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The Cancer Genome Atlas Comprehensive Molecular Characterization of Renal Cell Carcinoma

  • The Cancer Genome Atlas Research Network
  • National Institutes of Health
  • Vanderbilt University
  • Van Andel Institute
  • University of North Carolina at Chapel Hill
  • Memorial Sloan-Kettering Cancer Center
  • Canada's Michael Smith Genome Sciences Centre
  • University of Texas MD Anderson Cancer Center
  • Broad Institute
  • Dana-Farber Cancer Institute
  • Baylor College of Medicine
  • University of Kansas
  • Brigham and Women’s Hospital
  • Washington University St. Louis
  • Mayo Clinic Scottsdale-Phoenix, Arizona
  • Centura Health
  • Leidos Inc
  • Leukemia Therapeutics LLC.
  • Yale University
  • Oregon Health and Science University
  • Harvard University

Research output: Contribution to journalArticlepeer-review

Abstract

Renal cell carcinoma (RCC) is not a single disease, but several histologically defined cancers with different genetic drivers, clinical courses, and therapeutic responses. The current study evaluated 843 RCC from the three major histologic subtypes, including 488 clear cell RCC, 274 papillary RCC, and 81 chromophobe RCC. Comprehensive genomic and phenotypic analysis of the RCC subtypes reveals distinctive features of each subtype that provide the foundation for the development of subtype-specific therapeutic and management strategies for patients affected with these cancers. Somatic alteration of BAP1, PBRM1, and PTEN and altered metabolic pathways correlated with subtype-specific decreased survival, while CDKN2A alteration, increased DNA hypermethylation, and increases in the immune-related Th2 gene expression signature correlated with decreased survival within all major histologic subtypes. CIMP-RCC demonstrated an increased immune signature, and a uniform and distinct metabolic expression pattern identified a subset of metabolically divergent (MD) ChRCC that associated with extremely poor survival. Ricketts et al. find distinctive features of each RCC subtype, providing the foundation for development of subtype-specific therapeutic and management strategies. Somatic alteration of BAP1, PBRM1, and metabolic pathways correlates with subtype-specific decreased survival, while CDKN2A alteration, DNA hypermethylation, and Th2 immune signature correlate with decreased survival within all subtypes.

Original languageEnglish
Pages (from-to)313-326.e5
JournalCell Reports
Volume23
Issue number1
DOIs
StatePublished - 3 Apr 2018

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • CDKN2A
  • chromatin remodeling
  • chromophobe renal cell carcinoma
  • clear cell renal cell carcinoma
  • DNA hypermethylation
  • immune signature
  • PanCanAtlas
  • papillary renal cell carcinoma
  • TCGA

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