Comprehensive genomic landscape in pancreatic cancer using whole-exome sequencing.

Authors

null

Yonggang He

Department of Hepatobiliary, The Second Affiliated Hospital of Army Medical University, Chongqing, China

Yonggang He , Xiaobing Huang , Lu Zheng , Wen Huang , Yichen Tang , Xuehui Peng , Jing Li , Jing Wu , Nan You , Chuang Liu , Yaxuan Zhang , Ling Li

Organizations

Department of Hepatobiliary, The Second Affiliated Hospital of Army Medical University, Chongqing, China, Yinfeng Gene Technology Co Ltd, Jinan, China, Clinical Oncology Research Alliance, Tianjin, China

Research Funding

Other Foundation
Chongqing Natural Science Foundation project (CSTB2022NSCQ-MSX0172)

Background: Pancreatic ductal adenocarcinoma is one of the fatal malignancies in the world, mostly as a result of the absence of early detection and specific treatment solutions. Consequently, identifying mutational profiles and molecular biomarker are essential for increasing the viability of precision therapy for pancreatic cancer. Methods: We gathered blood and tumour tissue samples from 47 Chinese pancreatic cancer patients and used whole-exome sequencing (WES) to evaluate the genetic landscape. Results: Our results showed the most frequently somatic alteration genes were KRAS (74.5%), TP53(51.1%), SMAD4(17%), ARID1A(12.8%), CDKN2A(12.8%), TENM4(10.6%), TTN(8.5%), RNF43(8.5%), FLG(8.5%) and GAS6(6.4%) in Chinese pancreatic ductal adenocarcinoma patients. We also found that three deleterious germline mutations (ATM c.4852C > T/p. R1618*, WRN c.1105C > T/p. R369*, PALB2 c.2760dupA/p. Q921Tfs*7) and two novel fusions (BRCA1-RPRML, MIR943 (intergenic)-FGFR3). When compared to the Cancer Genome Atlas (TCGA) database, there is a greater mutation frequency of TENM4(10.6% vs. 1.6%, p= 0.01), GAS6(6.4% vs. 0.5%, p= 0.035), MMP17(6.4% vs. 0.5%, p= 0.035), ITM2B (6.4% vs. 0.5%, p= 0.035) and USP7 (6.4% vs. 0.5%, p= 0.035) as well as a reduced mutation frequency of SMAD4 (17.0% vs. 31.5%, p= 0.075) and CDKN2A (12.8% vs. 47.3%, p< 0.001) were observed in the Chinese cohort. Among the 41 individual examined for PD-L1 expression, 15 (36.6%) had positive PD-L1 expression. The median tumour mutational burden (TMB) was found to be 12 muts (range, 0-124). The TMB index was higher in patients with mutant-type KRAS MUT/TP53 MUT (p< 0.001), CDKN2A (p= 0.547), or SMAD4 (p= 0.064) compared to patients with wild-type KRAS/TP53, CDKN2A, or SMAD4. Conclusions: We exhibited real-world genetic traits and new alterations in Chinese individuals with cancer of pancreas, which might have interesting implications for future individualized therapy and medication development.

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Abstract Details

Meeting

2023 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

Pancreatic Cancer - Local-Regional Disease

Citation

J Clin Oncol 41, 2023 (suppl 16; abstr e16307)

DOI

10.1200/JCO.2023.41.16_suppl.e16307

Abstract #

e16307

Abstract Disclosures

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