TY - JOUR
T1 - Integrative Pan-Cancer Genomic and Transcriptomic Analyses of Refractory Metastatic Cancer
AU - Pradat, Yoann
AU - Viot, Julien
AU - Yurchenko, Andrey A.
AU - Gunbin, Konstantin
AU - Cerbone, Luigi
AU - Deloger, Marc
AU - Grisay, Guillaume
AU - Verlingue, Loic
AU - Scott, Véronique
AU - Padioleau, Ismael
AU - Panunzi, Leonardo
AU - Michiels, Stefan
AU - Hollebecque, Antoine
AU - Jules-Clément, Gérôme
AU - Mezquita, Laura
AU - Lainé, Antoine
AU - Loriot, Yohann
AU - Besse, Benjamin
AU - Friboulet, Luc
AU - André, Fabrice
AU - Cournède, Paul Henry
AU - Gautheret, Daniel
AU - Nikolaev, Sergey Ia
N1 - Publisher Copyright:
© 2023, American Association for Cancer Research Inc.. All rights reserved.
PY - 2023/5/1
Y1 - 2023/5/1
N2 - Metastatic relapse after treatment is the leading cause of cancer mortality, and known resistance mechanisms are missing for most treatments administered to patients. To bridge this gap, we analyze a pan-cancer cohort (META-PRISM) of 1,031 refractory metastatic tumors profiled via whole-exome and transcriptome sequencing. META-PRISM tumors, particularly prostate, bladder, and pancreatic types, displayed the most transformed genomes compared with primary untreated tumors. Standard-of-care resistance biomarkers were identified only in lung and colon cancers—9.6% of META-PRISM tumors, indicating that too few resistance mechanisms have received clinical validation. In contrast, we verified the enrichment of multiple investigational and hypothetical resistance mechanisms in treated compared with nontreated patients, thereby confirming their putative role in treatment resistance. Additionally, we demonstrated that molecular markers improve 6-month survival prediction, particularly in patients with advanced breast cancer. Our analysis establishes the utility of the META-PRISM cohort for investigating resistance mechanisms and performing predictive analyses in cancer.
AB - Metastatic relapse after treatment is the leading cause of cancer mortality, and known resistance mechanisms are missing for most treatments administered to patients. To bridge this gap, we analyze a pan-cancer cohort (META-PRISM) of 1,031 refractory metastatic tumors profiled via whole-exome and transcriptome sequencing. META-PRISM tumors, particularly prostate, bladder, and pancreatic types, displayed the most transformed genomes compared with primary untreated tumors. Standard-of-care resistance biomarkers were identified only in lung and colon cancers—9.6% of META-PRISM tumors, indicating that too few resistance mechanisms have received clinical validation. In contrast, we verified the enrichment of multiple investigational and hypothetical resistance mechanisms in treated compared with nontreated patients, thereby confirming their putative role in treatment resistance. Additionally, we demonstrated that molecular markers improve 6-month survival prediction, particularly in patients with advanced breast cancer. Our analysis establishes the utility of the META-PRISM cohort for investigating resistance mechanisms and performing predictive analyses in cancer.
UR - http://www.scopus.com/inward/record.url?scp=85152372572&partnerID=8YFLogxK
U2 - 10.1158/2159-8290.CD-22-0966
DO - 10.1158/2159-8290.CD-22-0966
M3 - Article
C2 - 36862804
AN - SCOPUS:85152372572
SN - 2159-8274
VL - 13
SP - 1116
EP - 1143
JO - Cancer Discovery
JF - Cancer Discovery
IS - 5
ER -