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Characterize Disease-related Mutants of RAF Family Kinases by Using a Set of Practical and Feasible Methods
Published on: July 17, 2019
Genomic Landscapes and Hallmarks of Mutant RAS in Human Cancers
Robert B Scharpf1,2, Archana Balan1, Biagio Ricciuti3
1Department of Oncology, The Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Abstract:
The RAS family of small GTPases represents the most commonly activated oncogenes in human cancers. To better understand the prevalence of somatic RAS mutations and the compendium of genes that are coaltered in RAS-mutant tumors, we analyzed targeted next-generation sequencing data of 607,863 mutations from 66,372 tumors in 51 cancer types in the AACR Project GENIE Registry. Bayesian hierarchical models were implemented to estimate the cancer-specific prevalence of RAS and non-RAS somatic mutations, to evaluate co-occurrence and mutual exclusivity, and to model the effects of tumor mutation burden and mutational signatures on comutation patterns. These analyses revealed differential RAS prevalence and comutations with non-RAS genes in a cancer lineage-dependent and context-dependent manner, with differences across age, sex, and ethnic groups. Allele-specific RAS co-mutational patterns included an enrichment in NTRK3 and chromatin-regulating gene mutations in KRAS G12C-mutant non-small cell lung cancer. Integrated multiomic analyses of 10,217 tumors from The Cancer Genome Atlas (TCGA) revealed distinct genotype-driven gene expression programs pointing to differential recruitment of cancer hallmarks as well as phenotypic differences and immune surveillance states in the tumor microenvironment of RAS-mutant tumors. The distinct genomic tracks discovered in RAS-mutant tumors reflected differential clinical outcomes in TCGA cohort and in an independent cohort of patients with KRAS G12C-mutant non-small cell lung cancer that received immunotherapy-containing regimens. The RAS genetic architecture points to cancer lineage-specific therapeutic vulnerabilities that can be leveraged for rationally combining RAS-mutant allele-directed therapies with targeted therapies and immunotherapy.
Significance:
The complex genomic landscape of RAS-mutant tumors is reflective of selection processes in a cancer lineage-specific and context-dependent manner, highlighting differential therapeutic vulnerabilities that can be clinically translated.
Insights
RAS mutations are common in cancer. This study analyzed over 66,000 tumors, revealing how RAS mutations interact with other genes differently across cancer types, influencing treatment strategies.
Area of Science:
- Oncology
- Genomics
- Cancer Biology
Background:
- RAS family small GTPases are frequently activated oncogenes in human cancers.
- Understanding the prevalence and co-alterations of RAS mutations is crucial for cancer research.
Purpose of the Study:
- To analyze the prevalence of somatic RAS mutations and co-occurring genes in a large cancer cohort.
- To investigate cancer lineage-specific and context-dependent patterns of RAS mutations and their clinical implications.
Main Methods:
- Analysis of targeted next-generation sequencing data from the AACR Project GENIE Registry (66,372 tumors).
- Application of Bayesian hierarchical models to estimate mutation prevalence and co-occurrence.
- Integrated multiomic analyses of The Cancer Genome Atlas (TCGA) data.
Main Results:
- Identified differential RAS prevalence and co-mutations across 51 cancer types, varying by cancer lineage, age, sex, and ethnicity.
- Found specific co-mutational patterns, such as in KRAS G12C-mutant non-small cell lung cancer.
- Discovered distinct genotype-driven gene expression programs and tumor microenvironment differences in RAS-mutant tumors.
- Linked genomic findings to differential clinical outcomes and response to immunotherapy.
Conclusions:
- The genomic landscape of RAS-mutant tumors is complex and cancer lineage-specific.
- RAS mutations present differential therapeutic vulnerabilities exploitable for combination therapies.
- Findings support rationally combining RAS-mutant allele-directed therapies with targeted agents and immunotherapy.
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