Comprehensive germline genomic profiles of children, adolescents and young adults with solid tumors.


Journal

Nature communications
ISSN: 2041-1723
Titre abrégé: Nat Commun
Pays: England
ID NLM: 101528555

Informations de publication

Date de publication:
05 05 2020
Historique:
received: 18 10 2019
accepted: 08 04 2020
entrez: 7 5 2020
pubmed: 7 5 2020
medline: 4 8 2020
Statut: epublish

Résumé

Compared to adult carcinomas, there is a paucity of targeted treatments for solid tumors in children, adolescents, and young adults (C-AYA). The impact of germline genomic signatures has implications for heritability, but its impact on targeted therapies has not been fully appreciated. Performing variant-prioritization analysis on germline DNA of 1,507 C-AYA patients with solid tumors, we show 12% of these patients carrying germline pathogenic and/or likely pathogenic variants (P/LP) in known cancer-predisposing genes (KCPG). An additional 61% have germline pathogenic variants in non-KCPG genes, including PRKN, SMARCAL1, SMAD7, which we refer to as candidate genes. Despite germline variants in a broad gene spectrum, pathway analysis leads to top networks centering around p53. Our drug-target analysis shows 1/3 of patients with germline P/LP variants have at least one druggable alteration, while more than half of them are from our candidate gene group, which would otherwise go unidentified in routine clinical care.

Identifiants

pubmed: 32371905
doi: 10.1038/s41467-020-16067-1
pii: 10.1038/s41467-020-16067-1
pmc: PMC7200683
doi:

Substances chimiques

SMAD7 protein, human 0
Smad7 Protein 0
Ubiquitin-Protein Ligases EC 2.3.2.27
parkin protein EC 2.3.2.27
SMARCAL1 protein, human EC 2.7.7.-
DNA Helicases EC 3.6.4.-

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

2206

Subventions

Organisme : NIGMS NIH HHS
ID : T32 GM088088
Pays : United States

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Auteurs

Sara Akhavanfard (S)

Genomic Medicine Institute, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, 44195, USA.
Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, OH, 44195, USA.

Roshan Padmanabhan (R)

Genomic Medicine Institute, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, 44195, USA.

Lamis Yehia (L)

Genomic Medicine Institute, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, 44195, USA.

Feixiong Cheng (F)

Genomic Medicine Institute, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, 44195, USA.
Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, OH, 44195, USA.
Cancer Prevention, Control & Population Research Program, Case Western Reserve University School of Medicine, Cleveland, OH, 44106, USA.

Charis Eng (C)

Genomic Medicine Institute, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, 44195, USA. engc@ccf.org.
Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, OH, 44195, USA. engc@ccf.org.
Cancer Prevention, Control & Population Research Program, Case Western Reserve University School of Medicine, Cleveland, OH, 44106, USA. engc@ccf.org.
Germline High-Risk Cancer Focus Group, Case Comprehensive Cancer Center, Case Western Reserve University School of Medicine, Cleveland, OH, 44106, USA. engc@ccf.org.
Department of Genetics and Genome Sciences, Case Western Reserve University School of Medicine, Cleveland, OH, 44106, USA. engc@ccf.org.

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