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100 1 _ |a Ishaque, Naveed
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245 _ _ |a Whole genome sequencing puts forward hypotheses on metastasis evolution and therapy in colorectal cancer.
260 _ _ |a [London]
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520 _ _ |a Incomplete understanding of the metastatic process hinders personalized therapy. Here we report the most comprehensive whole-genome study of colorectal metastases vs. matched primary tumors. 65% of somatic mutations originate from a common progenitor, with 15% being tumor- and 19% metastasis-specific, implicating a higher mutation rate in metastases. Tumor- and metastasis-specific mutations harbor elevated levels of BRCAness. We confirm multistage progression with new components ARHGEF7/ARHGEF33. Recurrently mutated non-coding elements include ncRNAs RP11-594N15.3, AC010091, SNHG14, 3 UTRs of FOXP2, DACH2, TRPM3, XKR4, ANO5, CBL, CBLB, the latter four potentially dual protagonists in metastasis and efferocytosis-/PD-L1 mediated immunosuppression. Actionable metastasis-specific lesions include FAT1, FGF1, BRCA2, KDR, and AKT2-, AKT3-, and PDGFRA-3 UTRs. Metastasis specific mutations are enriched in PI3K-Akt signaling, cell adhesion, ECM and hepatic stellate activation genes, suggesting genetic programs for site-specific colonization. Our results put forward hypotheses on tumor and metastasis evolution, and evidence for metastasis-specific events relevant for personalized therapy.
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700 1 _ |a Abba, Mohammed L
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700 1 _ |a Hauser, Christine
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700 1 _ |a Patil, Nitin
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700 1 _ |a Paramasivam, Nagarajan
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700 1 _ |a Huebschmann, Daniel
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700 1 _ |a Leupold, Jörg Hendrik
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700 1 _ |a Shavinskaya, Anna
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700 1 _ |a Zhou, Chan
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700 1 _ |a Gu, Zuguang
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700 1 _ |a Marx, Alexander
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700 1 _ |a Moniuszko, Marcin
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700 1 _ |a Kozlowski, Miroslaw
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700 1 _ |a Reszec, Joanna
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