학술논문

Comprehensive Molecular Characterization of Muscle-Invasive Bladder Cancer
Document Type
article
Author
Robertson, A GordonKim, JaegilAl-Ahmadie, HikmatBellmunt, JoaquimGuo, GuangwuCherniack, Andrew DHinoue, ToshinoriLaird, Peter WHoadley, Katherine AAkbani, RehanCastro, Mauro AAGibb, Ewan AKanchi, Rupa SGordenin, Dmitry AShukla, Sachet ASanchez-Vega, FranciscoHansel, Donna ECzerniak, Bogdan AReuter, Victor ESu, Xiaopingde Sa Carvalho, BeniltonChagas, Vinicius SMungall, Karen LSadeghi, SaraPedamallu, Chandra SekharLu, YilingKlimczak, Leszek JZhang, JiexinChoo, CalebOjesina, Akinyemi IBullman, SusanLeraas, Kristen MLichtenberg, Tara MWu, Catherine JSchultz, NicholausGetz, GadMeyerson, MatthewMills, Gordon BMcConkey, David JNetwork, TCGA ResearchAlbert, MoniqueAlexopoulou, IakovinaAlly, AdrianAntic, TatjanaAron, ManjuBalasundaram, MirunaBartlett, JohnBaylin, Stephen BBeaver, AllisonBirol, InancBoice, LoriBootwalla, Moiz SBowen, JayBowlby, ReanneBrooks, DeniseBroom, Bradley MBshara, WiamBurks, EricCárcano, Flavio MCarlsen, RebeccaCarvalho, Benilton SCarvalho, Andre LCastle, Eric PCastro, PatriciaCatto, James WChesla, David WChuah, EricChudamani, SudhaCortessis, Victoria KCottingham, Sandra LCrain, DanielCurley, ErinDaneshmand, SiamakDemchok, John ADhalla, NoreenDjaladat, HoomanEckman, JohnEgea, Sophie CEngel, JayFelau, InaFerguson, Martin LGardner, JohannaGastier-Foster, Julie MGerken, MarkGomez-Fernandez, Carmen RHarr, Jodi
Source
Cell. 171(3)
Subject
Cancer
Biotechnology
Urologic Diseases
Genetics
2.1 Biological and endogenous factors
Aetiology
Aged
Cluster Analysis
DNA Methylation
Humans
MicroRNAs
Middle Aged
Muscle
Smooth
RNA
Long Noncoding
Survival Analysis
Urinary Bladder
Urinary Bladder Neoplasms
TCGA Research Network
APOBEC mutation
DNA methylation
basal mRNA subtype
lncRNA transcriptome
luminal mRNA subtype
microRNA
muscle-invasive bladder cancer
neoantigen
neuronal subtype
regulon
Biological Sciences
Medical and Health Sciences
Developmental Biology
Language
Abstract
We report a comprehensive analysis of 412 muscle-invasive bladder cancers characterized by multiple TCGA analytical platforms. Fifty-eight genes were significantly mutated, and the overall mutational load was associated with APOBEC-signature mutagenesis. Clustering by mutation signature identified a high-mutation subset with 75% 5-year survival. mRNA expression clustering refined prior clustering analyses and identified a poor-survival "neuronal" subtype in which the majority of tumors lacked small cell or neuroendocrine histology. Clustering by mRNA, long non-coding RNA (lncRNA), and miRNA expression converged to identify subsets with differential epithelial-mesenchymal transition status, carcinoma in situ scores, histologic features, and survival. Our analyses identified 5 expression subtypes that may stratify response to different treatments.