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10.1172/jci.insight.92688

http://scihub22266oqcxt.onion/10.1172/jci.insight.92688
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C5470887!5470887!28614790
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suck abstract from ncbi


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pmid28614790      JCI+Insight ä ; 2 (12): ä
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  • Genomic landscape and evolution of metastatic chromophobe renal cell carcinoma #MMPMID28614790
  • Casuscelli J; Weinhold N; Gundem G; Wang L; Zabor EC; Drill E; Wang PI; Nanjangud GJ; Redzematovic A; Nargund AM; Manley BJ; Arcila ME; Donin NM; Cheville JC; Thompson RH; Pantuck AJ; Russo P; Cheng EH; Lee W; Tickoo SK; Ostrovnaya I; Creighton CJ; Papaemmanuil E; Seshan VE; Hakimi AA; Hsieh JJ
  • JCI Insight ä[]; 2 (12): ä PMID28614790show ga
  • Chromophobe renal cell carcinoma (chRCC) typically shows ~7 chromosome losses (1, 2, 6, 10, 13, 17, and 21) and ~31 exonic somatic mutations, yet carries ~5%?10% metastatic incidence. Since extensive chromosomal losses can generate proteotoxic stress and compromise cellular proliferation, it is intriguing how chRCC, a tumor with extensive chromosome losses and a low number of somatic mutations, can develop lethal metastases. Genomic features distinguishing metastatic from nonmetastatic chRCC are unknown. An integrated approach, including whole-genome sequencing (WGS), targeted ultradeep cancer gene sequencing, and chromosome analyses (FACETS, OncoScan, and FISH), was performed on 79 chRCC patients including 38 metastatic (M-chRCC) cases. We demonstrate that TP53 mutations (58%), PTEN mutations (24%), and imbalanced chromosome duplication (ICD, duplication of ? 3 chromosomes) (25%) were enriched in M-chRCC. Reconstruction of the subclonal composition of paired primary-metastatic chRCC tumors supports the role of TP53, PTEN, and ICD in metastatic evolution. Finally, the presence of these 3 genomic features in primary tumors of both The Cancer Genome Atlas kidney chromophobe (KICH) (n = 64) and M-chRCC (n = 35) cohorts was associated with worse survival. In summary, our study provides genomic insights into the metastatic progression of chRCC and identifies TP53 mutations, PTEN mutations, and ICD as high-risk features.
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