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Title: Exome sequencing of hepatocellular carcinomas identifies new mutational signatures and potential therapeutic targets

Journal Article · · Nature Genetics
DOI:https://doi.org/10.1038/ng.3252· OSTI ID:1235730
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  1. INSERM, Paris (France); Paris Descartes Univ., (France); Paris 13 Univ. (France); Paris Diderot Univ. (France)
  2. Wellcome Trust Sanger Inst., Hinxton (United Kingdom); Los Alamos National Lab. (LANL), Los Alamos, NM (United States)
  3. INSERM, Paris (France); Paris Descartes Univ., (France); Paris 13 Univ. (France); Paris Diderot Univ. (France); Public Assistance Hospital of Paris (France)
  4. Hepatocellular Carcinoma Translational Research Laboratory, Barcelona (Spain)
  5. INSERM, Bordeaux (France)
  6. Public Assistance Hospital of Paris (France); INSERM, Creteil (France)
  7. INSERM, Bordeaux (France); Bordeaux Univ. Hospital (France)
  8. Fondazione Inst., Milan (Italy)
  9. Hepatocellular Carcinoma Translational Research Laboratory, Barcelona (Spain); Mount Sinai School of Medicine, New York, NY (United States)
  10. INSERM, Paris (France); Paris Descartes Univ., (France); Paris 13 Univ. (France); Paris Diderot Univ. (France); Univ. Hospital of Paris (France)
  11. Wellcome Trust Sanger Inst., Hinxton (United Kingdom)
  12. Hepatocellular Carcinoma Translational Research Laboratory, Barcelona (Spain); Mount Sinai School of Medicine, New York, NY (United States); Catalan Inst. for Research Studies, Barcelona (Spain)

Our genomic analyses promise to improve tumor characterization to optimize personalized treatment for patients with hepatocellular carcinoma (HCC). Exome sequencing analysis of 243 liver tumors identified mutational signatures associated with specific risk factors, mainly combined alcohol and tobacco consumption and exposure to aflatoxin B1. We identified 161 putative driver genes associated with 11 recurrently altered pathways. Associations of mutations defined 3 groups of genes related to risk factors and centered on CTNNB1 (alcohol), TP53 (hepatitis B virus, HBV) and AXIN1. These analyses according to tumor stage progression identified TERT promoter mutation as an early event, whereasFGF3, FGF4, FGF19 or CCND1 amplification and TP53 and CDKN2A alterations appeared at more advanced stages in aggressive tumors. In 28% of the tumors, we identified genetic alterations potentially targetable by US Food and Drug Administration (FDA)–approved drugs. Finally, we identified risk factor–specific mutational signatures and defined the extensive landscape of altered genes and pathways in HCC, which will be useful to design clinical trials for targeted therapy.

Research Organization:
Los Alamos National Laboratory (LANL), Los Alamos, NM (United States)
Sponsoring Organization:
USDOE
Grant/Contract Number:
AC52-06NA25396
OSTI ID:
1235730
Report Number(s):
LA-UR-14-28199; ng.3252
Journal Information:
Nature Genetics, Vol. 47, Issue 5; ISSN 1061-4036
Publisher:
Nature Publishing GroupCopyright Statement
Country of Publication:
United States
Language:
English
Citation Metrics:
Cited by: 1089 works
Citation information provided by
Web of Science

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