Germline Predisposition and Copy Number Alteration in Pre-stage Lung Adenocarcinomas Presenting as Ground-Glass Nodules

Objective: Synchronous multiple ground-glass nodules (SM-GGNs) are a distinct entity of lung cancer which has been emerging increasingly in recent years in China. The oncogenesis molecular mechanisms of SM-GGNs remain elusive.Methods: We investigated single nucleotide variations (SNV), insertions an...

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Main Authors: Yijiu Ren, Shujun Huang, Chenyang Dai, Dong Xie, Larry Zheng, Huikang Xie, Hui Zheng, Yunlang She, Fangyu Zhou, Yue Wang, Pengpeng Li, Ke Fei, Gening Jiang, Yang Zhang, Bo Su, E. Alejandro Sweet-Cordero, Nhan Le Tran, Yanan Yang, Jai N. Patel, Christian Rolfo, Gaetano Rocco, Andrés Felipe Cardona, Alessandro Tuzi, Matteo B. Suter, Ping Yang, Wayne Xu, Chang Chen
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-04-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fonc.2019.00288/full
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author Yijiu Ren
Shujun Huang
Chenyang Dai
Dong Xie
Larry Zheng
Huikang Xie
Hui Zheng
Yunlang She
Fangyu Zhou
Yue Wang
Pengpeng Li
Ke Fei
Gening Jiang
Yang Zhang
Bo Su
E. Alejandro Sweet-Cordero
Nhan Le Tran
Yanan Yang
Jai N. Patel
Christian Rolfo
Gaetano Rocco
Andrés Felipe Cardona
Alessandro Tuzi
Matteo B. Suter
Ping Yang
Wayne Xu
Wayne Xu
Wayne Xu
Chang Chen
author_facet Yijiu Ren
Shujun Huang
Chenyang Dai
Dong Xie
Larry Zheng
Huikang Xie
Hui Zheng
Yunlang She
Fangyu Zhou
Yue Wang
Pengpeng Li
Ke Fei
Gening Jiang
Yang Zhang
Bo Su
E. Alejandro Sweet-Cordero
Nhan Le Tran
Yanan Yang
Jai N. Patel
Christian Rolfo
Gaetano Rocco
Andrés Felipe Cardona
Alessandro Tuzi
Matteo B. Suter
Ping Yang
Wayne Xu
Wayne Xu
Wayne Xu
Chang Chen
author_sort Yijiu Ren
collection DOAJ
description Objective: Synchronous multiple ground-glass nodules (SM-GGNs) are a distinct entity of lung cancer which has been emerging increasingly in recent years in China. The oncogenesis molecular mechanisms of SM-GGNs remain elusive.Methods: We investigated single nucleotide variations (SNV), insertions and deletions (INDEL), somatic copy number variations (CNV), and germline mutations of 69 SM-GGN samples collected from 31 patients, using target sequencing (TRS) and whole exome sequencing (WES).Results: In the entire cohort, many known driver mutations were found, including EGFR (21.7%), BRAF (14.5%), and KRAS (6%). However, only one out of the 31 patients had the same somatic missense or truncated events within SM-GGNs, indicating the independent origins for almost all of these SM-GGNs. Many germline mutations with a low frequency in the Chinese population, and genes harboring both germline and somatic variations, were discovered in these pre-stage GGNs. These GGNs also bore large segments of copy number gains and/or losses. The CNV segment number tended to be positively correlated with the germline mutations (r = 0.57). The CNV sizes were correlated with the somatic mutations (r = 0.55). A moderate correlation (r = 0.54) was also shown between the somatic and germline mutations.Conclusion: Our data suggests that the precancerous unstable CNVs with potentially predisposing genetic backgrounds may foster the onset of driver mutations and the development of independent SM-GGNs during the local stimulation of mutagens.
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spelling doaj.art-18253f4f291746699de0076d8a1b78282022-12-21T23:00:49ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2019-04-01910.3389/fonc.2019.00288452975Germline Predisposition and Copy Number Alteration in Pre-stage Lung Adenocarcinomas Presenting as Ground-Glass NodulesYijiu Ren0Shujun Huang1Chenyang Dai2Dong Xie3Larry Zheng4Huikang Xie5Hui Zheng6Yunlang She7Fangyu Zhou8Yue Wang9Pengpeng Li10Ke Fei11Gening Jiang12Yang Zhang13Bo Su14E. Alejandro Sweet-Cordero15Nhan Le Tran16Yanan Yang17Jai N. Patel18Christian Rolfo19Gaetano Rocco20Andrés Felipe Cardona21Alessandro Tuzi22Matteo B. Suter23Ping Yang24Wayne Xu25Wayne Xu26Wayne Xu27Chang Chen28Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, ChinaResearch Institute of Oncology and Hematology, CancerCare Manitoba, Winnipeg, MB, CanadaDepartment of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, ChinaDepartment of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, ChinaResearch Institute of Oncology and Hematology, CancerCare Manitoba, Winnipeg, MB, CanadaDepartment of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, ChinaDepartment of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, ChinaDepartment of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, ChinaDepartment of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, ChinaNovogene Bioinformatics Technology Institute, Beijing, ChinaNovogene Bioinformatics Technology Institute, Beijing, ChinaDepartment of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, ChinaDepartment of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, ChinaResearch Institute of Oncology and Hematology, CancerCare Manitoba, Winnipeg, MB, CanadaLaboratory center, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, ChinaDivision of Hematology and Oncology, Department of Pediatrics, University of California, San Francisco, San Francisco, CA, United StatesDepartments of Cancer Biology, Mayo Clinic Arizona, Scottsdale, AZ, United StatesThoracic Disease Research Unit, Division of Pulmonary and Critical Care Medicine, Developmental Therapeutics and Cell Biology Programs, Department of Biochemistry and Molecular Biology, Mayo Clinic Cancer Center, Mayo Clinic, Rochester, MN, United StatesDivision of Hematology/Oncology, Department of Cancer Pharmacology, Levine Cancer Institute, Carolinas HealthCare System, Charlotte, NC, United States0Thoracic Medical Oncology, Experimental Therapeutics Research Program, Greenebaum Comprehensive Cancer Center, University of Maryland, Baltimore, MD, United States1Thoracic Surgery Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York City, NY, United States2Thoracic Oncology Unit, Clinical and Translational Oncology Group, Clínica del Country, Bogotá, Colombia3Medical Oncology, ASST Sette Laghi, Varese, Italy3Medical Oncology, ASST Sette Laghi, Varese, Italy4Division of Epidemiology, Department of Health Sciences Research, Mayo Clinic, Rochester, MN, United StatesResearch Institute of Oncology and Hematology, CancerCare Manitoba, Winnipeg, MB, Canada5College of Pharmacy, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada6Department of Biochemistry and Medical Genetics, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, CanadaDepartment of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, ChinaObjective: Synchronous multiple ground-glass nodules (SM-GGNs) are a distinct entity of lung cancer which has been emerging increasingly in recent years in China. The oncogenesis molecular mechanisms of SM-GGNs remain elusive.Methods: We investigated single nucleotide variations (SNV), insertions and deletions (INDEL), somatic copy number variations (CNV), and germline mutations of 69 SM-GGN samples collected from 31 patients, using target sequencing (TRS) and whole exome sequencing (WES).Results: In the entire cohort, many known driver mutations were found, including EGFR (21.7%), BRAF (14.5%), and KRAS (6%). However, only one out of the 31 patients had the same somatic missense or truncated events within SM-GGNs, indicating the independent origins for almost all of these SM-GGNs. Many germline mutations with a low frequency in the Chinese population, and genes harboring both germline and somatic variations, were discovered in these pre-stage GGNs. These GGNs also bore large segments of copy number gains and/or losses. The CNV segment number tended to be positively correlated with the germline mutations (r = 0.57). The CNV sizes were correlated with the somatic mutations (r = 0.55). A moderate correlation (r = 0.54) was also shown between the somatic and germline mutations.Conclusion: Our data suggests that the precancerous unstable CNVs with potentially predisposing genetic backgrounds may foster the onset of driver mutations and the development of independent SM-GGNs during the local stimulation of mutagens.https://www.frontiersin.org/article/10.3389/fonc.2019.00288/fulllung cancerground-glass nodulewhole-exome sequencingcopy number variationdriver mutations
spellingShingle Yijiu Ren
Shujun Huang
Chenyang Dai
Dong Xie
Larry Zheng
Huikang Xie
Hui Zheng
Yunlang She
Fangyu Zhou
Yue Wang
Pengpeng Li
Ke Fei
Gening Jiang
Yang Zhang
Bo Su
E. Alejandro Sweet-Cordero
Nhan Le Tran
Yanan Yang
Jai N. Patel
Christian Rolfo
Gaetano Rocco
Andrés Felipe Cardona
Alessandro Tuzi
Matteo B. Suter
Ping Yang
Wayne Xu
Wayne Xu
Wayne Xu
Chang Chen
Germline Predisposition and Copy Number Alteration in Pre-stage Lung Adenocarcinomas Presenting as Ground-Glass Nodules
Frontiers in Oncology
lung cancer
ground-glass nodule
whole-exome sequencing
copy number variation
driver mutations
title Germline Predisposition and Copy Number Alteration in Pre-stage Lung Adenocarcinomas Presenting as Ground-Glass Nodules
title_full Germline Predisposition and Copy Number Alteration in Pre-stage Lung Adenocarcinomas Presenting as Ground-Glass Nodules
title_fullStr Germline Predisposition and Copy Number Alteration in Pre-stage Lung Adenocarcinomas Presenting as Ground-Glass Nodules
title_full_unstemmed Germline Predisposition and Copy Number Alteration in Pre-stage Lung Adenocarcinomas Presenting as Ground-Glass Nodules
title_short Germline Predisposition and Copy Number Alteration in Pre-stage Lung Adenocarcinomas Presenting as Ground-Glass Nodules
title_sort germline predisposition and copy number alteration in pre stage lung adenocarcinomas presenting as ground glass nodules
topic lung cancer
ground-glass nodule
whole-exome sequencing
copy number variation
driver mutations
url https://www.frontiersin.org/article/10.3389/fonc.2019.00288/full
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