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Cancer Lett ; 470: 181-190, 2020 02 01.
Artículo en Inglés | MEDLINE | ID: mdl-31765737

RESUMEN

Most cancers are caused by somatic mutations. Some common mutations in the same cancer type can form a "signature" to specifically predict the prognosis or to distinguish it from other cancers. In this study, 710 somatic cell mutations were identified in 142 cases, including digestive, lung and urogenital cancers, and the digestive cancers were further divided into liver, stomach, intestinal, esophageal and cardia cancer. The above mutations were located in 166 genes. In addition, a group of high-frequency mutation genes with specific characteristics were screened to form predictive signatures for each cancer. Verification using TCGA suggested that the signatures could predict the stages, progression-free survival, and overall survival of digestive, intestinal, and liver cancers (P < 0.05). The validation cases further confirmed the predictive role of digestive and liver cancers signatures in diagnosis and prognosis. Overall, this study established predictive signatures for different cancer systems and their subtypes. These findings enable a better understanding in cancer genome, and contribute to the personalized diagnosis and treatment.


Asunto(s)
Biomarcadores de Tumor/genética , Análisis Mutacional de ADN , Neoplasias del Sistema Digestivo/diagnóstico , Regulación Neoplásica de la Expresión Génica , Adulto , Anciano , Anciano de 80 o más Años , Biomarcadores de Tumor/análisis , Neoplasias del Sistema Digestivo/genética , Neoplasias del Sistema Digestivo/mortalidad , Neoplasias del Sistema Digestivo/terapia , Femenino , Secuenciación de Nucleótidos de Alto Rendimiento , Humanos , Masculino , Persona de Mediana Edad , Mutación , Estadificación de Neoplasias , Medicina de Precisión , Valor Predictivo de las Pruebas , Pronóstico , Supervivencia sin Progresión , Reproducibilidad de los Resultados , Adulto Joven
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