The Mutational Landscape of Head and Neck Squamous Cell Carcinoma

被引:1920
作者
Stransky, Nicolas [1 ]
Egloff, Ann Marie [2 ,3 ]
Tward, Aaron D. [1 ,4 ,5 ]
Kostic, Aleksandar D. [1 ,6 ]
Cibulskis, Kristian [1 ]
Sivachenko, Andrey [1 ]
Kryukov, Gregory V. [1 ,6 ]
Lawrence, Michael S. [1 ]
Sougnez, Carrie [1 ]
McKenna, Aaron [1 ]
Shefler, Erica [1 ]
Ramos, Alex H. [1 ]
Stojanov, Petar [1 ]
Carter, Scott L. [1 ]
Voet, Douglas [1 ]
Cortes, Maria L. [1 ]
Auclair, Daniel [1 ]
Berger, Michael F. [1 ]
Saksena, Gordon [1 ]
Guiducci, Candace [1 ]
Onofrio, Robert C. [1 ]
Parkin, Melissa [1 ]
Romkes, Marjorie [7 ,8 ]
Weissfeld, Joel L. [9 ,10 ]
Seethala, Raja R. [3 ,11 ]
Wang, Lin [3 ,11 ]
Rangel-Escareno, Claudia [12 ]
Carlos Fernandez-Lopez, Juan [12 ]
Hidalgo-Miranda, Alfredo [12 ]
Melendez-Zajgla, Jorge [12 ]
Winckler, Wendy [1 ]
Ardlie, Kristin [1 ]
Gabriel, Stacey B. [1 ]
Meyerson, Matthew [1 ,6 ,13 ,14 ]
Lander, Eric S. [1 ,6 ,15 ]
Getz, Gad [1 ]
Golub, Todd R. [1 ,6 ,14 ,16 ,17 ]
Garraway, Levi A. [1 ,6 ,13 ,14 ]
Grandis, Jennifer R. [2 ,3 ,18 ]
机构
[1] Broad Inst MIT & Harvard, Cambridge, MA 02142 USA
[2] Univ Pittsburgh, Dept Otolaryngol, Pittsburgh, PA 15213 USA
[3] Univ Pittsburgh, Inst Canc, Pittsburgh, PA 15213 USA
[4] Harvard Univ, Sch Med, Dept Otol & Laryngol, Boston, MA 02114 USA
[5] Massachusetts Eye & Ear Infirm, Dept Otolaryngol, Boston, MA 02114 USA
[6] Harvard Univ, Sch Med, Boston, MA 02115 USA
[7] Univ Pittsburgh, Dept Med, Pittsburgh, PA 15261 USA
[8] Univ Pittsburgh, Inst Canc, Pittsburgh, PA 15261 USA
[9] Univ Pittsburgh, Dept Epidemiol, Pittsburgh, PA 15232 USA
[10] Univ Pittsburgh, Inst Canc, Pittsburgh, PA 15232 USA
[11] Univ Pittsburgh, Dept Pathol, Pittsburgh, PA 15213 USA
[12] Inst Nacl Med Genom, Mexico City 01900, DF, Mexico
[13] Dana Farber Canc Inst, Dept Med Oncol, Boston, MA 02115 USA
[14] Dana Farber Canc Inst, Ctr Canc Genome Discovery, Boston, MA 02115 USA
[15] MIT, Cambridge, MA 02142 USA
[16] Dana Farber Canc Inst, Dept Pediat Oncol, Boston, MA 02115 USA
[17] Howard Hughes Med Inst, Chevy Chase, MD 20815 USA
[18] Univ Pittsburgh, Dept Pharmacol & Chem Biol, Pittsburgh, PA 15213 USA
关键词
TUMOR-SUPPRESSOR; STEM-CELLS; E-CADHERIN; CANCER; NOTCH; SKIN; DIFFERENTIATION; GENOME; KERATINOCYTES; INACTIVATION;
D O I
10.1126/science.1208130
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Head and neck squamous cell carcinoma (HNSCC) is a common, morbid, and frequently lethal malignancy. To uncover its mutational spectrum, we analyzed whole-exome sequencing data from 74 tumor-normal pairs. The majority exhibited a mutational profile consistent with tobacco exposure; human papillomavirus was detectable by sequencing DNA from infected tumors. In addition to identifying previously known HNSCC genes (TP53, CDKN2A, PTEN, PIK3CA, and HRAS), our analysis revealed many genes not previously implicated in this malignancy. At least 30% of cases harbored mutations in genes that regulate squamous differentiation (for example, NOTCH1, IRF6, and TP63), implicating its dysregulation as a major driver of HNSCC carcinogenesis. More generally, the results indicate the ability of large-scale sequencing to reveal fundamental tumorigenic mechanisms.
引用
收藏
页码:1157 / 1160
页数:4
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