Frontiers in Oncology (Jun 2024)

Transcriptomic convergence despite genomic divergence drive field cancerization in synchronous squamous tumors

  • Qiu Xuan Tan,
  • Qiu Xuan Tan,
  • Qiu Xuan Tan,
  • Nicholas B. Shannon,
  • Weng Khong Lim,
  • Weng Khong Lim,
  • Jing Xian Teo,
  • Daniel R. Y. Yap,
  • Sze Min Lek,
  • Joey W. S. Tan,
  • Joey W. S. Tan,
  • Joey W. S. Tan,
  • Shih Jia J. Tan,
  • Josephine Hendrikson,
  • Josephine Hendrikson,
  • Josephine Hendrikson,
  • Ying Liu,
  • Ying Liu,
  • Ying Liu,
  • Gillian Ng,
  • Gillian Ng,
  • Gillian Ng,
  • Clara Y. L. Chong,
  • Clara Y. L. Chong,
  • Clara Y. L. Chong,
  • Wanyu Guo,
  • Wanyu Guo,
  • Wanyu Guo,
  • Kelvin K. N. Koh,
  • Cedric C. Y. Ng,
  • Vikneswari Rajasegaran,
  • Jolene S.M. Wong,
  • Jolene S.M. Wong,
  • Chin Jin Seo,
  • Chin Jin Seo,
  • Choon Kiat Ong,
  • Choon Kiat Ong,
  • Tony K. H. Lim,
  • Tony K. H. Lim,
  • Bin Tean Teh,
  • Bin Tean Teh,
  • Bin Tean Teh,
  • Oi Lian Kon,
  • Claramae S. Chia,
  • Claramae S. Chia,
  • Claramae S. Chia,
  • Claramae S. Chia,
  • Khee Chee Soo,
  • Khee Chee Soo,
  • Khee Chee Soo,
  • Khee Chee Soo,
  • N. Gopalakrishna Iyer,
  • N. Gopalakrishna Iyer,
  • N. Gopalakrishna Iyer,
  • Chin-Ann J. Ong,
  • Chin-Ann J. Ong,
  • Chin-Ann J. Ong,
  • Chin-Ann J. Ong,
  • Chin-Ann J. Ong,
  • Chin-Ann J. Ong

DOI
https://doi.org/10.3389/fonc.2024.1272432
Journal volume & issue
Vol. 14

Abstract

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IntroductionField cancerization is suggested to arise from imbalanced differentiation in individual basal progenitor cells leading to clonal expansion of mutant cells that eventually replace the epithelium, although without evidence.MethodsWe performed deep sequencing analyses to characterize the genomic and transcriptomic landscapes of field change in two patients with synchronous aerodigestive tract tumors.ResultsOur data support the emergence of numerous genetic alterations in cancer-associated genes but refutes the hypothesis that founder mutation(s) underpin this phenomenon. Mutational signature analysis identified defective homologous recombination as a common underlying mutational process unique to synchronous tumors.DiscussionOur analyses suggest a common etiologic factor defined by mutational signatures and/or transcriptomic convergence, which could provide a therapeutic opportunity.

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