Genomics

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Estrogen Receptor Positive Breast Cancer: Aromatase Inhibitor Response Study


ABSTRACT:

Highly variable outcomes are observed in patients with estrogen receptor positive (ER+) breast cancer who undergo preoperative estrogen deprivation therapy with aromatase inhibitors (AI). In this study, 46 tumor and normal genomes and 31 exomes of participants selected from two clinical trials of neoadjuvant AI therapy on ER+ breast cancer were sequenced to identify somatic alterations that correlate with response to AI, to screen for therapeutic targets and to elucidate the genetic landscape of ER+ breast cancer. Of the significantly mutated genes, GATA3 mutations correlated with low post-treatment Ki67 and up-regulation of IGF1R mRNA. TP53 mutations associated with multiple markers of poor outcome and mutations in MAP3K1 associated with inferior clinical response. Mutations in MAP3K1 and MAP2K4 were mutually exclusive and positively associated with mutations in PIK3CA. The majority of tumors were multiclonal, as defined by distinct mutation clusters. A number of potential therapeutic targets were provided by both common and rare variants. Potential therapeutically relevant mutations of tryosine kinase included ERBB2, KIT, PDGFRA, DDR1, CSF1R, and MET.

OTHER RELATED OMICS DATASETS IN: PRJNA155957PRJNA155959PRJNA150683PRJNA141433

PROVIDER: phs000472.v1.p1 | EGA |

REPOSITORIES: EGA

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Publications

Whole-genome analysis informs breast cancer response to aromatase inhibition.

Ellis Matthew J MJ   Ding Li L   Shen Dong D   Luo Jingqin J   Suman Vera J VJ   Wallis John W JW   Van Tine Brian A BA   Hoog Jeremy J   Goiffon Reece J RJ   Goldstein Theodore C TC   Ng Sam S   Lin Li L   Crowder Robert R   Snider Jacqueline J   Ballman Karla K   Weber Jason J   Chen Ken K   Koboldt Daniel C DC   Kandoth Cyriac C   Schierding William S WS   McMichael Joshua F JF   Miller Christopher A CA   Lu Charles C   Harris Christopher C CC   McLellan Michael D MD   Wendl Michael C MC   DeSchryver Katherine K   Allred D Craig DC   Esserman Laura L   Unzeitig Gary G   Margenthaler Julie J   Babiera G V GV   Marcom P Kelly PK   Guenther J M JM   Leitch Marilyn M   Hunt Kelly K   Olson John J   Tao Yu Y   Maher Christopher A CA   Fulton Lucinda L LL   Fulton Robert S RS   Harrison Michelle M   Oberkfell Ben B   Du Feiyu F   Demeter Ryan R   Vickery Tammi L TL   Elhammali Adnan A   Piwnica-Worms Helen H   McDonald Sandra S   Watson Mark M   Dooling David J DJ   Ota David D   Chang Li-Wei LW   Bose Ron R   Ley Timothy J TJ   Piwnica-Worms David D   Stuart Joshua M JM   Wilson Richard K RK   Mardis Elaine R ER  

Nature 20120610 7403


To correlate the variable clinical features of oestrogen-receptor-positive breast cancer with somatic alterations, we studied pretreatment tumour biopsies accrued from patients in two studies of neoadjuvant aromatase inhibitor therapy by massively parallel sequencing and analysis. Eighteen significantly mutated genes were identified, including five genes (RUNX1, CBFB, MYH9, MLL3 and SF3B1) previously linked to haematopoietic disorders. Mutant MAP3K1 was associated with luminal A status, low-grad  ...[more]

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