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Cell-Cycle Gene Alterations in 4,864 Tumors Analyzed by Next-Generation Sequencing: Implications for Targeted
Teresa Helsten1, Shumei Kato2, Maria Schwaederle1
1Center for Personalized Cancer Therapy, UC San Diego Moores Cancer Center, La Jolla, California.
Abstract:
Alterations in the cyclin-dependent kinase (CDK)-retinoblastoma (RB) machinery disrupt cell-cycle regulation and are being targeted in drug development. To understand the cancer types impacted by this pathway, we analyzed frequency of abnormalities in key cell-cycle genes across 4,864 tumors using next-generation sequencing (182 or 236 genes; Clinical Laboratory Improvement Amendments laboratory). Aberrations in the cell-cycle pathway were identified in 39% of cancers, making this pathway one of the most commonly altered in cancer. The frequency of aberrations was as follows: CDKN2A/B (20.1% of all patients), RB1 (7.6%), CCND1 (6.1%), CCNE1 (3.6%), CDK4 (3.2%), CCND3 (1.8%), CCND2 (1.7%), and CDK6 (1.7%). Rates and types of aberrant cell-cycle pathway genes differed between cancer types and within histologies. Analysis of coexisting and mutually exclusive genetic aberrations showed that CCND1, CCND2, and CCND3 aberrations were all positively associated with CDK6 aberrations [OR and P values, multivariate analysis: CCND1 and CDK6 (OR = 3.5; P < 0.0001), CCND2 and CDK6 (OR = 4.3; P = 0.003), CCND3 and CDK6 (OR = 3.6; P = 0.007)]. In contrast, RB1 alterations were negatively associated with multiple gene anomalies in the cell-cycle pathway, including CCND1 (OR = 0.25; P = 0.003), CKD4 (OR = 0.10; P = 0.001), and CDKN2A/B (OR = 0.21; P < 0.0001). In conclusion, aberrations in the cell-cycle pathway were very common in diverse cancers (39% of 4,864 neoplasms). The frequencies and types of alterations differed between and within tumor types and will be informative for drug development strategies. Mol Cancer Ther; 15(7); 1682-90. ©2016 AACR.
Insights
Cell-cycle pathway gene alterations are common in 39% of cancers, impacting drug development. Specific gene aberrations like CDKN2A/B and RB1 vary by cancer type, offering insights for targeted therapies.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Cell-cycle regulation is crucial for preventing uncontrolled cell growth.
- Alterations in the cyclin-dependent kinase (CDK)-retinoblastoma (RB) pathway are frequently observed in various cancers.
- Targeting the CDK-RB pathway is a key strategy in cancer drug development.
Purpose of the Study:
- To determine the frequency and spectrum of abnormalities in key cell-cycle genes across a large cohort of diverse human cancers.
- To identify specific cancer types and histologies most affected by cell-cycle pathway aberrations.
- To analyze the co-occurrence and mutual exclusivity of genetic alterations within the cell-cycle pathway to inform therapeutic strategies.
Main Methods:
- Next-generation sequencing was employed to analyze the frequency of aberrations in cell-cycle pathway genes (including CDKN2A/B, RB1, CCND1, CCNE1, CDK4, CCND3, CCND2, and CDK6) across 4,864 tumor samples.
- Statistical analyses, including multivariate analysis, were used to assess the associations between different gene alterations and their frequencies across various cancer types and histologies.
Main Results:
- Aberrations in the cell-cycle pathway were identified in 39% of the analyzed cancers, highlighting its common involvement in tumorigenesis.
- Specific gene frequencies included CDKN2A/B (20.1%), RB1 (7.6%), CCND1 (6.1%), CCNE1 (3.6%), CDK4 (3.2%), CCND3 (1.8%), CCND2 (1.7%), and CDK6 (1.7%).
- Significant associations were observed, such as positive correlations between CCND1/2/3 and CDK6, and negative correlations between RB1 and genes like CCND1, CDK4, and CDKN2A/B.
Conclusions:
- The cell-cycle pathway is frequently altered in a wide range of cancers, representing a significant target for therapeutic intervention.
- The distinct patterns of gene alterations within this pathway across different cancer types and histologies provide valuable information for the development of targeted drugs.
- Understanding these genetic landscapes is essential for optimizing precision medicine approaches in oncology.
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