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Somatic mutations of esophageal adenocarcinoma: a comparison between Black and White patients

Authors: Lim, Hyeyeun; Gingras, Marie-Claude; Zhao, Jing; Byun, Jinyoung; Castro, Patricia D; Tsavachidis, Spiridon; Hu, Jianhong; +6 Authors

Somatic mutations of esophageal adenocarcinoma: a comparison between Black and White patients

Abstract

Abstract Esophageal adenocarcinoma is the most common histological subtype of esophageal cancer in Western countries and shows poor prognosis with rapid growth. EAC is characterized by a strong male predominance and racial disparity. EAC is up to five-fold more common among Whites than Blacks, yet Black patients with EAC have poorer survival rates. The racial disparity remains largely unknown, and there is limited knowledge of mutations in EAC regarding racial disparities. We used whole-exome sequencing to show somatic mutation profiles derived from tumor samples from eighteen EAC male patients. We identified three molecular subgroups based on the pre-defined esophageal cancer-specific mutational signatures. Group 1 is associated with age and NTHL1 deficiency-related signatures. Group 2 occurs primarily in Black patients and is associated with signatures related to DNA damage from oxidative stress and NTHL1 deficiency-related signatures. Group 3 is associated with defective homologous recombination-based DNA often caused by BRCA mutation in White patients. We found race-specific genes (White only: SMAD4, Black only: ERBB2, F5, PREX2, BRCA1, GATA4, and SCN10A). Our results provide valuable insights into understanding the underlying mutational mechanisms of EAC in Black and White racial sub-groups and could contribute to generating actionable targets for interventions and treatments.

Country
United States
Keywords

Male, Medical Sciences, Esophageal Neoplasms, Digestive System Diseases, Science, 610, Diseases, White, Adenocarcinoma, Article, Exome Sequencing, Genetics, Medical Specialties, Medicine and Health Sciences, Humans, Cancer, Q, Gastroenterology, R, Black or African American, Oncology, Mutation, Medicine, Female, Public Health, Medical Genetics

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
1
Average
Average
Average
Green
hybrid