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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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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).”
From ERBB Receptors: From Oncogene Discovery to Basic Science to Mechanism-Based Cancer Therapeutics (2014) · cites this paper as Ross et al., 2013
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References 46 · Cited by 135
Research works printed but not linked: 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.
- ORCID
- 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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