Molecular profiling identifies distinct subtypes across TP53 mutant tumors

Tumor protein 53 mutation (TP53mut) is one of the most important driver events facilitating tumorigenesis, which could induce a series of chain reactions to promote tumor malignant transformation. However, the malignancy progression patterns under TP53 mutation remain less known. Clarifying the mole...

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Main Authors: Xin Chen, Tianqi Liu, Jianqi Wu, Chen Zhu, Gefei Guan, Cunyi Zou, Qing Guo, Xiaolin Ren, Chen Li, Peng Cheng, Wen Cheng, Anhua Wu
Format: Article
Language:English
Published: American Society for Clinical investigation 2023-10-01
Series:JCI Insight
Subjects:
Online Access:https://doi.org/10.1172/jci.insight.156485
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author Xin Chen
Tianqi Liu
Jianqi Wu
Chen Zhu
Gefei Guan
Cunyi Zou
Qing Guo
Xiaolin Ren
Chen Li
Peng Cheng
Wen Cheng
Anhua Wu
author_facet Xin Chen
Tianqi Liu
Jianqi Wu
Chen Zhu
Gefei Guan
Cunyi Zou
Qing Guo
Xiaolin Ren
Chen Li
Peng Cheng
Wen Cheng
Anhua Wu
author_sort Xin Chen
collection DOAJ
description Tumor protein 53 mutation (TP53mut) is one of the most important driver events facilitating tumorigenesis, which could induce a series of chain reactions to promote tumor malignant transformation. However, the malignancy progression patterns under TP53 mutation remain less known. Clarifying the molecular landscapes of TP53mut tumors will help us understand the process of tumor development and aid precise treatment. Here, we distilled genetic and epigenetic features altered in TP53mut cancers for cluster-of-clusters analysis. Using integrated classification, we derived 5 different subtypes of TP53mut patients. These subtypes have distinct features in genomic alteration, clinical relevance, microenvironment dysregulation, and potential therapeutics. Among the 5 subtypes, COCA3 was identified as the subtype with worst prognosis, causing an immunosuppressive microenvironment and immunotherapeutic resistance. Further drug efficacy research highlighted olaparib as the most promising therapeutic agents for COCA3 tumors. Importantly, the therapeutic efficacy of olaparib in COCA3 and immunotherapy in non-COCA3 tumors was validated via in vivo experimentation. Our study explored the important molecular events and developed a subtype classification system with distinct targeted therapy strategies for different subtypes of TP53mut tumors. These multiomics classification systems provide a valuable resource that significantly expands the knowledge of TP53mut tumors and may eventually benefit in clinical practice.
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spelling doaj.art-b26d251db59b421da45b7485f6431d932023-11-07T16:24:56ZengAmerican Society for Clinical investigationJCI Insight2379-37082023-10-01723Molecular profiling identifies distinct subtypes across TP53 mutant tumorsXin ChenTianqi LiuJianqi WuChen ZhuGefei GuanCunyi ZouQing GuoXiaolin RenChen LiPeng ChengWen ChengAnhua WuTumor protein 53 mutation (TP53mut) is one of the most important driver events facilitating tumorigenesis, which could induce a series of chain reactions to promote tumor malignant transformation. However, the malignancy progression patterns under TP53 mutation remain less known. Clarifying the molecular landscapes of TP53mut tumors will help us understand the process of tumor development and aid precise treatment. Here, we distilled genetic and epigenetic features altered in TP53mut cancers for cluster-of-clusters analysis. Using integrated classification, we derived 5 different subtypes of TP53mut patients. These subtypes have distinct features in genomic alteration, clinical relevance, microenvironment dysregulation, and potential therapeutics. Among the 5 subtypes, COCA3 was identified as the subtype with worst prognosis, causing an immunosuppressive microenvironment and immunotherapeutic resistance. Further drug efficacy research highlighted olaparib as the most promising therapeutic agents for COCA3 tumors. Importantly, the therapeutic efficacy of olaparib in COCA3 and immunotherapy in non-COCA3 tumors was validated via in vivo experimentation. Our study explored the important molecular events and developed a subtype classification system with distinct targeted therapy strategies for different subtypes of TP53mut tumors. These multiomics classification systems provide a valuable resource that significantly expands the knowledge of TP53mut tumors and may eventually benefit in clinical practice.https://doi.org/10.1172/jci.insight.156485GeneticsImmunology
spellingShingle Xin Chen
Tianqi Liu
Jianqi Wu
Chen Zhu
Gefei Guan
Cunyi Zou
Qing Guo
Xiaolin Ren
Chen Li
Peng Cheng
Wen Cheng
Anhua Wu
Molecular profiling identifies distinct subtypes across TP53 mutant tumors
JCI Insight
Genetics
Immunology
title Molecular profiling identifies distinct subtypes across TP53 mutant tumors
title_full Molecular profiling identifies distinct subtypes across TP53 mutant tumors
title_fullStr Molecular profiling identifies distinct subtypes across TP53 mutant tumors
title_full_unstemmed Molecular profiling identifies distinct subtypes across TP53 mutant tumors
title_short Molecular profiling identifies distinct subtypes across TP53 mutant tumors
title_sort molecular profiling identifies distinct subtypes across tp53 mutant tumors
topic Genetics
Immunology
url https://doi.org/10.1172/jci.insight.156485
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