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Submitted on August 7, 2008
Accepted on August 27, 2008
Core Signaling Pathways in Human Pancreatic Cancers Revealed by Global Genomic Analyses
Siân Jones 1,Xiaosong Zhang 1,D. Williams Parsons 2,Jimmy Cheng-Ho Lin 1,Rebecca J. Leary 1,Philipp Angenendt 1,Parminder Mankoo 3,Hannah Carter 3,Hirohiko Kamiyama 4,Antonio Jimeno 1,Seung-Mo Hong 4,Baojin Fu 4,Ming-Tseh Lin 4,Eric S. Calhoun 1,Mihoko Kamiyama 4,Kimberly Walter 4,Tatiana Nikolskaya 5,Yuri Nikolsky 6,James Hartigan 7,Douglas R. Smith 7,Manuel Hidalgo 1,Steven D. Leach 8,Alison P. Klein 9,Elizabeth M. Jaffee 9,Michael Goggins 9,Anirban Maitra 9,Christine Iacobuzio-Donahue 9,James R. Eshleman 9,Scott E. Kern 9,Ralph H. Hruban 9,Rachel Karchin 3,Nickolas Papadopoulos 1,Giovanni Parmigiani 10,Bert Vogelstein 1*,Victor E. Velculescu 1*,Kenneth W. Kinzler 1*
1 The Sol Goldman Pancreatic Cancer Research Center, The Ludwig Center and The Howard Hughes Medical Institute at the Johns Hopkins Kimmel Cancer Center, Baltimore, MD 21231, USA. 2 The Sol Goldman Pancreatic Cancer Research Center, The Ludwig Center and The Howard Hughes Medical Institute at the Johns Hopkins Kimmel Cancer Center, Baltimore, MD 21231, USA.; Department of Pediatrics, Section of Hematology-Oncology, Baylor College of Medicine, Houston TX 77030, USA. 3 Department of Biomedical Engineering, Institute of Computational Medicine, Johns Hopkins Medical Institutions, Baltimore, MD 21218, USA. 4 Department of Pathology, Johns Hopkins Medical Institutions, Baltimore, MD 21231, USA. 5 Vavilov Institute for General Genetics, Moscow B333, 117809, Russia. 6 GeneGo, Inc., St. Joseph, MI 49085, USA. 7 Agencourt Bioscience Corporation, Beverly, MA 01915, USA. 8 The Sol Goldman Pancreatic Cancer Research Center, The Ludwig Center and The Howard Hughes Medical Institute at the Johns Hopkins Kimmel Cancer Center, Baltimore, MD 21231, USA.; Department of Surgery, Johns Hopkins Medical Institutions, Baltimore, MD 21231, USA. 9 The Sol Goldman Pancreatic Cancer Research Center, The Ludwig Center and The Howard Hughes Medical Institute at the Johns Hopkins Kimmel Cancer Center, Baltimore, MD 21231, USA.; Department of Pathology, Johns Hopkins Medical Institutions, Baltimore, MD 21231, USA. 10 The Sol Goldman Pancreatic Cancer Research Center, The Ludwig Center and The Howard Hughes Medical Institute at the Johns Hopkins Kimmel Cancer Center, Baltimore, MD 21231, USA.; Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.
* To whom correspondence should be addressed.
Bert Vogelstein , E-mail: bertvog{at}gmail.com Victor E. Velculescu , E-mail: velculescu{at}jhmi.edu Kenneth W. Kinzler , E-mail: kinzlke{at}welch.jhu.edu
These authors contributed equally to this work.
There are currently few therapeutic options for patients withpancreatic cancer, and new insights into the pathogenesis ofthis lethal disease are urgently needed. Towards this end, weperformed a comprehensive genetic analysis of 24 pancreaticcancers. We first determined the sequences of 23,219 transcripts,representing 20,661 protein-coding genes, in these samples.Then, we searched for homozygous deletions and amplificationsin the tumor DNA by using microarrays containing probes for~106 single nucleotide polymorphisms (SNPs). We found that pancreaticcancers contain an average of 63 genetic alterations, the majorityof which are point mutations. These alterations defined a coreset of 12 cellular signaling pathways and processes that wereeach genetically altered in 67% to 100% of the tumors. Analysisof these tumors' transcriptomes with next-generation sequencing-by-synthesistechnologies provided independent evidence for the significanceof these pathways and processes. Our data indicate that geneticallyaltered core pathways and regulatory processes only become evidentonce the coding regions of the genome are analyzed in depth.Dysregulation of these core pathways and processes through mutationcan explain the major features of pancreatic tumorigenesis.
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