Divergent clonal selection dominates medulloblastoma at recurrence

被引:239
作者
Morrissy, A. Sorana [1 ,2 ]
Garzia, Livia [1 ,2 ]
Shih, David J. H. [1 ,2 ,3 ]
Zuyderduyn, Scott [4 ]
Huang, Xi [1 ]
Skowron, Patryk [1 ,2 ,3 ]
Remke, Marc [5 ]
Cavalli, Florence M. G. [1 ,2 ]
Ramaswamy, Vijay [1 ,2 ,3 ,6 ]
Lindsay, Patricia E. [7 ,8 ]
Jelveh, Salomeh [8 ]
Donovan, Laura K. [1 ,2 ]
Wang, Xin [1 ,2 ,3 ]
Luu, Betty [1 ,2 ]
Zayne, Kory [1 ,2 ]
Li, Yisu [9 ]
Mayoh, Chelsea [9 ]
Thiessen, Nina [9 ]
Mercier, Eloi [9 ]
Mungall, Karen L. [9 ]
Ma, Yusanne [9 ]
Tse, Kane [9 ]
Zeng, Thomas [9 ]
Shumansky, Karey [10 ]
Roth, Andrew J. L. [10 ]
Shah, Sohrab [10 ]
Farooq, Hamza [1 ,2 ]
Kijima, Noriyuki [1 ,2 ]
Holgado, Borja L. [1 ,2 ]
Lee, John J. Y. [1 ,2 ,3 ]
Matan-Lithwick, Stuart [1 ,2 ]
Liu, Jessica [1 ,2 ]
Mack, Stephen C. [1 ,2 ,11 ]
Manno, Alex [1 ,2 ]
Michealraj, K. A. [1 ,2 ]
Nor, Carolina [1 ,2 ]
Peacock, John [1 ,2 ,3 ]
Qin, Lei [1 ,2 ]
Reimand, Juri [2 ,4 ]
Rolider, Adi [1 ,2 ]
Thompson, Yuan Y. [1 ,2 ,3 ]
Wu, Xiaochong [1 ,2 ]
Pugh, Trevor [12 ]
Ally, Adrian [9 ]
Bilenky, Mikhail [9 ]
Butterfield, Yaron S. N. [9 ]
Carlsen, Rebecca [9 ]
Cheng, Young [9 ]
Chuah, Eric [9 ]
Corbett, Richard D. [9 ]
机构
[1] Hosp Sick Children, Dev & Stem Cell Biol Program, Toronto, ON M5G 0A4, Canada
[2] Hosp Sick Children, Arthur & Sonia Labatt Brain Tumour Res Ctr, Toronto, ON M5G 1X8, Canada
[3] Univ Toronto, Dept Lab Med & Pathobiol, Toronto, ON M5G 0A4, Canada
[4] Univ Toronto, Donnelly Ctr, Toronto, ON M5S 3E1, Canada
[5] Univ Hosp Dusseldorf, Dept Pediat Oncol Hematol & Clin Immunol, Dusseldorf, Germany
[6] Hosp Sick Children, Div Neurosurg, Toronto, ON M5S 3E1, Canada
[7] Univ Toronto, Dept Radiat Oncol, Toronto, ON M5G 2M9, Canada
[8] Univ Hlth Network, Princess Margaret Canc Ctr, Radiat Med Program, Toronto, ON M5G 2M9, Canada
[9] BC Canc Agcy, Canadas Michael Smith Genome Sci Ctr, Vancouver, BC V5Z 4S6, Canada
[10] BC Canc Agcy, Dept Mol Oncol, Vancouver, BC V5Z 1L3, Canada
[11] Cleveland Clin Fdn, Ctr Stem Cell & Regenerat Med, Cleveland, OH 44195 USA
[12] Univ Hlth Network, Princess Margaret Canc Ctr, Clin Genom Res Program, Toronto, ON, Canada
[13] Univ British Columbia, Dept Med Genet, Vancouver, BC V6T 1Z3, Canada
[14] Simon Fraser Univ, Sch Comp Sci, Burnaby, BC V5A 1S6, Canada
[15] Hosp Santa Maria, Ctr Hosp Lisboa Norte, Div Neurosurg, P-1649035 Lisbon, Portugal
[16] Hosp Santa Maria, Ctr Hosp Lisboa Norte, Div Pathol, P-1649035 Lisbon, Portugal
[17] Inst Portugues Oncol Francisco Gentil, Unidade Neurooncol Pediat, P-1099023 Lisbon, Portugal
[18] Univ Childrens Hosp Zurich, Dept Oncol, CH-8032 Zurich, Switzerland
[19] Univ Childrens Hosp Zurich, Dept Neurooncol, CH-8032 Zurich, Switzerland
[20] Univ Pittsburgh, Sch Med, Dept Neurol Surg, Pittsburgh, PA 15224 USA
[21] Univ Pittsburgh, Sch Med, Dept Pathol, Pittsburgh, PA 15213 USA
[22] Baylor Coll Med, Brain Tumor Program, Childrens Canc Ctr, Houston, TX 77030 USA
[23] Baylor Coll Med, Dept Pediat, Houston, TX 77030 USA
[24] Childrens Hosp & Clin Minnesota, Pediat Hematol Oncol, Minneapolis, MN 55404 USA
[25] Univ Utah, Clin Neurosci Ctr, Dept Neurosurg, Salt Lake City, UT 84132 USA
[26] Alfred I DuPont Hosp Children, Wilmington, DE 19803 USA
[27] Kitasato Univ, Sch Med, Dept Neurosurg, Sagamihara, Kanagawa 2520374, Japan
[28] Tohoku Univ, Grad Sch Med, Dept Neurosurg, Sendai, Miyagi 9808574, Japan
[29] Univ Cambridge, Dept Pathol, Cambridge CB2 1QP, England
[30] Stanford Univ, Sch Med, Dept Neurosurg, Stanford, CA 94305 USA
[31] Stanford Univ, Sch Med, Dept Neurol, Stanford, CA 94305 USA
[32] Stanford Univ, Sch Med, Dept Neurol Sci, Stanford, CA 94305 USA
[33] Cornell Univ, Weill Med Coll, Dept Pediat, New York, NY 10065 USA
[34] Cornell Univ, Weill Med Coll, Dept Cell Biol, New York, NY 10065 USA
[35] Cornell Univ, Weill Med Coll, Dept Dev Biol, New York, NY 10065 USA
[36] NYU Langone Med Ctr, Dept Neurosurg, New York, NY 10016 USA
[37] Columbia Univ, Dept Pediat, Div Pediat Hematol Oncol & Stem Cell Transplantat, New York, NY 10032 USA
[38] Rainbow Babies & Childrens Hosp, Dept Pediat Hematol & Oncol, Cleveland, OH 44106 USA
[39] Case Western Reserve, Dept Pediat Hematol & Oncol, Cleveland, OH 44106 USA
[40] Catholic Univ, Sch Med, Pediat Neurosurg, I-00198 Rome, Italy
[41] Univ Munich, Ctr Neuropathol, D-81377 Munich, Germany
[42] Masaryk Univ, Sch Med, Dept Pediat Oncol, Brno 62500, Czech Republic
[43] Univ Paris 05, Necker Enfants Malad Hosp, AP HP, Dept Neurosurg, F-75743 Paris, France
[44] Inst Curie, Signaling Dev & Brain Tumors, CNRS, UMR 3347,INSERM,U1021, F-91405 Orsay 5, France
[45] British Columbia Childrens Hosp, Div Hematol Oncol, Vancouver, BC V6H 3V4, Canada
[46] Univ Sao Paulo, Fac Med Ribeirao Preto, Dept Surg & Anat, BR-14049900 Sao Paulo, Brazil
[47] Univ Sydney, Kolling Inst Med Res, Sydney, NSW 2065, Australia
[48] Childrens Hlth Queensland, Queensland Childrens Med Res Inst, Brisbane, Qld 4029, Australia
[49] Childrens Hlth Queensland, Div Oncol, Brisbane, Qld 4029, Australia
[50] Univ Queensland, UQ Child Hlth Res Ctr, Brisbane, Qld 4029, Australia
基金
美国国家卫生研究院;
关键词
EVOLUTION; HETEROGENEITY; MUTATIONS; DYNAMICS; IMPACT; MUTAGENESIS; SUBGROUPS; INFERENCE; RELAPSE; CELLS;
D O I
10.1038/nature16478
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
The development of targeted anti-cancer therapies through the study of cancer genomes is intended to increase survival rates and decrease treatment-related toxicity. We treated a transposon-driven, functional genomic mouse model of medulloblastoma with 'humanized' in vivo therapy (microneurosurgical tumour resection followed by multi-fractionated, image-guided radiotherapy). Genetic events in recurrent murine medulloblastoma exhibit a very poor overlap with those in matched murine diagnostic samples (<5%). Whole-genome sequencing of 33 pairs of human diagnostic and post-therapy medulloblastomas demonstrated substantial genetic divergence of the dominant clone after therapy (<12% diagnostic events were retained at recurrence). In both mice and humans, the dominant clone at recurrence arose through clonal selection of a pre-existing minor clone present at diagnosis. Targeted therapy is unlikely to be effective in the absence of the target, therefore our results offer a simple, proximal, and remediable explanation for the failure of prior clinical trials of targeted therapy.
引用
收藏
页码:351 / +
页数:21
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