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Title: The genomic and epigenomic evolutionary history of papillary renal cell carcinomas

Journal Article · · Nature Communications
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  1. National Institutes of Health (NIH), Bethesda, MD (United States). National Cancer Inst., Division of Cancer Epidemiology and Genetics
  2. Univ. of Bari (Italy). Dept. of Bioscience, Biotechnology and Biopharmaceutics
  3. Univ. of Bari (Italy). Dept. of Bioscience, Biotechnology and Biopharmaceutics; “Regina Elena” National Cancer Inst., Rome (Italy). Dept. of Urology
  4. “Regina Elena” National Cancer Inst., Rome (Italy). Dept. of Pathology
  5. “Regina Elena” National Cancer Inst., Rome (Italy). Dept. of Urology
  6. Istituto Nazionale di Riposo e Cura per Anziani (INRCA), Ancona (Italy). IRCCS (National Institute for Research and Treatment), Advanced Technology Center for Aging Research
  7. Los Alamos National Lab. (LANL), Los Alamos, NM (United States). Theoretical Division
  8. Univ. of California, San Diego La Jolla, CA (United States). Moores Cancer Center, Dept. of Cellular and Molecular Medicine and Dept. of Bioengineering
  9. Frederick National Lab. for Cancer Research, Frederick, MD (United States). Cancer Genomics Research Laboratory (CGR)
  10. “Regina Elena” National Cancer Inst., Rome (Italy). Dept. of Pathology; Univ. Campus Bio-Medico of Rome (Italy). Lab. of Molecular Medicine and Biotechnology
  11. Washington DC Veteran Affairs Medical Center (United States)
  12. Big Data Inst., Oxford (United Kingdom); Oxford NIHR Biomedical Research Centre (United Kingdom); Manchester Cancer Research Centre (United Kingdom)
  13. Univ. Campus Bio-Medico of Rome (Italy). Lab. of Molecular Medicine and Biotechnology; IRCCS H. "Casa Sollievo della Sofferenza", San Giovanni Rotondo FG (Italy). Laboratory of Oncology

Intratumor heterogeneity (ITH) and tumor evolution have been well described for clear cell renal cell carcinomas (ccRCC), but they are less studied for other kidney cancer subtypes. Here we investigate ITH and clonal evolution of papillary renal cell carcinoma (pRCC) and rarer kidney cancer subtypes, integrating whole-genome sequencing and DNA methylation data. In 29 tumors, up to 10 samples from the center to the periphery of each tumor, and metastatic samples in 2 cases, enable phylogenetic analysis of spatial features of clonal expansion, which shows congruent patterns of genomic and epigenomic evolution. In contrast to previous studies of ccRCC, in pRCC, driver gene mutations and most arm-level somatic copy number alterations (SCNAs) are clonal. These findings suggest that a single biopsy would be sufficient to identify the important genetic drivers and that targeting large-scale SCNAs may improve pRCC treatment, which is currently poor. While type 1 pRCC displays near absence of structural variants (SVs), the more aggressive type 2 pRCC and the rarer subtypes have numerous SVs, which should be pursued for prognostic significance.

Research Organization:
Los Alamos National Lab. (LANL), Los Alamos, NM (United States)
Sponsoring Organization:
USDOE National Nuclear Security Administration (NNSA); National Institutes of Health (NIH); National Cancer Institute (NCI); USDOE Laboratory Directed Research and Development (LDRD) Program; Li Ka Shing Foundation; National Institute for Health Research
Grant/Contract Number:
89233218CNA000001
OSTI ID:
1815502
Journal Information:
Nature Communications, Vol. 11, Issue 1; ISSN 2041-1723
Publisher:
Nature Publishing GroupCopyright Statement
Country of Publication:
United States
Language:
English

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