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Prognostic significance of frequent CLDN18-ARHGAP26/6 fusion in gastric signet-ring cell cancer

Author

Listed:
  • Yang Shu

    (Sichuan University and Collaborative Innovation Center
    Sichuan University and Collaborative Innovation Center)

  • Weihan Zhang

    (Sichuan University and Collaborative Innovation Center)

  • Qianqian Hou

    (Sichuan University and Collaborative Innovation Center)

  • Linyong Zhao

    (Sichuan University and Collaborative Innovation Center)

  • Shouyue Zhang

    (Sichuan University and Collaborative Innovation Center)

  • Jiankang Zhou

    (Sichuan University and Collaborative Innovation Center)

  • Xiaohai Song

    (Sichuan University and Collaborative Innovation Center)

  • Yan Zhang

    (Cancer Center, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University)

  • Dan Jiang

    (West China Hospital, Sichuan University)

  • Xinzu Chen

    (Sichuan University and Collaborative Innovation Center)

  • Peiqi Wang

    (Sichuan University)

  • Xuyang Xia

    (Sichuan University and Collaborative Innovation Center)

  • Fei Liao

    (Sichuan University and Collaborative Innovation Center)

  • Dandan Yin

    (Sichuan University and Collaborative Innovation Center)

  • Xiaolong Chen

    (Sichuan University and Collaborative Innovation Center)

  • Xueyan Zhou

    (Sichuan University and Collaborative Innovation Center)

  • Duyu Zhang

    (Sichuan University and Collaborative Innovation Center)

  • Senlin Yin

    (Sichuan University and Collaborative Innovation Center)

  • Kun Yang

    (Sichuan University and Collaborative Innovation Center)

  • Jianping Liu

    (West China Hospital, Sichuan University)

  • Leilei Fu

    (Sichuan University and Collaborative Innovation Center)

  • Lan Zhang

    (Sichuan University and Collaborative Innovation Center)

  • Yuelan Wang

    (Sichuan University and Collaborative Innovation Center)

  • Junlong Zhang

    (West China Hospital, Sichuan University)

  • Yunfei An

    (West China Hospital, Sichuan University)

  • Hua Cheng

    (WuxiNextCODE)

  • Bin Zheng

    (WuxiNextCODE)

  • Hongye Sun

    (WuxiNextCODE)

  • Yinglan Zhao

    (Sichuan University and Collaborative Innovation Center)

  • Yongsheng Wang

    (Cancer Center, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University)

  • Dan Xie

    (Sichuan University and Collaborative Innovation Center
    Sichuan University and Collaborative Innovation Center)

  • Liang Ouyang

    (Sichuan University and Collaborative Innovation Center)

  • Ping Wang

    (Albert Einstein College of Medicine)

  • Wei Zhang

    (Hunan Key Laboratory of Pharmacogenetics, Xiangya Hospital, Central South University)

  • Meng Qiu

    (Cancer Center, West China Hospital, Sichuan University)

  • Xianghui Fu

    (Sichuan University and Collaborative Innovation Center)

  • Lunzhi Dai

    (Sichuan University and Collaborative Innovation Center)

  • Gu He

    (Sichuan University and Collaborative Innovation Center)

  • Hanshuo Yang

    (Sichuan University and Collaborative Innovation Center)

  • Wei Cheng

    (Sichuan University and Collaborative Innovation Center)

  • Li Yang

    (Sichuan University and Collaborative Innovation Center)

  • Bo Liu

    (Sichuan University and Collaborative Innovation Center)

  • Weimin Li

    (West China Hospital, Sichuan University)

  • Biao Dong

    (Sichuan University and Collaborative Innovation Center)

  • Zongguang Zhou

    (Sichuan University and Collaborative Innovation Center)

  • Yuquan Wei

    (Sichuan University and Collaborative Innovation Center)

  • Yong Peng

    (Sichuan University and Collaborative Innovation Center)

  • Heng Xu

    (Sichuan University and Collaborative Innovation Center
    Sichuan University and Collaborative Innovation Center
    West China Hospital, Sichuan University)

  • Jiankun Hu

    (Sichuan University and Collaborative Innovation Center)

Abstract

Signet-ring cell carcinoma (SRCC) has specific epidemiology and oncogenesis in gastric cancer, however, with no systematical investigation for prognostic genomic features. Here we report a systematic investigation conducted in 1868 Chinese gastric cancer patients indicating that signet-ring cells content was related to multiple clinical characteristics and treatment outcomes. We thus perform whole-genome sequencing on 32 pairs of SRC samples, and identify frequent CLDN18-ARHGAP26/6 fusion (25%). With 797 additional patients for validation, prevalence of CLDN18-ARHGAP26/6 fusion is noticed to be associated with signet-ring cell content, age at diagnosis, female/male ratio, and TNM stage. Importantly, patients with CLDN18-ARHGAP26/6 fusion have worse survival outcomes, and get no benefit from oxaliplatin/fluoropyrimidines-based chemotherapy, which is consistent with the fact of chemo-drug resistance acquired in CLDN18-ARHGAP26 introduced cell lines. Overall, this study provides insights into the clinical and genomic features of SRCC, and highlights the importance of frequent CLDN18-ARHGAP26/6 fusions in chemotherapy response for SRCC.

Suggested Citation

  • Yang Shu & Weihan Zhang & Qianqian Hou & Linyong Zhao & Shouyue Zhang & Jiankang Zhou & Xiaohai Song & Yan Zhang & Dan Jiang & Xinzu Chen & Peiqi Wang & Xuyang Xia & Fei Liao & Dandan Yin & Xiaolong C, 2018. "Prognostic significance of frequent CLDN18-ARHGAP26/6 fusion in gastric signet-ring cell cancer," Nature Communications, Nature, vol. 9(1), pages 1-11, December.
  • Handle: RePEc:nat:natcom:v:9:y:2018:i:1:d:10.1038_s41467-018-04907-0
    DOI: 10.1038/s41467-018-04907-0
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    Cited by:

    1. Lino Möhrmann & Maximilian Werner & Małgorzata Oleś & Andreas Mock & Sebastian Uhrig & Arne Jahn & Simon Kreutzfeldt & Martina Fröhlich & Barbara Hutter & Nagarajan Paramasivam & Daniela Richter & Kat, 2022. "Comprehensive genomic and epigenomic analysis in cancer of unknown primary guides molecularly-informed therapies despite heterogeneity," Nature Communications, Nature, vol. 13(1), pages 1-15, December.
    2. Pengfei Yu & Can Hu & Guangyu Ding & Xiaoliang Shi & Jingli Xu & Yang Cao & Xiangliu Chen & Wei Wu & Qi Xu & Jingquan Fang & Xingmao Huang & Shaohua Yuan & Hui Chen & Zhizheng Wang & Ling Huang & Fei , 2024. "Mutation characteristics and molecular evolution of ovarian metastasis from gastric cancer and potential biomarkers for paclitaxel treatment," Nature Communications, Nature, vol. 15(1), pages 1-14, December.

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