1] Department of General Surgery, Xinhua Hospital affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China. [2] Institute of Biliary Tract Disease, Shanghai Jiao Tong University School of Medicine, Shanghai, China. [3].
1] Department of General Surgery, Xinhua Hospital affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China. [2] Institute of Biliary Tract Disease, Shanghai Jiao Tong University School of Medicine, Shanghai, China. [3] Key Laboratory for the Genetics of Developmental and Neuropsychiatric Disorders (Ministry of Education), Bio-X Center, Shanghai Jiao Tong University, Shanghai, China. [4].
Nat Genet. 2014 Aug;46(8):872-6. doi: 10.1038/ng.3030. Epub 2014 Jul 6.
Individuals with gallbladder carcinoma (GBC), the most aggressive malignancy of the biliary tract, have a poor prognosis. Here we report the identification of somatic mutations for GBC in 57 tumor-normal pairs through a combination of exome sequencing and ultra-deep sequencing of cancer-related genes. The mutation pattern is defined by a dominant prevalence of C>T mutations at TCN sites. Genes with a significant frequency (false discovery rate (FDR)<0.05) of non-silent mutations include TP53 (47.1%), KRAS (7.8%) and ERBB3 (11.8%). Moreover, ErbB signaling (including EGFR, ERBB2, ERBB3, ERBB4 and their downstream genes) is the most extensively mutated pathway, affecting 36.8% (21/57) of the GBC samples. Multivariate analyses further show that cases with ErbB pathway mutations have a worse outcome (P=0.001). These findings provide insight into the somatic mutational landscape in GBC and highlight the key role of the ErbB signaling pathway in GBC pathogenesis.
胆囊癌(GBC)是胆道最具侵袭性的恶性肿瘤,患者预后较差。本研究通过外显子组测序和癌症相关基因的超深度测序,在 57 对肿瘤-正常组织中鉴定了 GBC 的体细胞突变。突变模式以 TCN 位点 C>T 突变的优势为主。非沉默突变频率显著(假发现率(FDR)<0.05)的基因包括 TP53(47.1%)、KRAS(7.8%)和 ERBB3(11.8%)。此外,ErbB 信号通路(包括 EGFR、ERBB2、ERBB3、ERBB4 及其下游基因)是突变最广泛的通路,影响了 57 例 GBC 样本中的 36.8%(21/57)。多变量分析进一步表明,存在 ErbB 通路突变的病例预后更差(P=0.001)。这些发现为 GBC 的体细胞突变图谱提供了深入了解,并强调了 ErbB 信号通路在 GBC 发病机制中的关键作用。
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