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Updated: Apr 18, 2026

Next Generation Sequencing for the Detection of Actionable Mutations in Solid and Liquid Tumors
Published on: September 20, 2016
Novel recurrently mutated genes in African American colon cancers
Kishore Guda1, Martina L Veigl2, Vinay Varadan3
1Division of General Medical Sciences-Oncology, Case Comprehensive Cancer Center, and Department of Medicine.
Abstract:
We used whole-exome and targeted sequencing to characterize somatic mutations in 103 colorectal cancers (CRC) from African Americans, identifying 20 new genes as significantly mutated in CRC. Resequencing 129 Caucasian derived CRCs confirmed a 15-gene set as a preferential target for mutations in African American CRCs. Two predominant genes, ephrin type A receptor 6 (EPHA6) and folliculin (FLCN), with mutations exclusive to African American CRCs, are by genetic and biological criteria highly likely African American CRC driver genes. These previously unsuspected differences in the mutational landscapes of CRCs arising among individuals of different ethnicities have potential to impact on broader disparities in cancer behaviors.
Insights
African American colorectal cancer (CRC) genomes harbor unique mutations in 20 new genes. Specific genes like EPHA6 and FLCN are key drivers, highlighting ethnic differences in cancer development.
Area of Science:
- Genomics
- Oncology
- Cancer Research
Background:
- Colorectal cancer (CRC) exhibits significant health disparities among different ethnicities.
- Understanding the genetic underpinnings of CRC in diverse populations is crucial for targeted therapies.
Purpose of the Study:
- To identify novel somatic mutations in colorectal cancer (CRC) specific to African American patients.
- To compare the mutational landscape of CRC between African American and Caucasian populations.
- To pinpoint potential driver genes in African American CRC.
Main Methods:
- Whole-exome and targeted sequencing were employed to analyze tumor genomes.
- Somatic mutations were characterized in 103 African American CRC samples.
- 129 Caucasian CRC samples were resequenced for comparative analysis.
Main Results:
- Twenty new significantly mutated genes were identified in African American CRCs.
- A distinct set of 15 genes showed preferential mutation in African American CRCs compared to Caucasians.
- Mutations in EPHA6 and FLCN were found exclusively in African American CRCs, suggesting they are likely driver genes.
Conclusions:
- Significant ethnic-specific differences exist in the mutational landscape of colorectal cancer.
- Novel genes, including EPHA6 and FLCN, are implicated as potential drivers in African American CRC.
- These genetic disparities may contribute to observed differences in cancer behavior and outcomes.
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