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Intra-tumor heterogeneity and clonal evolution of papillary renal cell carcinoma

Intra-tumor heterogeneity and clonal evolution of papillary renal cell carcinoma

Abstract

Limited knowledge of intratumor heterogeneity (ITH), and clonal evolution of papillary renal cell carcinoma (pRCC) and rare kidney tumor subtypes hinders understanding of tumorigenesis and therapeutic efficacy. We conducted an integrative genomic and epigenomic ITH analysis and studied clonal evolutionary history of pRCC and rare kidney tumor subtypes. We dissected multiple consecutive samples from the center of the tumor towards the tumors periphery, a normal sample ~5 cm distant from the tumor, and, where feasible, metastatic regions in the adrenal gland. Specifically, we performed 60X multi-region whole-genome sequencing (mWGS), both genome-wide methylation and SNP array profiling, and deep targeted sequencing (average 500X coverage) of 254 cancer driver genes ( PMID:24390350) in 124 primary tumor and metastasis samples from 29 treatment-naive kidney tumors. Tumors included 13 pRCC type 1 (pRCC1), 12 pRCC type 2 (pRCC2), and a few rare subtypes (each... (for more see dbGaP study page.)

Keywords

Genomics

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