee.
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- Anthony F. Shields
- 10Department of Oncology, Karmanos Cancer Institute, Wayne State University, Detroit, Michigan.
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- John L. Marshall
- 11Ruesch Center for The Cure of Gastrointestinal Cancers, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC.
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- Benjamin A. Weinberg
- 11Ruesch Center for The Cure of Gastrointestinal Cancers, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC.
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- Paul E. Sackstein
- 11Ruesch Center for The Cure of Gastrointestinal Cancers, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC.
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- Kiat Hon Lim
- 12Department of Molecular Pathology, Translational Pathology Center, Singapore General Hospital, Singapore.
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- Gek San Tan
- 12Department of Molecular Pathology, Translational Pathology Center, Singapore General Hospital, Singapore.
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- Chadi Nabhan
- 3Caris Life Sciences, Phoenix, Arizona.
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- W. Michael Korn
- 3Caris Life Sciences, Phoenix, Arizona.
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- Arno Amann
- 1Department of Hematology and Oncology, Comprehensive Cancer Center Innsbruck, Medical University of Innsbruck, Innsbruck, Austria.
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- Zlatko Trajanoski
- 6Biocenter, Institute of Bioinformatics, Medical University of Innsbruck, Innsbruck, Austria.
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- Martin D. Berger
- 13Department of Medical Oncology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
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- Emil Lou
- 14Division of Hematology and Oncology, University of Minnesota, Minneapolis, Minnesota.
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- Dominik Wolf
- 1Department of Hematology and Oncology, Comprehensive Cancer Center Innsbruck, Medical University of Innsbruck, Innsbruck, Austria.
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- Heinz-Josef Lenz
- 2Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California, Los Angeles, California.
抄録
<jats:title>Abstract</jats:title> <jats:sec> <jats:title>Purpose:</jats:title> <jats:p>Gene fusions involving R-spondin (RSPOfp) and RNF43 mutations have been shown to drive Wnt-dependent tumor initiation in colorectal cancer. Herein, we aimed to characterize the molecular features of RSPOfp/RNF43 mutated (mut) compared with wild-type (WT) colorectal cancers to gain insights into potential rationales for therapeutic strategies.</jats:p> </jats:sec> <jats:sec> <jats:title>Experimental Design:</jats:title> <jats:p>A discovery cohort was classified for RSPOfp/RNF43 status using DNA/RNA sequencing and IHC. An independent cohort was used to validate our findings.</jats:p> </jats:sec> <jats:sec> <jats:title>Results:</jats:title> <jats:p>The discovery cohort consisted of 7,245 colorectal cancer samples. RSPOfp and RNF43 mutations were detected in 1.3% (n = 94) and 6.1% (n = 443) of cases. We found 5 RSPO fusion events that had not previously been reported (e.g., IFNGR1–RSPO3). RNF43-mut tumors were associated with right-sided primary tumors. No RSPOfp tumors had RNF43 mutations. In comparison with WT colorectal cancers, RSPOfp tumors were characterized by a higher frequency of BRAF, BMPR1A, and SMAD4 mutations. APC mutations were observed in only a minority of RSPOfp-positive compared with WT cases (4.4% vs. 81.4%). Regarding RNF43 mutations, a higher rate of KMT2D and BRAF mutations were detectable compared with WT samples. Although RNF43 mutations were associated with a microsatellite instability (MSI-H)/mismatch repair deficiency (dMMR) phenotype (64.3%), and a tumor mutation burden ≥10 mt/Mb (65.8%), RSPOfp was not associated with MSI-H/dMMR. The validation cohort replicated our genetic findings.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions:</jats:title> <jats:p>This is the largest series of RSPOfp/RNF43-mut colorectal cancers reported to date. Comprehensive molecular analyses asserted the unique molecular landscape associated with RSPO/RNF43 and suggested potential alternative strategies to overcome the low clinical impact of Wnt-targeted agents and immunotherapy.</jats:p> </jats:sec>
収録刊行物
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- Clinical Cancer Research
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Clinical Cancer Research 28 (9), 1863-1870, 2022-02-16
American Association for Cancer Research (AACR)
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キーワード
詳細情報 詳細情報について
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- CRID
- 1360861294964492800
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- ISSN
- 15573265
- 10780432
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- データソース種別
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- Crossref