Distinct esophageal adenocarcinoma molecular subtype has subtype-specific gene expression and mutation patterns

Abstract Background Esophageal carcinoma (EC), consists of two histological types, esophageal squamous carcinoma (ESCC) and esophageal adenocarcinoma (EAC). EAC accounted for 10% of EC for centuries; however, the prevalence of EAC has alarmingly risen 6 times and increased to about 50% of EC in rece...

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Main Authors: Xiangqian Guo, Yitai Tang, Wan Zhu
Format: Article
Language:English
Published: BMC 2018-10-01
Series:BMC Genomics
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12864-018-5165-0
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author Xiangqian Guo
Yitai Tang
Wan Zhu
author_facet Xiangqian Guo
Yitai Tang
Wan Zhu
author_sort Xiangqian Guo
collection DOAJ
description Abstract Background Esophageal carcinoma (EC), consists of two histological types, esophageal squamous carcinoma (ESCC) and esophageal adenocarcinoma (EAC). EAC accounted for 10% of EC for centuries; however, the prevalence of EAC has alarmingly risen 6 times and increased to about 50% of EC in recent 30 years in the western countries, while treatment options for EAC patients are still limited. Stratification of molecular subtypes by gene expression profiling methods had offered opportunities for targeted therapies. However, the molecular subtype in EAC has not been defined. Hence, Identification of EAC molecular subtypes is needed and will provide important insights for future new therapies. Results We performed meta-analysis of gene expression profiling data on three independent EAC cohorts and showed that there are two common molecular subtypes in EAC. Each of the two EAC molecular subtypes has subtype specific expression patterns and mutation signatures. Genes which were over-expressed in subtype I EACs rather than subtype II EAC cases, were enriched in biological processes including epithelial cell differentiation, keratinocyte differentiation, and KEGG pathways including basal cell carcinoma. TP53 and CDKN2A are significantly mutated in both EAC subtypes. 24 genes including SMAD4 were found to be only significantly mutated in subtype I EAC cases, while 30 genes including ARID1A are only significantly mutated in subtype II EACs. Conclusion Two EAC molecular subtypes were defined and validated. This finding may offer new opportunities for targeted therapies.
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spelling doaj.art-1b0e96a85f334e8f9406e520bce97ae22022-12-22T00:55:44ZengBMCBMC Genomics1471-21642018-10-0119111210.1186/s12864-018-5165-0Distinct esophageal adenocarcinoma molecular subtype has subtype-specific gene expression and mutation patternsXiangqian Guo0Yitai Tang1Wan Zhu2Department of Preventive Medicine, Joint National Laboratory for Antibody Drug Engineering, Institute of Biomedical Informatics ,School of Basic Medical Sciences, Henan UniversityDepartment of Pathology, Stanford University School of MedicineDepartment of Anesthesia, Stanford UniversityAbstract Background Esophageal carcinoma (EC), consists of two histological types, esophageal squamous carcinoma (ESCC) and esophageal adenocarcinoma (EAC). EAC accounted for 10% of EC for centuries; however, the prevalence of EAC has alarmingly risen 6 times and increased to about 50% of EC in recent 30 years in the western countries, while treatment options for EAC patients are still limited. Stratification of molecular subtypes by gene expression profiling methods had offered opportunities for targeted therapies. However, the molecular subtype in EAC has not been defined. Hence, Identification of EAC molecular subtypes is needed and will provide important insights for future new therapies. Results We performed meta-analysis of gene expression profiling data on three independent EAC cohorts and showed that there are two common molecular subtypes in EAC. Each of the two EAC molecular subtypes has subtype specific expression patterns and mutation signatures. Genes which were over-expressed in subtype I EACs rather than subtype II EAC cases, were enriched in biological processes including epithelial cell differentiation, keratinocyte differentiation, and KEGG pathways including basal cell carcinoma. TP53 and CDKN2A are significantly mutated in both EAC subtypes. 24 genes including SMAD4 were found to be only significantly mutated in subtype I EAC cases, while 30 genes including ARID1A are only significantly mutated in subtype II EACs. Conclusion Two EAC molecular subtypes were defined and validated. This finding may offer new opportunities for targeted therapies.http://link.springer.com/article/10.1186/s12864-018-5165-0Esophageal adenocarcinomaMolecular subtypeGene expressionMutationTherapy
spellingShingle Xiangqian Guo
Yitai Tang
Wan Zhu
Distinct esophageal adenocarcinoma molecular subtype has subtype-specific gene expression and mutation patterns
BMC Genomics
Esophageal adenocarcinoma
Molecular subtype
Gene expression
Mutation
Therapy
title Distinct esophageal adenocarcinoma molecular subtype has subtype-specific gene expression and mutation patterns
title_full Distinct esophageal adenocarcinoma molecular subtype has subtype-specific gene expression and mutation patterns
title_fullStr Distinct esophageal adenocarcinoma molecular subtype has subtype-specific gene expression and mutation patterns
title_full_unstemmed Distinct esophageal adenocarcinoma molecular subtype has subtype-specific gene expression and mutation patterns
title_short Distinct esophageal adenocarcinoma molecular subtype has subtype-specific gene expression and mutation patterns
title_sort distinct esophageal adenocarcinoma molecular subtype has subtype specific gene expression and mutation patterns
topic Esophageal adenocarcinoma
Molecular subtype
Gene expression
Mutation
Therapy
url http://link.springer.com/article/10.1186/s12864-018-5165-0
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AT yitaitang distinctesophagealadenocarcinomamolecularsubtypehassubtypespecificgeneexpressionandmutationpatterns
AT wanzhu distinctesophagealadenocarcinomamolecularsubtypehassubtypespecificgeneexpressionandmutationpatterns