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Genomic characterization of metastatic patterns from prospective clinical sequencing of 25,000 patients.


ABSTRACT: Metastatic progression is the main cause of death in cancer patients, whereas the underlying genomic mechanisms driving metastasis remain largely unknown. Here, we assembled MSK-MET, a pan-cancer cohort of over 25,000 patients with metastatic diseases. By analyzing genomic and clinical data from this cohort, we identified associations between genomic alterations and patterns of metastatic dissemination across 50 tumor types. We found that chromosomal instability is strongly correlated with metastatic burden in some tumor types, including prostate adenocarcinoma, lung adenocarcinoma, and HR+/HER2+ breast ductal carcinoma, but not in others, including colorectal cancer and high-grade serous ovarian cancer, where copy-number alteration patterns may be established early in tumor development. We also identified somatic alterations associated with metastatic burden and specific target organs. Our data offer a valuable resource for the investigation of the biological basis for metastatic spread and highlight the complex role of chromosomal instability in cancer progression.

SUBMITTER: Nguyen B 

PROVIDER: S-EPMC9147702 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature

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Genomic characterization of metastatic patterns from prospective clinical sequencing of 25,000 patients.

Nguyen Bastien B   Fong Christopher C   Luthra Anisha A   Smith Shaleigh A SA   DiNatale Renzo G RG   Nandakumar Subhiksha S   Walch Henry H   Chatila Walid K WK   Madupuri Ramyasree R   Kundra Ritika R   Bielski Craig M CM   Mastrogiacomo Brooke B   Donoghue Mark T A MTA   Boire Adrienne A   Chandarlapaty Sarat S   Ganesh Karuna K   Harding James J JJ   Iacobuzio-Donahue Christine A CA   Razavi Pedram P   Reznik Ed E   Rudin Charles M CM   Zamarin Dmitriy D   Abida Wassim W   Abou-Alfa Ghassan K GK   Aghajanian Carol C   Cercek Andrea A   Chi Ping P   Feldman Darren D   Ho Alan L AL   Iyer Gopakumar G   Janjigian Yelena Y YY   Morris Michael M   Motzer Robert J RJ   O'Reilly Eileen M EM   Postow Michael A MA   Raj Nitya P NP   Riely Gregory J GJ   Robson Mark E ME   Rosenberg Jonathan E JE   Safonov Anton A   Shoushtari Alexander N AN   Tap William W   Teo Min Yuen MY   Varghese Anna M AM   Voss Martin M   Yaeger Rona R   Zauderer Marjorie G MG   Abu-Rustum Nadeem N   Garcia-Aguilar Julio J   Bochner Bernard B   Hakimi Abraham A   Jarnagin William R WR   Jones David R DR   Molena Daniela D   Morris Luc L   Rios-Doria Eric E   Russo Paul P   Singer Samuel S   Strong Vivian E VE   Chakravarty Debyani D   Ellenson Lora H LH   Gopalan Anuradha A   Reis-Filho Jorge S JS   Weigelt Britta B   Ladanyi Marc M   Gonen Mithat M   Shah Sohrab P SP   Massague Joan J   Gao Jianjiong J   Zehir Ahmet A   Berger Michael F MF   Solit David B DB   Bakhoum Samuel F SF   Sanchez-Vega Francisco F   Schultz Nikolaus N  

Cell 20220201 3


Metastatic progression is the main cause of death in cancer patients, whereas the underlying genomic mechanisms driving metastasis remain largely unknown. Here, we assembled MSK-MET, a pan-cancer cohort of over 25,000 patients with metastatic diseases. By analyzing genomic and clinical data from this cohort, we identified associations between genomic alterations and patterns of metastatic dissemination across 50 tumor types. We found that chromosomal instability is strongly correlated with metas  ...[more]

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