Published in

Nature Research, Nature, 7517(513), p. 202-209, 2014

DOI: 10.1038/nature13480

Links

Tools

Export citation

Search in Google Scholar

Comprehensive molecular characterization of gastric adenocarcinoma

Journal article published in 2014 by David J. Den Berg, Vesteinn Thorsson, Radoslaw Łaÿniak, Daniel J. Weisenberger, Nils Weinhold, Amaro Taylor-Weiner, Wei Zhang, Da Yang ORCID, Joseph E. Willis, Hsin-Ta Wu, Stephanie Weaver, Maciej Wiznerowicz, Nina Thiessen, Angela Tam, Vésteinn Thorsson and other authors.
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

Full text: Download

Green circle
Preprint: archiving allowed
Orange circle
Postprint: archiving restricted
Red circle
Published version: archiving forbidden
Data provided by SHERPA/RoMEO

Abstract

Gastric cancer is a leading cause of cancer deaths, but analysis of its molecular and clinical characteristics has been complicated by histological and aetiological heterogeneity. Here we describe a comprehensive molecular evaluation of 295 primary gastric adenocarcinomas as part of The Cancer Genome Atlas (TCGA) project. We propose a molecular classification dividing gastric cancer into four subtypes: tumours positive for Epstein–Barr virus, which display recurrent PIK3CA mutations, extreme DNA hypermethylation, and amplification of JAK2, CD274 (also known as PD-L1) and PDCD1LG2 (also known as PD-L2); microsatellite unstable tumours, which show elevated mutation rates, including mutations of genes encoding targetable oncogenic signalling proteins; genomically stable tumours, which are enriched for the diffuse histological variant and mutations of RHOA or fusions involving RHO-family GTPase-activating proteins; and tumours with chromosomal instability, which show marked aneuploidy and focal amplification of receptor tyrosine kinases. Identification of these subtypes provides a roadmap for patient stratification and trials of targeted therapies.