[HTML][HTML] Whole genome sequencing puts forward hypotheses on metastasis evolution and therapy in colorectal cancer

N Ishaque, ML Abba, C Hauser, N Patil… - Nature …, 2018 - nature.com
N Ishaque, ML Abba, C Hauser, N Patil, N Paramasivam, D Huebschmann, JH Leupold…
Nature communications, 2018nature.com
Incomplete understanding of the metastatic process hinders personalized therapy. Here we
report the most comprehensive whole-genome study of colorectal metastases vs. matched
primary tumors. 65% of somatic mutations originate from a common progenitor, with 15%
being tumor-and 19% metastasis-specific, implicating a higher mutation rate in metastases.
Tumor-and metastasis-specific mutations harbor elevated levels of BRCAness. We confirm
multistage progression with new components ARHGEF7/ARHGEF33. Recurrently mutated …
Abstract
Incomplete understanding of the metastatic process hinders personalized therapy. Here we report the most comprehensive whole-genome study of colorectal metastases vs. matched primary tumors. 65% of somatic mutations originate from a common progenitor, with 15% being tumor- and 19% metastasis-specific, implicating a higher mutation rate in metastases. Tumor- and metastasis-specific mutations harbor elevated levels of BRCAness. We confirm multistage progression with new components ARHGEF7/ARHGEF33. Recurrently mutated non-coding elements include ncRNAs RP11-594N15.3, AC010091, SNHG14, 3’ UTRs of FOXP2, DACH2, TRPM3, XKR4, ANO5, CBL, CBLB, the latter four potentially dual protagonists in metastasis and efferocytosis-/PD-L1 mediated immunosuppression. Actionable metastasis-specific lesions include FAT1, FGF1, BRCA2, KDR, and AKT2-, AKT3-, and PDGFRA-3’ UTRs. Metastasis specific mutations are enriched in PI3K-Akt signaling, cell adhesion, ECM and hepatic stellate activation genes, suggesting genetic programs for site-specific colonization. Our results put forward hypotheses on tumor and metastasis evolution, and evidence for metastasis-specific events relevant for personalized therapy.
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