1. Fibroblast growth factor family aberrations as a putative driver of head and neck squamous cell carcinoma in an epidemiologically low-risk patient as defined by targeted sequencing
- Author
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Tillman, Brittny N, Yanik, Megan, Birkeland, Andrew C, Liu, Chia-Jen, Hovelson, Daniel H, Cani, Andi K, Palanisamy, Nallasivam, Carskadon, Shannon, Carey, Thomas E, Bradford, Carol R, Tomlins, Scott A, McHugh, Jonathan B, Spector, Matthew E, and Brenner, J Chad
- Subjects
DNA Copy Number Variations ,Class I Phosphatidylinositol 3-Kinases ,DNA Mutational Analysis ,Clinical Sciences ,amplification ,head and neck squamous cell carcinoma ,Rare Diseases ,Clinical Research ,fibroblast growth factor ,Genetics ,Humans ,2.1 Biological and endogenous factors ,mutant ,Dental/Oral and Craniofacial Disease ,Aetiology ,Cancer ,Neoplastic ,Carcinoma ,Human Genome ,High-Throughput Nucleotide Sequencing ,Middle Aged ,Fibroblast Growth Factors ,Neoplasm Recurrence ,Good Health and Well Being ,Squamous Cell ,Local ,Gene Expression Regulation ,Otorhinolaryngology ,Head and Neck Neoplasms ,Dentistry ,fibroblast growth factor receptor ,Female - Abstract
BackgroundTargeted sequencing of patients with epidemiologically low-risk (ELR) head and neck squamous cell carcinoma (HNSCC) could help identify novel drivers or lost suppressors leading to precision medicine protocols and improved survival rates.MethodsA patient with ELR-HNSCC was selected for targeted sequencing. We then assessed next generation sequencing cohorts from the Oncomine Powertool Database, which contains pan-cancer data from The Cancer Genome Atlas (TCGA).ResultsTargeted sequencing revealed fibroblast growth factor receptor-1 (FGFR1) amplifications as a putative driver of the patient's tumor. Patients with HNSCC from TCGA data demonstrated fibroblast growth factor (FGF) family mutations, rearrangements, or amplifications in over 35% of HNSCC cases, with a statistically significant higher frequency in African American populations. FGF alterations were unique from activating phosphatidylinositol 3-kinase (PIK3CA) mutations.ConclusionTogether, these data suggest that FGF signaling may be critical for a subset of patients with HNSCC independent of other known pathways and provides rationale for leveraging patients with ELR-HNSCC to define molecular subsets of high-risk HNSCC. © 2016 Wiley Periodicals, Inc. Head Neck 38: E1646-E1652, 2016.
- Published
- 2016