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DOI10.21037/tlcr.2019.11.30
Comparative expression analysis in small cell lung carcinoma reveals neuroendocrine pattern change in primary tumor versus lymph node metastases
Lohinai, Zoltan1; Megyesfalvi, Zsolt1,2,3,4; Suda, Kenichi5; Harko, Tunde6; Ren, Shengxiang7; Moldvay, Judit1; Laszlo, Viktoria1,4; Rivard, Christopher8; Dome, Balazs1,2,3,4; Hirsch, Fred R.8,9
通讯作者Lohinai, Zoltan ; Dome, Balazs
来源期刊TRANSLATIONAL LUNG CANCER RESEARCH
ISSN2218-6751
EISSN2226-4477
出版年2019
卷号8期号:6页码:938-+
英文摘要Background: Recent preclinical data suggest that neuroendocrine (NE) subtype of small cell lung cancer (SCLC) has strong therapeutic relevance. NE high tumors are associated with immune desert and NE low tumors are considered to have an immune oasis phenotype. Our aim was to investigate the NE phenotypes of surgically resected SCLC tumors according to inter-tumor heterogeneity. Methods: Expression analysis for 2,560 genes was performed in 32 surgically resected SCLC patients' primary tumors and corresponding lymph node (LN) metastases. To analyze tumor heterogeneity, we examined the differences in the gene expression of primary tumors versus LN metastases. We performed cluster analysis and heat map to divide patients into NE high and low subtypes by using the top NE-associated genes described in predinical studies. Results: We found 6% (n=154) genes with significant differences and only 13.1% (n=336) of all genes in the panel had a strong correlation between the primary tumor and LN metastases. Cluster analysis clearly distinguished SCLC NE high versus low subtypes both in primary tumor (20 vs. 12, respectively) and LNs (23 vs. 9, respectively). As for inter-tumor heterogeneity, in case of five patients, a change in the NE pattern was observed. Specifically, we found significant downregulation of the NE-associated genes C4V1 (P=0.004), CAV2 (P=0.029) and ANXA3 (P=0.035) in their LN metastases compared to their primary tumor. Conclusions: Our data confirm the results of preclinical studies and clearly distinguish NE low and high differentiation clusters in SCLC. Moreover, they highlight the gene expression discordance between primary tumors and corresponding LN metastases suggesting that the NE pattern of metastatic LNs might not reflect that of the primary tumor. Altogether, by shedding light on the diversity of SCLC, the current study might help to improve patient selection and treatment in this devastating disease.
英文关键词Small cell lung cancer (SCLC) neuroendocrine tumor lymph node metastasis tumor heterogeneity RNA sequencing
类型Article
语种英语
国家Hungary ; Austria ; Japan ; Peoples R China ; USA
开放获取类型Green Published, gold
收录类别SCI-E
WOS记录号WOS:000505217600020
WOS关键词CANCER ; HETEROGENEITY
WOS类目Oncology ; Respiratory System
WOS研究方向Oncology ; Respiratory System
EI主题词2019-12-01
资源类型期刊论文
条目标识符http://119.78.100.177/qdio/handle/2XILL650/311126
作者单位1.Natl Koranyi Inst Pulmonol, Dept Tumor Biol, Piheno Ut 1, H-1121 Budapest, Hungary;
2.Semmelweis Univ, Dept Thorac Surg, Budapest, Hungary;
3.Natl Inst Oncol, Budapest, Hungary;
4.Med Univ Vienna, Dept Surg, Div Thorac Surg, Waehringer Guertel 18-20, A-1090 Vienna, Austria;
5.Kindai Univ, Fac Med, Dept Surg, Div Thorac Surg, Osaka, Japan;
6.Natl Koranyi Inst Pulmonol, Dept Pathol, Budapest, Hungary;
7.Tongji Univ, Shanghai Pulm Hosp, Dept Med Oncol, Shanghai 200433, Peoples R China;
8.Univ Colorado, Div Med Oncol, Anschutz Med Campus, Aurora, CO USA;
9.Mt Sinai Hlth Syst, Tisch Canc Inst, Ctr Thorac Oncol, New York, NY USA
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Lohinai, Zoltan,Megyesfalvi, Zsolt,Suda, Kenichi,et al. Comparative expression analysis in small cell lung carcinoma reveals neuroendocrine pattern change in primary tumor versus lymph node metastases[J],2019,8(6):938-+.
APA Lohinai, Zoltan.,Megyesfalvi, Zsolt.,Suda, Kenichi.,Harko, Tunde.,Ren, Shengxiang.,...&Hirsch, Fred R..(2019).Comparative expression analysis in small cell lung carcinoma reveals neuroendocrine pattern change in primary tumor versus lymph node metastases.TRANSLATIONAL LUNG CANCER RESEARCH,8(6),938-+.
MLA Lohinai, Zoltan,et al."Comparative expression analysis in small cell lung carcinoma reveals neuroendocrine pattern change in primary tumor versus lymph node metastases".TRANSLATIONAL LUNG CANCER RESEARCH 8.6(2019):938-+.
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