Different gene alterations in patients with non-small-cell lung cancer between the eastern and southern China

Geographical differences are conspicuous in lung cancer, and the distinct molecular features of lung tumor between Western patients and Asian patients have been demonstrated. However, the etiology of non-small-cell lung cancer (NSCLC) and the distribution of associated molecular aberrations in China...

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Main Authors: Chengdong Liu, Kangbao Li, Yi Sui, Hongmei Liu, Yunzhi Zhang, Yuan Lu, Wei Lu, Yongfeng Chen, Gehui Wang, Suqian Xu, Tianmin Xiang, Yongguang Cai, Kenan Huang
Format: Article
Language:English
Published: Elsevier 2023-10-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844023073796
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author Chengdong Liu
Kangbao Li
Yi Sui
Hongmei Liu
Yunzhi Zhang
Yuan Lu
Wei Lu
Yongfeng Chen
Gehui Wang
Suqian Xu
Tianmin Xiang
Yongguang Cai
Kenan Huang
author_facet Chengdong Liu
Kangbao Li
Yi Sui
Hongmei Liu
Yunzhi Zhang
Yuan Lu
Wei Lu
Yongfeng Chen
Gehui Wang
Suqian Xu
Tianmin Xiang
Yongguang Cai
Kenan Huang
author_sort Chengdong Liu
collection DOAJ
description Geographical differences are conspicuous in lung cancer, and the distinct molecular features of lung tumor between Western patients and Asian patients have been demonstrated. However, the etiology of non-small-cell lung cancer (NSCLC) and the distribution of associated molecular aberrations in China have not been fully elucidated. The mutational profiles of 12 lung cancer-related genes were investigated in 85 patients from eastern China and 88 patients from southern China who had been histologically confirmed NSCLC. Overall, 93.6% (162/173) of tumor samples harbored at least one somatic alteration. The most frequently mutated genes were TP53 (56.1%), EGFR (50.3%), and KRAS (14.5%). We found that EGFR mutated much more frequently (60.0% vs 40.9%, P = 0.012) and TP53 mutations had significantly lower incidence (47.1% vs 64.8%, P = 0.019) in eastern cohort than that in southern cohort. Mutational signature analysis revealed a region-related mutagenesis mechanism characterized by a high prevalence of C to T transitions mainly occurring at CpG dinucleotides in southern patients. This study reveals the difference in the mutational features between NSCLC patients in eastern and southern China. The distinct patterns of gene mutation could provide clues for the mechanism of carcinogenesis of lung cancer, offering opportunities to stratify patients into optimal treatment plans based on genomic profiles.
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spelling doaj.art-59f4d373326343de99ac9690ee7f8a0c2023-10-30T06:05:27ZengElsevierHeliyon2405-84402023-10-01910e20171Different gene alterations in patients with non-small-cell lung cancer between the eastern and southern ChinaChengdong Liu0Kangbao Li1Yi Sui2Hongmei Liu3Yunzhi Zhang4Yuan Lu5Wei Lu6Yongfeng Chen7Gehui Wang8Suqian Xu9Tianmin Xiang10Yongguang Cai11Kenan Huang12Department of thoracic surgery, Naval Medical Center of PLA, 338 Huaihai Road, Changning District, Shanghai 200052, ChinaDepartment of Geriatrics, Gastroenterology Ward, Guangzhou First People's Hospital, School of Medicine, South China University of Technology, Guangzhou 510180, ChinaSinglera Genomics Inc., Shanghai 201318, ChinaSinglera Genomics Inc., Shanghai 201318, ChinaSinglera Genomics Inc., Shanghai 201318, ChinaMedical Oncology Department V, Central Hospital of Guangdong Nongken 524002, ChinaMedical Oncology Department V, Central Hospital of Guangdong Nongken 524002, ChinaMedical Oncology Department V, Central Hospital of Guangdong Nongken 524002, ChinaSinglera Genomics Inc., Shanghai 201318, ChinaSinglera Genomics Inc., Shanghai 201318, ChinaSinglera Genomics Inc., Shanghai 201318, ChinaMedical Oncology Department V, Central Hospital of Guangdong Nongken 524002, China; Corresponding author.Department of Thoracic Surgery, Shanghai Changzheng Hospital, Navy Military Medical University, 415 Fengyang Road, Huangpu District, Shanghai 200003, China; Department of Thoracic Surgery, The First Affiliated Hospital of Soochow University, Suzhou 215006, China; Corresponding author. Department of Thoracic Surgery, Shanghai Changzheng Hospital, Navy Military Medical University, 415 Fengyang Road, Huangpu District, Shanghai 200003, China.Geographical differences are conspicuous in lung cancer, and the distinct molecular features of lung tumor between Western patients and Asian patients have been demonstrated. However, the etiology of non-small-cell lung cancer (NSCLC) and the distribution of associated molecular aberrations in China have not been fully elucidated. The mutational profiles of 12 lung cancer-related genes were investigated in 85 patients from eastern China and 88 patients from southern China who had been histologically confirmed NSCLC. Overall, 93.6% (162/173) of tumor samples harbored at least one somatic alteration. The most frequently mutated genes were TP53 (56.1%), EGFR (50.3%), and KRAS (14.5%). We found that EGFR mutated much more frequently (60.0% vs 40.9%, P = 0.012) and TP53 mutations had significantly lower incidence (47.1% vs 64.8%, P = 0.019) in eastern cohort than that in southern cohort. Mutational signature analysis revealed a region-related mutagenesis mechanism characterized by a high prevalence of C to T transitions mainly occurring at CpG dinucleotides in southern patients. This study reveals the difference in the mutational features between NSCLC patients in eastern and southern China. The distinct patterns of gene mutation could provide clues for the mechanism of carcinogenesis of lung cancer, offering opportunities to stratify patients into optimal treatment plans based on genomic profiles.http://www.sciencedirect.com/science/article/pii/S2405844023073796Lung cancergene mutationsC > T transitionsRegion-related
spellingShingle Chengdong Liu
Kangbao Li
Yi Sui
Hongmei Liu
Yunzhi Zhang
Yuan Lu
Wei Lu
Yongfeng Chen
Gehui Wang
Suqian Xu
Tianmin Xiang
Yongguang Cai
Kenan Huang
Different gene alterations in patients with non-small-cell lung cancer between the eastern and southern China
Heliyon
Lung cancer
gene mutations
C > T transitions
Region-related
title Different gene alterations in patients with non-small-cell lung cancer between the eastern and southern China
title_full Different gene alterations in patients with non-small-cell lung cancer between the eastern and southern China
title_fullStr Different gene alterations in patients with non-small-cell lung cancer between the eastern and southern China
title_full_unstemmed Different gene alterations in patients with non-small-cell lung cancer between the eastern and southern China
title_short Different gene alterations in patients with non-small-cell lung cancer between the eastern and southern China
title_sort different gene alterations in patients with non small cell lung cancer between the eastern and southern china
topic Lung cancer
gene mutations
C > T transitions
Region-related
url http://www.sciencedirect.com/science/article/pii/S2405844023073796
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