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肌肉侵入性膀癌的综合分子特征
A Gordon Robertson1, Jaegil Kim2, Hikmat Al-Ahmadie3
1Canada's Michael Smith Genome Sciences Center, BC Cancer Agency, Vancouver, BC V5Z 4S6, Canada.
Cell
|October 10, 2017
概括
这项研究分析了412种侵袭肌肉的膀癌, 识别这些亚型可能有助于对患者进行针对性膀癌治疗.
科学领域:
- 癌症学
- 基因组学
- 分子生物学
背景情况:
- 肌肉侵入性膀癌 (MIBC) 是一种异质性疾病.
- 了解MIBC分子亚型对于开发有效治疗至关重要.
研究的目的:
- 使用多平台数据进行全面的MIBC分析.
- 确定与生存和治疗反应相关的分子亚型.
主要方法:
- 使用癌症基因组图谱 (TCGA) 数据对412种肌肉侵入性膀癌症进行分析.
- 使用突变特征,mRNA,长非编码RNA (lncRNA) 和miRNA表达特征.
- 使用基于基因组和转录组数据的聚类分析.
主要成果:
- 确定了58个显著突变的基因,并将突变负载与APOBEC突变发生联系起来.
- 发现一个高突变的子集,
- 定义了基于mRNA表达的低生存"神经元"亚型,独立于组织学.
- 综合多基因数据以识别具有明显的上皮介质过渡 (EMT) 状态,现场癌症 (CIS) 评分和组织学特征的亚型.
结论:
- 对MIBC的多平台分析显示出显著的分子异质性.
- 鉴定出了五种不同的表达亚型,对不同治疗策略的患者有潜在的分层.
- "神经元"亚型代表了膀癌的新分子分类.
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