Yang Po-Sheng, Hsu Hsi-Hsien, Hsu Tzu-Chi, Chen Ming-Jen, Wang Cin-Di, Yu Sung-Liang, Hsu Yi-Chiung, Li Ker-Chau
Department of Medicine, Mackay Medical College, New Taipei 252, Taiwan.
Department of General Surgery, Mackay Memorial Hospital, Taipei 104, Taiwan.
J Clin Med. 2018 Nov 18;7(11):446. doi: 10.3390/jcm7110446.
Predicting a patient's risk of recurrence after the resection of liver metastases from colorectal cancer is critical for evaluating and selecting therapeutic approaches. Clinical and pathologic parameters have shown limited accuracy thus far. Therefore, we combined the clinical status with a genomic approach to stratify relapse-free survival in colorectal cancer liver metastases patients. To identify new molecular and genetic signatures specific to colorectal cancer with liver metastasis (CRCLM) patients, we conducted DNA copy number profiling on a cohort of 21 Taiwanese CRCLM patients using a comparative genomic hybridization (CGH) array. We identified a three-gene signature based on differential copy number alteration between patients with different statuses of (1) recurrence and (2) synchronous metastasis. In relapse hotspot regions, only three genes (, , and ) were significantly associated with the synchronous liver metastasis factor. A final set of three genes-, , -significantly predicted relapse-free survival in our cohort ( = 0.04) and another CRCLM cohort ( = 0.02). This three-gene signature is the first genomic signature validated for relapse-free survival in post-hepatectomy CRCLM patients. Our three-gene signature was developed using a whole-genome CGH array and has a good prognostic position for the relapse-free survival of CRCLM patients after hepatectomy.
预测结直肠癌肝转移切除术后患者的复发风险对于评估和选择治疗方法至关重要。到目前为止,临床和病理参数的准确性有限。因此,我们将临床状况与基因组方法相结合,对结直肠癌肝转移患者的无复发生存进行分层。为了识别结直肠癌伴肝转移(CRCLM)患者特有的新分子和基因特征,我们使用比较基因组杂交(CGH)阵列对一组21例台湾CRCLM患者进行了DNA拷贝数分析。我们基于不同状态(1)复发和(2)同步转移患者之间的差异拷贝数改变确定了一个三基因特征。在复发热点区域,只有三个基因(、和)与同步肝转移因子显著相关。最终的三个基因组合、、在我们的队列中(=0.04)和另一个CRCLM队列中(=0.02)显著预测了无复发生存。这个三基因特征是首个在肝切除术后CRCLM患者中验证的用于无复发生存的基因组特征。我们的三基因特征是使用全基因组CGH阵列开发的,对肝切除术后CRCLM患者的无复发生存具有良好的预后价值。