Journal article
Copy number profiles of paired primary and metastatic colorectal cancers
Oncotarget, Vol.9(3), pp.3394-3405
2018
Abstract
Liver metastasis is the major cause of death following a diagnosis of colorectal cancer (CRC). In this study, we compared the copy number profiles of paired primary and liver metastatic CRC to better understand how the genomic structure of primary CRC differs from the metastasis. Paired primary and metastatic tumors from 16 patients and their adjacent normal tissue samples were analyzed using single nucleotide polymorphism arrays. Genome-wide chromosomal copy number alterations were assessed, with particular attention to 188 genes known to be somatically altered in CRC and 24 genes that are clinically actionable in CRC. These data were analyzed with respect to the timing of primary and metastatic tissue resection and with exposure to chemotherapy. The genomic differences between the tumor and paired metastases revealed an average copy number discordance of 22.0%. The pairs of tumor samples collected prior to treatment revealed significantly higher copy number differences compared to post-therapy liver metastases (P = 0.014). Loss of heterozygosity acquired in liver metastases was significantly higher in previously treated liver metastasis samples compared to treatment naive liver metastasis samples (P = 0.003). Amplification of the clinically actionable genes ERBB2, FGFR1, PIK3CA or CDK8 was observed in the metastatic tissue of 4 patients but not in the paired primary CRC. These examples highlight the intra-patient genomic discrepancies that can occur between metastases and the primary tumors from which they arose. We propose that precision medicine strategies may therefore identify different actionable targets in metastatic tissue, compared to primary tumors, due to substantial genomic differences.
Details
- Title
- Copy number profiles of paired primary and metastatic colorectal cancers
- Authors
- Futoshi Kawamata (Author) - Queensland Medical Institute of ResearchAnn-Marie Patch (Author) - Queensland Medical Institute of ResearchKatia Nones (Author) - Queensland Medical Institute of ResearchCatherine Bond (Author) - Queensland Medical Institute of ResearchDiane McKeone (Author) - Queensland Medical Institute of ResearchSally-Anne Pearson (Author) - Queensland Medical Institute of ResearchShigenori Homma (Author) - Hokkaido University Graduate School of Medicine, JapanCheng Liu (Author) - Queensland Medical Institute of ResearchLochlan Fennell (Author) - Queensland Medical Institute of ResearchTroy Dumenil (Author) - Queensland Medical Institute of ResearchGunter Hartel (Author) - Queensland Medical Institute of ResearchNozomi Kobayashi (Author) - Hokkaido University Graduate School of Medicine, JapanHideki Yakoo (Author) - Hokkaido University Graduate School of Medicine, JapanMoto Fukai (Author) - Hokkaido University Graduate School of Medicine, JapanHiroshi Nishihara (Author) - Hokkaido University Graduate School of Medicine, JapanToshiya Kamiyama (Author) - Hokkaido University Graduate School of Medicine, JapanMatthew E Burge (Author) - Royal Brisbane and Women's HospitalChristos S Karapetis (Author) - Flinders UniversityAkinobu Taketomi (Author) - Hokkaido University Graduate School of Medicine, JapanBarbara Leggett (Author) - Queensland Medical Institute of ResearchNicola Waddell (Author) - Queensland Medical Institute of ResearchVicki Whitehall (Author) - Queensland Medical Institute of Research
- Publication details
- Oncotarget, Vol.9(3), pp.3394-3405
- Publisher
- Impact Journals LLC
- Date published
- 2018
- DOI
- 10.18632/oncotarget.23277
- ISSN
- 1949-2553
- Copyright note
- Copyright © Kawamata et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License 3.0 (CC BY 3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source. are credited.
- Organisation Unit
- School of Health - Biomedicine; University of the Sunshine Coast, Queensland; School of Health and Sport Sciences - Legacy; School of Health and Behavioural Sciences - Legacy
- Language
- English
- Record Identifier
- 99451188202621
- Output Type
- Journal article
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