Integrative Analysis of 1q23.3 Copy-Number Gain in Metastatic Urothelial Carcinoma
Purpose: Metastatic urothelial carcinoma of the bladder is associated with multiple somatic copy-number alterations (SCNAs). We evaluated SCNAs to identify predictors of poor survival in patients with metastatic urothelial carcinoma treated with platinum-based chemotherapy. Experimental Design: We o...
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Published in | Clinical cancer research Vol. 20; no. 7; pp. 1873 - 1883 |
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Main Authors | , , , , , , , , , , , , , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Philadelphia, PA
American Association for Cancer Research
01.04.2014
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Subjects | |
Online Access | Get full text |
ISSN | 1078-0432 1557-3265 1557-3265 |
DOI | 10.1158/1078-0432.CCR-13-0759 |
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Abstract | Purpose: Metastatic urothelial carcinoma of the bladder is associated with multiple somatic copy-number alterations (SCNAs). We evaluated SCNAs to identify predictors of poor survival in patients with metastatic urothelial carcinoma treated with platinum-based chemotherapy.
Experimental Design: We obtained overall survival (OS) and array DNA copy-number data from patients with metastatic urothelial carcinoma in two cohorts. Associations between recurrent SCNAs and OS were determined by a Cox proportional hazard model adjusting for performance status and visceral disease. mRNA expression was evaluated for potential candidate genes by NanoString nCounter to identify transcripts from the region that are associated with copy-number gain. In addition, expression data from an independent cohort were used to identify candidate genes.
Results: Multiple areas of recurrent significant gains and losses were identified. Gain of 1q23.3 was independently associated with a shortened OS in both cohorts [adjusted HR, 2.96; 95% confidence interval (CI), 1.35–6.48; P = 0.01 and adjusted HR, 5.03; 95% CI, 1.43–17.73; P < 0.001]. The F11R, PFDN2, PPOX, USP21, and DEDD genes, all located on 1q23.3, were closely associated with poor outcome.
Conclusions: 1q23.3 copy-number gain displayed association with poor survival in two cohorts of metastatic urothelial carcinoma. The identification of the target of this copy-number gain is ongoing, and exploration of this finding in other disease states may be useful for the early identification of patients with poor-risk urothelial carcinoma. Prospective validation of the survival association is necessary to demonstrate clinical relevance. Clin Cancer Res; 20(7); 1873–83. ©2014 AACR. |
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AbstractList | Metastatic urothelial carcinoma of the bladder is associated with multiple somatic copy-number alterations (SCNAs). We evaluated SCNAs to identify predictors of poor survival in patients with metastatic urothelial carcinoma treated with platinum-based chemotherapy.PURPOSEMetastatic urothelial carcinoma of the bladder is associated with multiple somatic copy-number alterations (SCNAs). We evaluated SCNAs to identify predictors of poor survival in patients with metastatic urothelial carcinoma treated with platinum-based chemotherapy.We obtained overall survival (OS) and array DNA copy-number data from patients with metastatic urothelial carcinoma in two cohorts. Associations between recurrent SCNAs and OS were determined by a Cox proportional hazard model adjusting for performance status and visceral disease. mRNA expression was evaluated for potential candidate genes by NanoString nCounter to identify transcripts from the region that are associated with copy-number gain. In addition, expression data from an independent cohort were used to identify candidate genes.EXPERIMENTAL DESIGNWe obtained overall survival (OS) and array DNA copy-number data from patients with metastatic urothelial carcinoma in two cohorts. Associations between recurrent SCNAs and OS were determined by a Cox proportional hazard model adjusting for performance status and visceral disease. mRNA expression was evaluated for potential candidate genes by NanoString nCounter to identify transcripts from the region that are associated with copy-number gain. In addition, expression data from an independent cohort were used to identify candidate genes.Multiple areas of recurrent significant gains and losses were identified. Gain of 1q23.3 was independently associated with a shortened OS in both cohorts [adjusted HR, 2.96; 95% confidence interval (CI), 1.35-6.48; P = 0.01 and adjusted HR, 5.03; 95% CI, 1.43-17.73; P < 0.001]. The F11R, PFDN2, PPOX, USP21, and DEDD genes, all located on 1q23.3, were closely associated with poor outcome.RESULTSMultiple areas of recurrent significant gains and losses were identified. Gain of 1q23.3 was independently associated with a shortened OS in both cohorts [adjusted HR, 2.96; 95% confidence interval (CI), 1.35-6.48; P = 0.01 and adjusted HR, 5.03; 95% CI, 1.43-17.73; P < 0.001]. The F11R, PFDN2, PPOX, USP21, and DEDD genes, all located on 1q23.3, were closely associated with poor outcome.1q23.3 copy-number gain displayed association with poor survival in two cohorts of metastatic urothelial carcinoma. The identification of the target of this copy-number gain is ongoing, and exploration of this finding in other disease states may be useful for the early identification of patients with poor-risk urothelial carcinoma. Prospective validation of the survival association is necessary to demonstrate clinical relevance.CONCLUSIONS1q23.3 copy-number gain displayed association with poor survival in two cohorts of metastatic urothelial carcinoma. The identification of the target of this copy-number gain is ongoing, and exploration of this finding in other disease states may be useful for the early identification of patients with poor-risk urothelial carcinoma. Prospective validation of the survival association is necessary to demonstrate clinical relevance. Metastatic urothelial carcinoma of the bladder is associated with multiple somatic copy-number alterations (SCNAs). We evaluated SCNAs to identify predictors of poor survival in patients with metastatic urothelial carcinoma treated with platinum-based chemotherapy. We obtained overall survival (OS) and array DNA copy-number data from patients with metastatic urothelial carcinoma in two cohorts. Associations between recurrent SCNAs and OS were determined by a Cox proportional hazard model adjusting for performance status and visceral disease. mRNA expression was evaluated for potential candidate genes by NanoString nCounter to identify transcripts from the region that are associated with copy-number gain. In addition, expression data from an independent cohort were used to identify candidate genes. Multiple areas of recurrent significant gains and losses were identified. Gain of 1q23.3 was independently associated with a shortened OS in both cohorts [adjusted HR, 2.96; 95% confidence interval (CI), 1.35-6.48; P = 0.01 and adjusted HR, 5.03; 95% CI, 1.43-17.73; P < 0.001]. The F11R, PFDN2, PPOX, USP21, and DEDD genes, all located on 1q23.3, were closely associated with poor outcome. 1q23.3 copy-number gain displayed association with poor survival in two cohorts of metastatic urothelial carcinoma. The identification of the target of this copy-number gain is ongoing, and exploration of this finding in other disease states may be useful for the early identification of patients with poor-risk urothelial carcinoma. Prospective validation of the survival association is necessary to demonstrate clinical relevance. Purpose: Metastatic urothelial carcinoma of the bladder is associated with multiple somatic copy-number alterations (SCNAs). We evaluated SCNAs to identify predictors of poor survival in patients with metastatic urothelial carcinoma treated with platinum-based chemotherapy. Experimental Design: We obtained overall survival (OS) and array DNA copy-number data from patients with metastatic urothelial carcinoma in two cohorts. Associations between recurrent SCNAs and OS were determined by a Cox proportional hazard model adjusting for performance status and visceral disease. mRNA expression was evaluated for potential candidate genes by NanoString nCounter to identify transcripts from the region that are associated with copy-number gain. In addition, expression data from an independent cohort were used to identify candidate genes. Results: Multiple areas of recurrent significant gains and losses were identified. Gain of 1q23.3 was independently associated with a shortened OS in both cohorts [adjusted HR, 2.96; 95% confidence interval (CI), 1.35–6.48; P = 0.01 and adjusted HR, 5.03; 95% CI, 1.43–17.73; P < 0.001]. The F11R, PFDN2, PPOX, USP21, and DEDD genes, all located on 1q23.3, were closely associated with poor outcome. Conclusions: 1q23.3 copy-number gain displayed association with poor survival in two cohorts of metastatic urothelial carcinoma. The identification of the target of this copy-number gain is ongoing, and exploration of this finding in other disease states may be useful for the early identification of patients with poor-risk urothelial carcinoma. Prospective validation of the survival association is necessary to demonstrate clinical relevance. Clin Cancer Res; 20(7); 1873–83. ©2014 AACR. |
Author | Gallardo, Enrique Kwiatkowski, David J. Riester, Markus O'Brien, Robert Kantoff, Philip W. Selvarajah, Shamini Rojo, Federico Choueiri, Toni K. Barletta, Justine A. Park, Rachel S. Bochner, Bernard H. Bellmunt, Joaquim Berman, David M. Michor, Franziska Guancial, Elizabeth A. Stack, Edward C. Weir, Barbara A. Schutz, Fabio A.B. Signoretti, Sabina Ligon, Azra H. Rosenberg, Jonathan E. Garcia, Denise I. Lloreta, Josep Chekaluk, Yvonne Werner, Lillian Loda, Massimo Hahn, William C. Marchionni, Luigi |
AuthorAffiliation | 11 Translational Medicine Division, Brigham and Women’s Hospital, Boston, MA, USA 4 Dept. of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA 10 Department of Urology, Memorial Sloan-Kettering Cancer Center, New York, NY, USA 3 Dept. of Pathology, Brigham and Women’s Hospital, Boston, MA 7 Sidney Kimmel Cancer Center, Johns Hopkins University, Baltimore, MD, USA 2 Hospital del Mar Research Institute-IMIM, Barcelona, Spain 9 Department of Pathology, Johns Hopkins University, Baltimore, MD 5 Broad Institute of Harvard and MIT, Cambridge, MA, USA 1 Department of Biostatistics and Computational Biology, Dana-Farber Cancer Institute, and Department of Biostatistics, Harvard School of Public Health, Boston, MA 02215, USA 8 Hospital Parc Tauli, Sabadell, Spain 6 Center for Molecular Oncologic Pathology, Dana-Farber Cancer Institute, Boston, MA |
AuthorAffiliation_xml | – name: 4 Dept. of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA – name: 1 Department of Biostatistics and Computational Biology, Dana-Farber Cancer Institute, and Department of Biostatistics, Harvard School of Public Health, Boston, MA 02215, USA – name: 2 Hospital del Mar Research Institute-IMIM, Barcelona, Spain – name: 3 Dept. of Pathology, Brigham and Women’s Hospital, Boston, MA – name: 9 Department of Pathology, Johns Hopkins University, Baltimore, MD – name: 10 Department of Urology, Memorial Sloan-Kettering Cancer Center, New York, NY, USA – name: 5 Broad Institute of Harvard and MIT, Cambridge, MA, USA – name: 6 Center for Molecular Oncologic Pathology, Dana-Farber Cancer Institute, Boston, MA – name: 7 Sidney Kimmel Cancer Center, Johns Hopkins University, Baltimore, MD, USA – name: 8 Hospital Parc Tauli, Sabadell, Spain – name: 11 Translational Medicine Division, Brigham and Women’s Hospital, Boston, MA, USA |
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Keywords | Advanced stage Malignant tumor Transitional cell carcinoma Metastasis Copy number Cancer |
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Snippet | Purpose: Metastatic urothelial carcinoma of the bladder is associated with multiple somatic copy-number alterations (SCNAs). We evaluated SCNAs to identify... Metastatic urothelial carcinoma of the bladder is associated with multiple somatic copy-number alterations (SCNAs). We evaluated SCNAs to identify predictors... |
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SubjectTerms | Adult Aged Antineoplastic agents Biological and medical sciences Chromosomes, Human, Pair 1 - genetics Disease-Free Survival DNA Copy Number Variations - genetics Female Humans Male Medical sciences Multiple tumors. Solid tumors. Tumors in childhood (general aspects) Pharmacology. Drug treatments Prognosis Proportional Hazards Models Prospective Studies Tumors Urinary Bladder Neoplasms - genetics Urinary Bladder Neoplasms - pathology Urologic Neoplasms - genetics Urologic Neoplasms - pathology |
Title | Integrative Analysis of 1q23.3 Copy-Number Gain in Metastatic Urothelial Carcinoma |
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