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Genomic Evolution of Breast Cancer Metastasis and Relapse.

Title: Genomic Evolution of Breast Cancer Metastasis and Relapse.
Authors: Yates, LR; Knappskog, S; Wedge, D; Farmery, JHR; Gonzalez, S; Martincorena, I; Alexandrov, LB; Van Loo, P; Haugland, HK; Lilleng, PK; Gundem, G; Gerstung, M; Pappaemmanuil, E; Gazinska, P; Bhosle, SG; Jones, D; Raine, K; Mudie, L; Latimer, C; Sawyer, E; Desmedt, C; Sotiriou, C; Stratton, MR; Sieuwerts, AM; Lynch, AG; Martens, JW; Richardson, AL; Tutt, A; Lønning, PE; Campbell, PJ
Contributors: Tutt, Andrew
Publisher Information: CELL PRESS
Publication Year: 2020
Collection: The Institute of Cancer Research (ICR): Publications Repository
Subject Terms: Humans; Breast Neoplasms; Neoplasm Metastasis; Neoplasm Recurrence; Local; Chromosomal Proteins; Non-Histone; Transcription Factors; Evolution; Molecular; Mutation; Adult; Aged; 80 and over; Middle Aged; Female; Male; STAT3 Transcription Factor; Janus Kinase 2; Biomarkers; Tumor
Description: Patterns of genomic evolution between primary and metastatic breast cancer have not been studied in large numbers, despite patients with metastatic breast cancer having dismal survival. We sequenced whole genomes or a panel of 365 genes on 299 samples from 170 patients with locally relapsed or metastatic breast cancer. Several lines of analysis indicate that clones seeding metastasis or relapse disseminate late from primary tumors, but continue to acquire mutations, mostly accessing the same mutational processes active in the primary tumor. Most distant metastases acquired driver mutations not seen in the primary tumor, drawing from a wider repertoire of cancer genes than early drivers. These include a number of clinically actionable alterations and mutations inactivating SWI-SNF and JAK2-STAT3 pathways.
Document Type: article in journal/newspaper
File Description: Print; 184.e7; application/pdf
Language: English
ISSN: 1878-3686; 1535-6108
Relation: Cancer cell, 2017, 32 (2), pp. 169 - 184.e7; https://repository.icr.ac.uk/handle/internal/3742
DOI: 10.1016/j.ccell.2017.07.005
Availability: https://doi.org/10.1016/j.ccell.2017.07.005; https://repository.icr.ac.uk/handle/internal/3742
Rights: https://creativecommons.org/licenses/by/4.0
Accession Number: edsbas.D5803AC1
Database: BASE