Cited by 5,784Endometrial and Cervical Cancer TreatmentsCancer Genomics and DiagnosticsChromatin Remodeling and Cancer

Integrated genomic characterization of endometrial carcinoma

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The Cancer Genome Atlas Research Network, Levine, Douglas A.·2013·Nature

Abstract

SummaryWe performed an integrated genomic, transcriptomic, and proteomic characterization of 373 endometrial carcinomas using array- and sequencing-based technologies. Uterine serous tumors and ~25% of high-grade endometrioid tumors have extensive copy number alterations, few DNA methylation changes, low ER/PR levels, and frequent TP53 mutations. Most endometrioid tumors have few copy number alterations or TP53 mutations but frequent mutations in PTEN, CTNNB1, PIK3CA, ARID1A, KRAS and novel mutations in the SWI/SNF gene ARID5B. A subset of endometrioid tumors we identified had a dramatically increased transversion mutation frequency, and newly identified hotspot mutations in POLE. Our results classified endometrial cancers into four categories: POLE ultramutated, microsatellite instability hypermutated, copy number low, and copy number high. Uterine serous carcinomas share genomic features with ovarian serous and basal-like breast carcinomas. We demonstrated that the genomic features of endometrial carcinomas permit a reclassification that may impact post-surgical adjuvant treatment for women with aggressive tumors.

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  1. Martin L. Ferguson 69 , John A. Demchok 67 , Liming Yang 67 ; National Human Genome Research Institute Mark S. Guyer 70 , Bradley A. Ozenberger 70 , Heidi J. Sofia 70 Writing committee: Cyriac Kandoth 2 , Nikolaus Schultz 24 , Andrew D. Cherniack 1 , Rehan Akbani 33 , Yuexin Liu 30,31 , Hui Shen 22 , A. Gordon Robertson 3 , Itai Pashtan 1,4,5 , Ronglai Shen 27 , Christopher C. Benz 29 , Christina Yau 29 , Peter W. Laird 22 , Li Ding 2 , Wei Zhang 30,31 , Gordon B. Mills 34 , Raju Kucherlapati 9 , Elaine R. Mardis 2 & Douglas A. Levine 51 1 The Eli and Edythe L. Broad Institute of Massachusetts Institute of Technology and Harvard University Cambridge, Massachusetts 02142, USA.

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Authors
The Cancer Genome Atlas Research Network, & Levine, D. A.
Affiliations
Memorial Sloan Kettering Cancer Center (US)
Corresponding author
Levine, Douglas A.
Venue
Nature
Published
2013-05-01
Volume
497
Issue
7447
Pages
67-73
ISSN
  • 0028-0836 (ISSN-L)
  • 1476-4687
OpenAlex
W2041440766
Cited by
5,784
References
40
Citations by year
2026: 467 · 2025: 580 · 2024: 559 · 2023: 595 · 2022: 591 · 2021: 572 · 2020: 455 · 2019: 384 · 2018: 320 · 2017: 328 · 2016: 313 · 2015: 285 · 2014: 231 · 2013: 96 · 2012: 5
FWCI
345.78
Type
journal article
Language
en
Update notices
erratum (2013-06-12)
Open access
Locations
  • Nature (publishedVersion, cc-by-nc-sa)
  • PubMed Central (publishedVersion, cc-by-nc-sa)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
Funders
  • National Institutes of Health
  • National Human Genome Research Institute (U54HG003067, U54HG003079, U54HG003273)
  • National Cancer Institute (P50CA098258, U24CA143882, R01CA180006, U24CA143843, U24CA143840, U24CA143858, U24CA144025, U24CA143866, U24CA143883, U24CA143845, U24CA143867, U24CA143848, U24CA143799, U24CA143835, P30CA008748, P30CA016672, P30CA016056, P30CA016086)
Topics
  • Health Sciences › Medicine › Obstetrics and Gynecology › Endometrial and Cervical Cancer Treatments
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer Genomics and Diagnostics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Chromatin Remodeling and Cancer
Keywords
endometrial cancer, uterine serous carcinoma, endometrioid carcinoma, copy number alterations, TP53 mutation, POLE mutation, microsatellite instability, ARID5B, SWI/SNF chromatin remodeling, CTNNB1, PIK3CA, KRAS, PTEN, DNA methylation, oestrogen receptor, progesterone receptor, adjuvant therapy, genomic profiling
MeSH terms
Poly-ADP-Ribose Binding Proteins, Breast Neoplasms, Chromosome Aberrations, DNA Mutational Analysis, DNA Polymerase II, DNA-Binding Proteins, Female, Humans, Ovarian Neoplasms, Transcription Factors, Signal Transduction, Genome, Human, Gene Expression Regulation, Neoplastic, Endometrial Neoplasms, Genomics, DNA Copy Number Variations, Exome

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