Neoplasia: An International Journal for Oncology Research (Aug 2024)

Spatial whole exome sequencing reveals the genetic features of highly-aggressive components in lung adenocarcinoma

  • Jianfu Li,
  • Shan Xiong,
  • Ping He,
  • Peng Liang,
  • Caichen Li,
  • Ran Zhong,
  • Xiuyu Cai,
  • Zhanhong Xie,
  • Jun Liu,
  • Bo Cheng,
  • Zhuxing Chen,
  • Hengrui Liang,
  • Shen Lao,
  • Zisheng Chen,
  • Jiang Shi,
  • Feng Li,
  • Yi Feng,
  • Zhenyu Huo,
  • Hongsheng Deng,
  • Ziwen Yu,
  • Haixuan Wang,
  • Shuting Zhan,
  • Yang Xiang,
  • Huiting Wang,
  • Yongmin Zheng,
  • Xiaodong Lin,
  • Jianxing He,
  • Wenhua Liang

Journal volume & issue
Vol. 54
p. 101013

Abstract

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In invasive lung adenocarcinoma (LUAD), patients with micropapillary (MIP) or solid (SOL) components had a significantly poorer prognosis than those with only lepidic (LEP), acinar (ACI) or papillary (PAP) components. It is interesting to explore the genetic features of different histologic subtypes, especially the highly aggressive components.Based on a cohort of 5,933 patients, this study observed that in different tumor size groups, LUAD with MIP/SOL components showed a different prevalence, and patients with ALK alteration or TP53 mutations had a higher probability of developing MIP/SOL components. To control individual differences, this research used spatial whole-exome sequencing (WES) via laser-capture microdissection of five patients harboring these five coexistent components and identified genetic features among different histologic components of the same tumor. In tracing the evolution of components, we found that titin (TTN) mutation might serve as a crucial intratumor potential driver for MIP/SOL components, which was validated by a cohort of 146 LUAD patients undergoing bulk WES. Functional analysis revealed that TTN mutations enriched the complement and coagulation cascades, which correlated with the pathway of cell adhesion, migration, and proliferation.Collectively, the histologic subtypes of invasive LUAD were genetically different, and certain trunk genotypes might synergize with branching TTN mutation to develop highly aggressive components.

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