Comprehensive Transcriptional Analysis of Early-Stage Urothelial Carcinoma

被引:514
作者
Hedegaard, Jakob [1 ]
Lamy, Philippe [1 ]
Nordentoft, Iver [1 ]
Algaba, Ferran [2 ]
Hoyer, Soren [3 ]
Ulhoi, Benedicte Parm [3 ]
Vang, Soren [1 ]
Reinert, Thomas [1 ]
Hermann, Gregers G. [4 ]
Mogensen, Karin [4 ]
Thomsen, Mathilde Borg Houlberg [1 ]
Nielsen, Morten Muhlig [1 ]
Marquez, Mirari [5 ]
Segersten, Ulrika [6 ]
Aine, Mattias [7 ]
Hoglund, Mattias [7 ]
Birkenkamp-Demtroder, Karin [1 ]
Fristrup, Niels [1 ]
Borre, Michael [8 ]
Hartmann, Arndt [9 ]
Stoehr, Robert [9 ]
Wach, Sven [10 ]
Keck, Bastian [10 ]
Seitz, Anna Katharina [11 ]
Nawroth, Roman [11 ]
Maurer, Tobias [11 ]
Tulic, Cane [12 ]
Simic, Tatjana [13 ]
Junker, Kerstin [14 ]
Horstmann, Marcus [15 ]
Harving, Niels [16 ]
Petersen, Astrid Christine [17 ]
Luz Calle, M. [18 ]
Steyerberg, Ewout W. [19 ]
Beukers, Willemien [20 ]
van Kessel, Kim E. M. [20 ]
Jensen, Jorgen Bjerggaard [8 ]
Pedersen, Jakob Skou [1 ]
Malmstrom, Per-Uno [6 ]
Malats, Nuria [5 ]
Real, Francisco X. [5 ,21 ]
Zwarthoff, Ellen C. [20 ]
Orntoft, Torben Falck [1 ]
Dyrskjot, Lars [1 ]
机构
[1] Aarhus Univ Hosp, Dept Mol Med, DK-8200 Aarhus, Denmark
[2] Univ Autonoma Barcelona, Fundacio Puigvert, Sect Pathol, Barcelona 08025, Spain
[3] Aarhus Univ Hosp, Dept Pathol, DK-8000 Aarhus, Denmark
[4] Frederiksberg Univ Hosp, Dept Urol, DK-2000 Frederiksberg, Denmark
[5] Spanish Natl Canc Res Ctr CNIO, Madrid 28029, Spain
[6] Uppsala Univ, Dept Surg Sci, S-75185 Uppsala, Sweden
[7] Lund Univ, Dept Clin Sci Lund, Div Oncol & Pathol, S-22100 Lund, Sweden
[8] Aarhus Univ Hosp, Dept Urol, DK-8200 Aarhus, Denmark
[9] Univ Erlangen Nurnberg, Univ Hosp Erlangen, Inst Pathol, D-91054 Erlangen, Germany
[10] Univ Erlangen Nurnberg, Univ Hosp Erlangen, Dept Urol, D-91054 Erlangen, Germany
[11] Tech Univ Munich, Klinikum Rechts Isar, Dept Urol, D-81675 Munich, Germany
[12] Univ Belgrade, Clin Ctr Serbia, Clin Urol, Fac Med, Belgrade 11000, Serbia
[13] Univ Belgrade, Fac Med, Inst Med & Clin Biochem, Belgrade 11000, Serbia
[14] Univ Saarland, Dept Urol, D-66421 Homburg, Germany
[15] Univ Jena, Dept Urol, D-07737 Jena, Germany
[16] Aalborg Univ Hosp, Dept Urol, DK-9000 Aalborg, Denmark
[17] Aalborg Univ Hosp, Dept Pathol, DK-9000 Aalborg, Denmark
[18] Univ Vic, Dept Syst Biol, Barcelona 08500, Spain
[19] Erasmus MC, Dept Publ Hlth, NL-3015 CE Rotterdam, Netherlands
[20] Erasmus MC, Dept Pathol, NL-3015 CE Rotterdam, Netherlands
[21] Univ Pompeu Fabra, Dept Ciencies Expt & Salut, Barcelona 08003, Spain
基金
欧盟第七框架计划;
关键词
INVASIVE BLADDER-CANCER; LUMINAL SUBTYPES; GENE-EXPRESSION; CELL-CARCINOMA; NOTCH PATHWAY; REVEALS; SIGNATURES; GENOME; BASAL; RNA;
D O I
10.1016/j.ccell.2016.05.004
中图分类号
R73 [肿瘤学];
学科分类号
100214 [肿瘤学];
摘要
Non-muscle-invasive bladder cancer (NMIBC) is a heterogeneous disease with widely different outcomes. We performed a comprehensive transcriptional analysis of 460 early-stage urothelial carcinomas and showed that NMIBC can be subgrouped into three major classes with basal-and luminal-like characteristics and different clinical outcomes. Large differences in biological processes such as the cell cycle, epithelial-mesenchymal transition, and differentiation were observed. Analysis of transcript variants revealed frequent mutations in genes encoding proteins involved in chromatin organization and cytoskeletal functions. Furthermore, mutations in well-known cancer driver genes (e.g., TP53 and ERBB2) were primarily found in high-risk tumors, together with APOBEC-related mutational signatures. The identification of subclasses in NMIBC may offer better prognostication and treatment selection based on subclass assignment.
引用
收藏
页码:27 / 42
页数:16
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