Comprehensive and Integrative Genomic Characterization of Hepatocellular Carcinoma

Academic Article

Abstract

  • © 2017 Elsevier Inc. Liver cancer has the second highest worldwide cancer mortality rate and has limited therapeutic options. We analyzed 363 hepatocellular carcinoma (HCC) cases by whole-exome sequencing and DNA copy number analyses, and we analyzed 196 HCC cases by DNA methylation, RNA, miRNA, and proteomic expression also. DNA sequencing and mutation analysis identified significantly mutated genes, including LZTR1, EEF1A1, SF3B1, and SMARCA4. Significant alterations by mutation or downregulation by hypermethylation in genes likely to result in HCC metabolic reprogramming (ALB, APOB, and CPS1) were observed. Integrative molecular HCC subtyping incorporating unsupervised clustering of five data platforms identified three subtypes, one of which was associated with poorer prognosis in three HCC cohorts. Integrated analyses enabled development of a p53 target gene expression signature correlating with poor survival. Potential therapeutic targets for which inhibitors exist include WNT signaling, MDM4, MET, VEGFA, MCL1, IDH1, TERT, and immune checkpoint proteins CTLA-4, PD-1, and PD-L1.
  • Published In

  • Cell  Journal
  • Digital Object Identifier (doi)

    Author List

  • Ally A; Balasundaram M; Carlsen R; Chuah E; Clarke A; Dhalla N; Holt RA; Jones SJM; Lee D; Ma Y
  • Start Page

  • 1327
  • End Page

  • 1341.e23
  • Volume

  • 169
  • Issue

  • 7