Cited by 135HER2/EGFR in Cancer ResearchCancer Genomics and DiagnosticsBRCA gene mutations in cancer

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Relapsed Classic E-Cadherin ( CDH1 )–Mutated Invasive Lobular Breast Cancer Shows a High Frequency of HER2 ( ERBB2 ) Gene Mutations

Published version of a preprint

Abstract

PURPOSE: We queried whether comprehensive genomic profiling using a next-generation sequencing-based assay could identify novel and unanticipated targets of therapy for patients with relapsed invasive lobular carcinoma (ILC). EXPERIMENTAL DESIGN: DNA sequencing (Illumina HiSeq 2000) was conducted for 3,320 exons of 182 cancer-related genes and 37 introns of 14 genes frequently rearranged in cancer on indexed, adaptor-ligated, hybridization-captured libraries using DNA isolated from formalin-fixed paraffin-embedded sections from 22 histologically verified ILC. RESULTS: A total of 75 genomic alterations were identified with an average of 3.4 alterations per tumor (range, 1-6), of which 35 were actionable for an average of 1.59 actionable alterations per patient (range, 0-3). Nineteen of 22 (86%) of the ILC samples harbored at least one actionable alteration. Six (27%) cases featured alterations in ERRB2 including 4 (18%) with ERBB2 mutation, 1 (5%) with an ERBB2 gene fusion, and 1 (5%) with an ERBB2 copy number gain (amplification). The enrichment of ERBB2 mutations/fusion in CDH1-mutated ILC (5 of 22, 23%) compared with the 5 ERBB2 mutations in a series of 286 non-CDH1-mutated breast cancers from which the ILC cases were obtained (5 of 286, 2%) was significant (P = 0.0006). CONCLUSIONS: Comprehensive genomic profiling of relapsed CDH1-mutated ILC revealed actionable genomic alterations in 86% of cases, featured a high incidence of ERBB2 alterations, and can reveal actionable alterations that can inform treatment decisions for patients with ILC.

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Crossref · 10.1158/1078-0432.ccr-13-0295

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  • HER2 mutations have been found in a small proportion of lung, gastric, colorectal, breast and head and neck cancers.

    “HER2 mutations have been found in a small proportion of lung, gastric, colorectal, breast and head and neck cancers (Lee et al., 2006; Ross et al., 2013; Stephens et al., 2004; Willmore-Payne et al., 2006).”

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References 46 · Cited by 135

Research works printed but not linked: 1

  1. Wang, 2012, An evaluation of next-generation sequencing for diagnostic use in cancer care [abstract]. 2012 Meeting of Association of Molecular Pathology, J Mol Diagn, 14, 637

Metadata

Authors
Ross, J. S., Wang, K., Sheehan, C. E., Boguniewicz, A. B., Otto, G., Downing, S. R., Sun, J., He, J., Curran, J. A., Ali, S., Yelensky, R., Lipson, D., Palmer, G., Miller, V. A., & Stephens, P. J.
Affiliations
Albany Medical College (US)
Corresponding author
Ross, Jeffrey S.
Venue
Clinical Cancer Research
Published
2013-05-12
Volume
19
Issue
10
Pages
2668-2676
ISSN
  • 1078-0432 (ISSN-L)
  • 1557-3265
OpenAlex
W2150089969
Cited by
135
References
46
Citations by year
2026: 4 · 2025: 3 · 2024: 5 · 2023: 9 · 2022: 12 · 2021: 14 · 2020: 7 · 2019: 9 · 2018: 10 · 2017: 11 · 2016: 19 · 2015: 18 · 2014: 5 · 2013: 8
FWCI
8.92
Type
journal article
Language
en
Open access
closed
Locations
  • Clinical Cancer Research (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Oncology › HER2/EGFR in Cancer Research
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer Genomics and Diagnostics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › BRCA gene mutations in cancer
Keywords
invasive lobular carcinoma, CDH1 mutation, E-cadherin, HER2 mutation, ERBB2, breast cancer recurrence, actionable genomic alterations, ERBB2 amplification, comprehensive genomic profiling, targeted therapy
MeSH terms
Adult, Aged, Breast Neoplasms, Exons, Female, Histocytochemistry, Humans, Middle Aged, Mutation, Neoplasm Metastasis, Neoplasm Recurrence, Local, Cadherins, Paraffin Embedding, Tissue Fixation, Carcinoma, Ductal, Breast, Carcinoma, Lobular, Erb-b2 Receptor Tyrosine Kinases, High-Throughput Nucleotide Sequencing, Mutation Rate

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