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Abstract LB-324: Genomic consequences of aberrant DNA repair stratify ovarian cancer histotypes

2016· article· en· W2483614610 on OpenAlexaff
Yikan Wang, Ali Bashashati, Michael S. Anglesio, Dawn R. Cochrane, Diljot Grewal, Hugo M. Horlings, Anthony N. Karnezis, Anne‐Marie Mes‐Masson, Aikou Okamoto, Satoshi Yanagida, Nozomu Yanaihara, Misato Saito, C. Blake Gilks, Jessica N. McAlpine, Samuel Aparício, David Huntsman, Sohrab P. Shah

Bibliographic record

VenueCancer Research · 2016
Typearticle
Languageen
FieldMedicine
TopicOvarian cancer diagnosis and treatment
Canadian institutionsUniversité de MontréalUniversity of British ColumbiaBC Cancer Agency
Fundersnot available
KeywordsBiologySerous fluidOvarian cancerComparative genomic hybridizationSerous carcinomaLoss of heterozygosityClear cellCopy-number variationGeneticsIndelCancerCancer researchSingle-nucleotide polymorphismCarcinomaGenomeGeneGenotypeAllele

Abstract

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Abstract Background: Ovarian carcinoma is comprised of distinct histological subtypes with different etiology, molecular, genomic and clinical attributes. Patterns of genomic diversity and different treatment responses differentiate each ovarian cancer histotype. The relative patterns of both mutational, copy number and structural variation have not been studied with relation to each disease phenotype. We hypothesized that global genomic architectures will stratify ovarian cancer patients and reveal different treatment response groups. Methods: Whole genome sequencing was performed on 133 ovarian tumors, including 123 carcinomas (59 high-grade serous (HGSC), 35 clear cell (CCOC), 29 endometrioid (ENOC)) and 10 granulosa cell tumours (GCT). Profiles of copy number aberrations, loss of heterozygosity (LOH), mutations (SNVs and INDELs) and structural variations were assessed. Mutational characteristics including mutation signatures derived from tri-nucleotide substitution patterns together with genomic structural characteristics, such as the relative proportion of rearrangement types, reflective of specific DNA repair processes were calculated for each patient. Results: Integrative clustering of the 133 patients according to their mutation and structural signatures resulted in seven distinct subgroups of patients. LOH and the homologous recombination deficiency mutation signature mainly distinguished HGSC cases from non-serous histotypes. HGSC cases were further clustered into two main subgroups. One subgroup (n = 23, 39%) showed a high prevalence of foldback inversions with homology size >5bp, while the other group (n = 25, 42%) was enriched in tandem duplications and deletions, and associated with microhomology (<3bp). Survival analysis revealed that the foldback inversion group associated with poor overall and progression-free survival (logrank p-value = 0.016 and 0.015). CCOC cases were characterized by tandem duplications (Median = 39%, p-value <0.001). The mutation signatures further identified two main subgroups of CCOC; one (n = 10, 29%) showing prevalence of kataegis events typically associated with an APOBEC mutational signature, and the other (n = 17, 49%) characterized by an age-related signature. Enrichment of a mis-match repair defect signature identified a microsatellite instable subgroup of ENOC (n = 8). A signature related to breast cancers uniquely identified GCT cases. Conclusion: Our results suggest that mutational and chromosomal structural variant signatures (rearrangement and copy number profiles) constitute new and defining features of ovarian carcinoma that relate to different DNA repair mechanisms. Our results provide insight into divergent etiologies within histotypes and suggest a novel structure on which to base treatment. Citation Format: Yikan Wang, Ali Bashashati, Michael S. Anglesio, Dawn Cochrane, Diljot Grewal, Hugo Horlings, Anthony Karnezis, Anne-Marie Mes-Masson, Aikou Okamoto, Satoshi Yanagida, Nozomu Yanaihara, Misato Saito, Blake Gilks, Jessica McAlpine, Samuel Aparicio, David Huntsman, Sohrab Shah. Genomic consequences of aberrant DNA repair stratify ovarian cancer histotypes. [abstract]. In: Proceedings of the 107th Annual Meeting of the American Association for Cancer Research; 2016 Apr 16-20; New Orleans, LA. Philadelphia (PA): AACR; Cancer Res 2016;76(14 Suppl):Abstract nr LB-324.

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How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.001
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.002
Threshold uncertainty score0.007

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0000.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0020.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.110
GPT teacher head0.410
Teacher spread0.299 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

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Citations1
Published2016
Admission routes1
Has abstractyes

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