Integrative genomic characterization of oral squamous cell carcinoma identifies frequent somatic drivers
The survival of patients with oral squamous cell carcinoma (OSCC) has not changed significantly in several decades, leading clinicians and investigators to search for promising molecular targets. To this end, we conducted comprehensive genomic analysis of gene expression, copy number, methylation, a...
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Published in | Cancer discovery Vol. 3; no. 7; pp. 770 - 781 |
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Main Authors | , , , , , , , , , , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
01.07.2013
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Subjects | |
Online Access | Get full text |
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Abstract | The survival of patients with oral squamous cell carcinoma (OSCC) has not changed significantly in several decades, leading clinicians and investigators to search for promising molecular targets. To this end, we conducted comprehensive genomic analysis of gene expression, copy number, methylation, and point mutations in OSCC. Integrated analysis revealed more somatic events than previously reported, identifying four major driver pathways (mitogenic signaling, Notch, cell cycle, and TP53) and two additional key genes (FAT1, CASP8). The Notch pathway was defective in 66% of patients, and in follow-up studies of mechanism, functional NOTCH1 signaling inhibited proliferation of OSCC cell lines. Frequent mutation of caspase-8 (CASP8) defines a new molecular subtype of OSCC with few copy number changes. Although genomic alterations are dominated by loss of tumor suppressor genes, 80% of patients harbored at least one genomic alteration in a targetable gene, suggesting that novel approaches to treatment may be possible for this debilitating subset of head and neck cancers. |
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AbstractList | The survival of patients with oral squamous cell carcinoma (OSCC) has not changed significantly in several decades, leading clinicians and investigators to search for promising molecular targets. To this end, we conducted comprehensive genomic analysis of gene expression, copy number, methylation, and point mutations in OSCC. Integrated analysis revealed more somatic events than previously reported, identifying four major driver pathways (mitogenic signaling, Notch, cell cycle, and TP53) and two additional key genes (FAT1, CASP8). The Notch pathway was defective in 66% of patients, and in follow-up studies of mechanism, functional NOTCH1 signaling inhibited proliferation of OSCC cell lines. Frequent mutation of caspase-8 (CASP8) defines a new molecular subtype of OSCC with few copy number changes. Although genomic alterations are dominated by loss of tumor suppressor genes, 80% of patients harbored at least one genomic alteration in a targetable gene, suggesting that novel approaches to treatment may be possible for this debilitating subset of head and neck cancers.
Significance: This is the first integrated genomic analysis of OSCC. Only through integrated multiplatform analysis was it possible to identify four key pathways. We also discovered a new disease subtype associated with CASP8 and HRAS mutation. Finally, many candidate targetable events were found and provide hope for future genomically driven therapeutic strategies. Cancer Discov; 3(7); 770–81. ©2013 AACR.
See related commentary by Iglesias-Bartolome et al., p. 722
This article is highlighted in the In This Issue feature, p. 705 The survival of patients with oral squamous cell carcinoma (OSCC) has not changed significantly in several decades, leading clinicians and investigators to search for promising molecular targets. To this end, we conducted comprehensive genomic analysis of gene expression, copy number, methylation, and point mutations in OSCC. Integrated analysis revealed more somatic events than previously reported, identifying four major driver pathways (mitogenic signaling, Notch, cell cycle, and TP53) and two additional key genes (FAT1, CASP8). The Notch pathway was defective in 66% of patients, and in follow-up studies of mechanism, functional NOTCH1 signaling inhibited proliferation of OSCC cell lines. Frequent mutation of caspase-8 (CASP8) defines a new molecular subtype of OSCC with few copy number changes. Although genomic alterations are dominated by loss of tumor suppressor genes, 80% of patients harbored at least one genomic alteration in a targetable gene, suggesting that novel approaches to treatment may be possible for this debilitating subset of head and neck cancers. |
Author | Pickering, Curtis R Chung, Woonbok Zhang, Jiexin Drummond, Jennifer Muzny, Donna M Moorthy, Shhyam Issa, Jean-Pierre J Yoo, Suk Young El-Naggar, Adel K Chang, Kyle Gibbs, Richard A Xie, Tong-Xin Wheeler, David A Ortega Alves, Marcus V Myers, Jeffrey N Zweidler-McKay, Patrick A Weinstein, John N Zhang, Di Wu, Xifeng Neskey, David M Zhao, Mei Cortez, Elsa Wang, Jing Bengtsson, Linnea Frederick, Mitchell J |
Author_xml | – sequence: 1 givenname: Curtis R surname: Pickering fullname: Pickering, Curtis R organization: Departments of Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Temple University School of Medicine, Philadelphia, Pennsylvania, USA – sequence: 2 givenname: Jiexin surname: Zhang fullname: Zhang, Jiexin – sequence: 3 givenname: Suk Young surname: Yoo fullname: Yoo, Suk Young – sequence: 4 givenname: Linnea surname: Bengtsson fullname: Bengtsson, Linnea – sequence: 5 givenname: Shhyam surname: Moorthy fullname: Moorthy, Shhyam – sequence: 6 givenname: David M surname: Neskey fullname: Neskey, David M – sequence: 7 givenname: Mei surname: Zhao fullname: Zhao, Mei – sequence: 8 givenname: Marcus V surname: Ortega Alves fullname: Ortega Alves, Marcus V – sequence: 9 givenname: Kyle surname: Chang fullname: Chang, Kyle – sequence: 10 givenname: Jennifer surname: Drummond fullname: Drummond, Jennifer – sequence: 11 givenname: Elsa surname: Cortez fullname: Cortez, Elsa – sequence: 12 givenname: Tong-Xin surname: Xie fullname: Xie, Tong-Xin – sequence: 13 givenname: Di surname: Zhang fullname: Zhang, Di – sequence: 14 givenname: Woonbok surname: Chung fullname: Chung, Woonbok – sequence: 15 givenname: Jean-Pierre J surname: Issa fullname: Issa, Jean-Pierre J – sequence: 16 givenname: Patrick A surname: Zweidler-McKay fullname: Zweidler-McKay, Patrick A – sequence: 17 givenname: Xifeng surname: Wu fullname: Wu, Xifeng – sequence: 18 givenname: Adel K surname: El-Naggar fullname: El-Naggar, Adel K – sequence: 19 givenname: John N surname: Weinstein fullname: Weinstein, John N – sequence: 20 givenname: Jing surname: Wang fullname: Wang, Jing – sequence: 21 givenname: Donna M surname: Muzny fullname: Muzny, Donna M – sequence: 22 givenname: Richard A surname: Gibbs fullname: Gibbs, Richard A – sequence: 23 givenname: David A surname: Wheeler fullname: Wheeler, David A – sequence: 24 givenname: Jeffrey N surname: Myers fullname: Myers, Jeffrey N – sequence: 25 givenname: Mitchell J surname: Frederick fullname: Frederick, Mitchell J |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/23619168$$D View this record in MEDLINE/PubMed |
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Snippet | The survival of patients with oral squamous cell carcinoma (OSCC) has not changed significantly in several decades, leading clinicians and investigators to... |
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SubjectTerms | Carcinoma, Squamous Cell - genetics Carcinoma, Squamous Cell - pathology Caspase 8 - genetics Caspase 8 - metabolism Cell Line, Tumor DNA Copy Number Variations - genetics DNA Methylation - genetics Gene Expression Regulation, Neoplastic - genetics Genomics Humans Mouth Neoplasms - genetics Mouth Neoplasms - pathology Point Mutation - genetics Receptors, Notch - genetics Receptors, Notch - metabolism |
Title | Integrative genomic characterization of oral squamous cell carcinoma identifies frequent somatic drivers |
URI | https://www.ncbi.nlm.nih.gov/pubmed/23619168 https://search.proquest.com/docview/1399931666 |
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