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Cancer gene related characterization of patterns and point of recurrence after resection of colorectal liver metastases

BACKGROUND: Outcome after resection of CRLM is hampered by a high rate of recurrence. There are little data about the role of cancer related genes and their mutations in this scenario. The aim of our analysis was to assess the predictive power of cancer-related genes and their mutations on risk for...

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Autores principales: Lang, Hauke, Baumgart, Janine, Roth, Wilfried, Moehler, Markus, Kloth, Michael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AME Publishing Company 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8506541/
https://www.ncbi.nlm.nih.gov/pubmed/34733924
http://dx.doi.org/10.21037/atm-21-292
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author Lang, Hauke
Baumgart, Janine
Roth, Wilfried
Moehler, Markus
Kloth, Michael
author_facet Lang, Hauke
Baumgart, Janine
Roth, Wilfried
Moehler, Markus
Kloth, Michael
author_sort Lang, Hauke
collection PubMed
description BACKGROUND: Outcome after resection of CRLM is hampered by a high rate of recurrence. There are little data about the role of cancer related genes and their mutations in this scenario. The aim of our analysis was to assess the predictive power of cancer-related genes and their mutations on risk for and distribution of recurrence and the time of occurrence after resection of colorectal liver metastases (CRLM). METHODS: We included 130 patients with 167 liver resections. The work-up consisted of the analysis of a total of 720 cancer-related genes by next-generation sequencing (NGS). Results were correlated with the patterns and time of recurrence and survival. RESULTS: At the time of analysis, 89/130 patients (68%) had developed recurrence. This included liver only recurrence in 52%, lung only recurrence in 11% and disseminated disease in 37% of cases. In univariate analysis, alterations in the RAS/RAF pathway and in the SMAD family had significant predictive power for the time of recurrence (P<0.0001) whereas single mutations did not reach statistical significance in multivariate analysis. Mutations of PIK3CA were associated with a better prognosis and a later occurrence of relapse. A recurrence risk score (r-RS) based on mutations in these cancer related genes is predictive of the time of recurrence. CONCLUSIONS: In conclusion, mutations in the RAS/RAF pathway and the SMAD family are risk factors for early recurrence. Mutations of PIK3CA are associated with a lower risk for recurrence after resection of CRLM. Cancer related genes and their mutations do not correlate with patterns of recurrence but are predictive for the timely onset of recurrence.
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spelling pubmed-85065412021-11-02 Cancer gene related characterization of patterns and point of recurrence after resection of colorectal liver metastases Lang, Hauke Baumgart, Janine Roth, Wilfried Moehler, Markus Kloth, Michael Ann Transl Med Original Article BACKGROUND: Outcome after resection of CRLM is hampered by a high rate of recurrence. There are little data about the role of cancer related genes and their mutations in this scenario. The aim of our analysis was to assess the predictive power of cancer-related genes and their mutations on risk for and distribution of recurrence and the time of occurrence after resection of colorectal liver metastases (CRLM). METHODS: We included 130 patients with 167 liver resections. The work-up consisted of the analysis of a total of 720 cancer-related genes by next-generation sequencing (NGS). Results were correlated with the patterns and time of recurrence and survival. RESULTS: At the time of analysis, 89/130 patients (68%) had developed recurrence. This included liver only recurrence in 52%, lung only recurrence in 11% and disseminated disease in 37% of cases. In univariate analysis, alterations in the RAS/RAF pathway and in the SMAD family had significant predictive power for the time of recurrence (P<0.0001) whereas single mutations did not reach statistical significance in multivariate analysis. Mutations of PIK3CA were associated with a better prognosis and a later occurrence of relapse. A recurrence risk score (r-RS) based on mutations in these cancer related genes is predictive of the time of recurrence. CONCLUSIONS: In conclusion, mutations in the RAS/RAF pathway and the SMAD family are risk factors for early recurrence. Mutations of PIK3CA are associated with a lower risk for recurrence after resection of CRLM. Cancer related genes and their mutations do not correlate with patterns of recurrence but are predictive for the timely onset of recurrence. AME Publishing Company 2021-09 /pmc/articles/PMC8506541/ /pubmed/34733924 http://dx.doi.org/10.21037/atm-21-292 Text en 2021 Annals of Translational Medicine. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) .
spellingShingle Original Article
Lang, Hauke
Baumgart, Janine
Roth, Wilfried
Moehler, Markus
Kloth, Michael
Cancer gene related characterization of patterns and point of recurrence after resection of colorectal liver metastases
title Cancer gene related characterization of patterns and point of recurrence after resection of colorectal liver metastases
title_full Cancer gene related characterization of patterns and point of recurrence after resection of colorectal liver metastases
title_fullStr Cancer gene related characterization of patterns and point of recurrence after resection of colorectal liver metastases
title_full_unstemmed Cancer gene related characterization of patterns and point of recurrence after resection of colorectal liver metastases
title_short Cancer gene related characterization of patterns and point of recurrence after resection of colorectal liver metastases
title_sort cancer gene related characterization of patterns and point of recurrence after resection of colorectal liver metastases
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8506541/
https://www.ncbi.nlm.nih.gov/pubmed/34733924
http://dx.doi.org/10.21037/atm-21-292
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