학술논문

The genomic and evolutionary landscapes of anaplastic thyroid carcinoma
Document Type
article
Source
Cell Reports. 43(3)
Subject
Biological Sciences
Genetics
Human Genome
Cancer
Rare Diseases
Aetiology
2.1 Biological and endogenous factors
Humans
Thyroid Carcinoma
Anaplastic
Thyroid Neoplasms
Mutation
Adenocarcinoma
Genomics
CP: Cancer
CP: Genomics
anaplastic thyroid cancer
cancer progression
genomics
tumour evolution
tumour heterogeneity
Biochemistry and Cell Biology
Medical Physiology
Biological sciences
Language
Abstract
Anaplastic thyroid carcinoma is arguably the most lethal human malignancy. It often co-occurs with differentiated thyroid cancers, yet the molecular origins of its aggressivity are unknown. We sequenced tumor DNA from 329 regions of thyroid cancer, including 213 from patients with primary anaplastic thyroid carcinomas. We also whole genome sequenced 9 patients using multi-region sequencing of both differentiated and anaplastic thyroid cancer components. Using these data, we demonstrate thatanaplastic thyroid carcinomas have a higher burden of mutations than other thyroid cancers, with distinct mutational signatures and molecular subtypes. Further, different cancer driver genes are mutated in anaplastic and differentiated thyroid carcinomas, even those arising in a single patient. Finally, we unambiguously demonstrate that anaplastic thyroid carcinomas share a genomic origin with co-occurring differentiated carcinomas and emerge from a common malignant field through acquisition of characteristic clonal driver mutations.