Comprehensive characterization of 412 muscle invasive urothelial carcinomas: Final analysis of The Cancer Genome Atlas (TCGA) project.

Authors

null

Seth P. Lerner

The Scott Department of Urology, Baylor College of Medicine, Houston, TX

Seth P. Lerner , Jaegil Kim , David J. Kwiatkowski , Gad Getz , John N. Weinstein , Andrew Cherniack , Guangwu Guo , Rehan Akbani , Katherine A. Hoadley , William Y. Kim , Gordon Robertson , Andrew J. Mungall , Toshinori Hinoue , Peter W. Laird , Hikmat Al-Ahmadie , Jonathan E. Rosenberg , Joaquim Bellmunt , Dean F. Bajorin , Donna E. Hansel , Chad J. Creighton

Organizations

The Scott Department of Urology, Baylor College of Medicine, Houston, TX, Broad Institute of Harvard and MIT, Cambridge, MA, Dana-Farber Cancer Institute, Boston, MA, Broad Institute, Cambridge, MA, The University of Texas MD Anderson Cancer Center, Houston, TX, University of North Carolina, Chapel Hill, NC, UNC Lineberger Comprehensive Cancer Center, Chapel Hill, NC, BC Cancer Agency, Vancouver, BC, Canada, BC Cancer Agency- Genome Sciences Centre, Vancouver, BC, Canada, Van Andel Research Institute, Grand Rapids, MI, Memorial Sloan Kettering Cancer Center, New York, NY, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, University of California, San Diego, La Jolla, CA, Baylor College of Medicine, Houston, TX

Research Funding

No funding sources reported

Background: We reported the integrated molecular analysis of 131 tumors in 2014 (Nature 507:315, 2014) and now report on the entire cohort of 412 tumors from the TCGA project in chemotherapy-naïve muscle invasive urothelial bladder cancer. Methods: Following strict clinical and pathologic quality control, tumors were analyzed for DNA copy number variants, somatic mutations (WES), DNA methylation, mRNA, microRNA and (phospho-) protein expression, transcript splicing, gene fusions, viral integration, pathway perturbation, clinical correlates, and histopathology Results: There was a high overall somatic mutation rate (8.0/Mb), as previously reported, with a median of 245 and mean of 348 coding region mutations per sample. There were 54 significantly mutated genes (SMGs) (MutSig_2CV), increased from 32 in the original report. TP53 remained the most commonly mutated gene, and chromatin-modifying genes (MLL2, ARID1A, KDM6A) were also frequently mutated. KRAS, ERBB2, RB1, and ELF3 showed significant increased frequencies of mutation. High mutation burden was associated with improved outcome (p = 0.0004). APOBEC mutagenesis explained 70% of the mutation burden and also was associated with survival. 167 genes were silenced by promoter DNA hypermethylation in at least 5% of tumors. Several SMGs were also epigenetically silenced at various frequencies (ZNF773, CDKN2A, FAT1, CASP8). The previously identified four mRNA subtypes were predicted on the larger set identifying a similar proportion of samples in each subtype. We identified 5 expression subtypes based on reverse-phase protein arrays(344 tumors). Five miR expression subtypes were strongly associated with 4 mRNA-based subtypes (P = 3.8E-37) and associated with overall survival (P = 0.05). Conclusions: This integrated analysis of 412 TCGA patient samples validates and extends observations from the first 131 patients and significantly increases our power to detect additional low-frequency aberrations. The results provide a robust basis for functional studies to further our understanding of the biology of bladder cancer, and aid in the development of more precisely targeted therapies.

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Abstract Details

Meeting

2016 Genitourinary Cancers Symposium

Session Type

Poster Session

Session Title

Poster Session B: Prostate Cancer; Urothelial Carcinoma; Penile, Urethral, and Testicular Cancers

Track

Urothelial Carcinoma,Prostate Cancer,Penile, Urethral, and Testicular Cancers

Sub Track

Urothelial Carcinoma

Citation

J Clin Oncol 34, 2016 (suppl 2S; abstr 405)

DOI

10.1200/jco.2016.34.2_suppl.405

Abstract #

405

Poster Bd #

G18

Abstract Disclosures

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