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 inClinical cancer research Vol. 20; no. 7; pp. 1873 - 1883
Main Authors Riester, Markus, Werner, Lillian, Bellmunt, Joaquim, Selvarajah, Shamini, Guancial, Elizabeth A., Weir, Barbara A., Stack, Edward C., Park, Rachel S., O'Brien, Robert, Schutz, Fabio A.B., Choueiri, Toni K., Signoretti, Sabina, Lloreta, Josep, Marchionni, Luigi, Gallardo, Enrique, Rojo, Federico, Garcia, Denise I., Chekaluk, Yvonne, Kwiatkowski, David J., Bochner, Bernard H., Hahn, William C., Ligon, Azra H., Barletta, Justine A., Loda, Massimo, Berman, David M., Kantoff, Philip W., Michor, Franziska, Rosenberg, Jonathan E.
Format Journal Article
LanguageEnglish
Published Philadelphia, PA American Association for Cancer Research 01.04.2014
Subjects
Online AccessGet full text
ISSN1078-0432
1557-3265
1557-3265
DOI10.1158/1078-0432.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.
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
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Keywords Advanced stage
Malignant tumor
Transitional cell carcinoma
Metastasis
Copy number
Cancer
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2014 AACR.
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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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StartPage 1873
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
URI https://www.ncbi.nlm.nih.gov/pubmed/24486590
https://www.proquest.com/docview/1512555847
https://pubmed.ncbi.nlm.nih.gov/PMC3975677
Volume 20
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