Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, United States of America.
PLoS One. 2011;6(9):e24433. doi: 10.1371/journal.pone.0024433. Epub 2011 Sep 8.
BACKGROUND: Epithelial ovarian cancer is the most lethal of all gynecologic malignancies, and high grade serous ovarian cancer (HGSC) is the most common subtype of ovarian cancer. The objective of this study was to determine the frequency and types of point somatic mutations in HGSC using a mutation detection protocol called OncoMap that employs mass spectrometric-based genotyping technology. METHODOLOGY/PRINCIPAL FINDINGS: The Center for Cancer Genome Discovery (CCGD) Program at the Dana-Farber Cancer Institute (DFCI) has adapted a high-throughput genotyping platform to determine the mutation status of a large panel of known cancer genes. The mutation detection protocol, termed OncoMap has been expanded to detect more than 1000 mutations in 112 oncogenes in formalin-fixed paraffin-embedded (FFPE) tissue samples. We performed OncoMap on a set of 203 FFPE advanced staged HGSC specimens. We isolated genomic DNA from these samples, and after a battery of quality assurance tests, ran each of these samples on the OncoMap v3 platform. 56% (113/203) tumor samples harbored candidate mutations. Sixty-five samples had single mutations (32%) while the remaining samples had ≥ 2 mutations (24%). 196 candidate mutation calls were made in 50 genes. The most common somatic oncogene mutations were found in EGFR, KRAS, PDGRFα, KIT, and PIK3CA. Other mutations found in additional genes were found at lower frequencies (<3%). CONCLUSIONS/SIGNIFICANCE: Sequenom analysis using OncoMap on DNA extracted from FFPE ovarian cancer samples is feasible and leads to the detection of potentially druggable mutations. Screening HGSC for somatic mutations in oncogenes may lead to additional therapies for this patient population.
背景:上皮性卵巢癌是所有妇科恶性肿瘤中致死率最高的,高级别浆液性卵巢癌(HGSC)是卵巢癌最常见的亚型。本研究的目的是使用一种称为 OncoMap 的突变检测方案来确定 HGSC 中的体细胞点突变的频率和类型,该方案采用基于质谱的基因分型技术。
方法/主要发现:达纳-法伯癌症研究所(DFCI)的癌症基因组发现中心(CCGD)计划已经采用了高通量基因分型平台来确定一大组已知癌症基因的突变状态。该突变检测方案称为 OncoMap,已扩展到可以在福尔马林固定石蜡包埋(FFPE)组织样本中检测超过 112 个癌基因中的 1000 多个突变。我们对 203 个 FFPE 晚期 HGSC 标本进行了 OncoMap 检测。我们从这些样本中分离基因组 DNA,并在进行了一系列质量保证测试后,将每个样本都在 OncoMap v3 平台上运行。56%(113/203)的肿瘤样本携带候选突变。65 个样本有单个突变(32%),而其余样本有≥2 个突变(24%)。在 50 个基因中发现了 196 个候选突变。最常见的体细胞致癌基因突变发生在 EGFR、KRAS、PDGRFα、KIT 和 PIK3CA 中。在其他基因中发现的其他突变频率较低(<3%)。
结论/意义:使用 OncoMap 从 FFPE 卵巢癌样本中提取的 DNA 进行Sequenom 分析是可行的,并且可以检测到潜在的可用药突变。对 HGSC 进行致癌基因突变筛查可能会为该患者群体带来更多的治疗选择。
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