Genomic profiling of Chinese esophageal squamous cell carcinoma patients and difference of genomic mutation between Chinese and American cohorts.

Authors

null

Lin Li

Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China

Lin Li , Kefeng Wang , Binghua Tan , Yingcheng Lyu , Xiaotian He , Wenjian Wang , Xueting Hu , Duoguang Wu , Huayue Lin , Minghui Wang

Organizations

Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China, Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Department of Thoracic Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China

Research Funding

Other Government Agency
The National Natural Science Foundation of China (No. 81871886)

Background: Esophageal squamous cell carcinoma (ESCC) remains an aggressive malignancy and most patients are diagnosed at advantage stage with limited treatments. Large amount of evidence has demonstrated that immune biomarkers such as PD-l/PD-L1 and tumor mutational burden (TMB) are associated with clinical outcomes and disease prognosis. Methods: A total of 475 ECSS patients enrolled in this study. Deep sequencing of 450 cancer genes performed on formalin-fixed paraffin-embedded tumor tissues and matched blood. Results: Genomic mutation landscape indicated the top five mutated genes are TP53 (95.0%), CCND1 (42%), FGF3 (42%), FGF19 (41%), FGF4(41%. We found that CCHD2, FOXL2 and PIK3CA were tumor-driver genes in 475 ECSS patients. BCL6 (p< 0.02), CCND1 (p< 0.03), FGF12 (p< 0.04), FGF19 (p< 0.04), FGF3 (p< 0.02) and FGF4 (p< 0.05) mutations are significantly associated with high expression of PD-L1 Moreover, we found that BCL6 (p< 0.04), BRD4 (p< 0.03), EP300 (p< 0.03), HGF (p< 0.02), KMT2C (p< 0.005), KMT2D (p< 0.04), MET (p< 0.006), NSD1 (p< 0.04), PBRM1 (p< 0.003), PTCH1 (p< 0.01), SPEN (p< 0.006), SPTA (p< 0.02), ZHF750 (p< 0.004), TP53 (p< 0.01) mutation are significantly associated with high TMB as well. The cutoff for TMB is set for 6.9 mut/Mb. The target gene analysis indicated that over half of Chinese ECSS patient might benefit from gene target therapy. By comparison between Chinese and TCGA cohorts, EBFR (p< 0.05), FGRF1 (p< 0.05) and CDKN2A (p< 0.001) have significantly mutated frequency, which indicated the gene mutated profiling is significantly different between Chinese and American ECSS patients. Conclusions: This study identified certain gene alteration associated with PD-L1 and TMB status. It is necessary to conduct large clinical study to identify biomarker for evaluation the efficacy of novel adjunct immunochemotherapy.

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Abstract Details

Meeting

2021 ASCO Annual Meeting

Session Type

Publication Only

Session Title

Publication Only: Gastrointestinal Cancer—Gastroesophageal, Pancreatic, and Hepatobiliary

Track

Gastrointestinal Cancer—Gastroesophageal, Pancreatic, and Hepatobiliary

Sub Track

Esophageal or Gastric Cancer

Citation

J Clin Oncol 39, 2021 (suppl 15; abstr e16108)

DOI

10.1200/JCO.2021.39.15_suppl.e16108

Abstract #

e16108

Abstract Disclosures

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