Targeted next-generation sequencing assays using triplet samples of normal breast tissue, primary breast cancer, and recurrent/metastatic lesions

Autor: Takuya Moriya, Toshiaki Akahane, Tetsumasa Yamashita, Oi Harada, Junichi Kurebayashi, Akihide Tanimoto, Naoki Kanomata
Rok vydání: 2020
Předmět:
0301 basic medicine
Adult
Cancer Research
DNA Copy Number Variations
Class I Phosphatidylinositol 3-Kinases
Receptor
ErbB-2

Breast Neoplasms
lcsh:RC254-282
Metastasis
03 medical and health sciences
0302 clinical medicine
Germline mutation
Breast cancer
Recurrence
Genetics
Medicine
Humans
Genetic Predisposition to Disease
Neoplasm Metastasis
EP300
skin and connective tissue diseases
Germ-Line Mutation
Aged
business.industry
Cancer
High-Throughput Nucleotide Sequencing
Genomics
Middle Aged
medicine.disease
lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Metastatic breast cancer
Primary tumor
Neoplasm Proteins
030104 developmental biology
Oncology
Tumor progression
030220 oncology & carcinogenesis
Cancer research
Next-generation sequencing
Female
Neoplasm Recurrence
Local

business
Zdroj: BMC Cancer, Vol 20, Iss 1, Pp 1-9 (2020)
Popis: Background Next-generation sequencing (NGS) has shown that recurrent/metastatic breast cancer lesions may have additional genetic changes compared with the primary tumor. These additional changes may be related to tumor progression and/or drug resistance. However, breast cancer-targeted NGS is not still widely used in clinical practice to compare the genomic profiles of primary breast cancer and recurrent/metastatic lesions. Methods Triplet samples of genomic DNA were extracted from each patient’s normal breast tissue, primary breast cancer, and recurrent/metastatic lesion(s). A DNA library was constructed using the QIAseq Human Breast Cancer Panel (93 genes, Qiagen) and then sequenced using MiSeq (Illumina). The Qiagen web portal was utilized for data analysis. Results Successful results for three or four samples (normal breast tissue, primary tumor, and at least one metastatic/recurrent lesion) were obtained for 11 of 35 breast cancer patients with recurrence/metastases (36 samples). We detected shared somatic mutations in all but one patient, who had a germline mutation in TP53. Additional mutations that were detected in recurrent/metastatic lesions compared with primary tumor were in genes including TP53 (three patients) and one case each of ATR, BLM, CBFB, EP300, ERBB2, MUC16, PBRM1, and PIK3CA. Actionable mutations and/or copy number variations (CNVs) were detected in 73% (8/11) of recurrent/metastatic breast cancer lesions. Conclusions The QIAseq Human Breast Cancer Panel assay showed that recurrent/metastatic breast cancers sometimes acquired additional mutations and CNV. Such additional genomic changes could provide therapeutic target.
Databáze: OpenAIRE