Abstract:We have previously tested biopsies from 1469 breast tumours with a p53 functional assay in the context of a prospective clinical trial (EORTC 10994/BIG 1-00). The goal of the trial was to determine whether p53 status could be used to select patients who would benefit from inclusion of taxanes in anthracycline-based chemotherapy. The results of the trial were negative. To test whether this was because the functional assay misclassified the tumours, we have reanalysed two groups of biopsies by Sanger sequencing … Show more
“…However, significant somatic variations occur in TP53 introns at sites other than those implicated in splice junctions, which are not covered in many conventional or exome-sequencing programs and thus are not reported in mutation databases. In BC, mutations in intron 9 colocalizing with alternative exons 9a and 9b have been detected using yeast functional assays (Iggo et al 2013). These mutations alter the balance between fully spliced and alternatively spliced p53 transcripts, leading to the preferential synthesis of a protein that lacks part of the oligomerization domain.…”
Section: Toward An Unbiased Somatic Tp53 Mutation Spectrummentioning
Amid the complexity of genetic alterations in human cancer, TP53 mutation appears as an almost invariant component, representing by far the most frequent genetic alteration overall. Compared with previous targeted sequencing studies, recent integrated genomics studies offer a less biased view of TP53 mutation patterns, revealing that .20% of mutations occur outside the DNA-binding domain. Among the 12 mutations representing each at least 1% of all mutations, five occur at residues directly involved in specific DNA binding, four affect the tertiary fold of the DNA-binding domain, and three are nonsense mutations, two of them in the carboxyl terminus. Significant mutations also occur in introns, affecting alternative splicing events or generating rearrangements (e.g., in intron 1 in sporadic osteosarcoma). In aggressive cancers, mutation is so common that it may not have prognostic value (all these cancers have impaired p53 function caused by mutation or by other mechanisms). In several other cancers, however, mutation makes a clear difference for prognostication, as, for example, in HER2-enriched breast cancers and in lung adenocarcinoma with EGFR mutations. Thus, the clinical significance of TP53 mutation is dependent on tumor subtype and context. Understanding the clinical impact of mutation will require integrating mutationspecific information (type, frequency, and predicted impact) with data on haplotypes and on loss of heterozygosity.
“…However, significant somatic variations occur in TP53 introns at sites other than those implicated in splice junctions, which are not covered in many conventional or exome-sequencing programs and thus are not reported in mutation databases. In BC, mutations in intron 9 colocalizing with alternative exons 9a and 9b have been detected using yeast functional assays (Iggo et al 2013). These mutations alter the balance between fully spliced and alternatively spliced p53 transcripts, leading to the preferential synthesis of a protein that lacks part of the oligomerization domain.…”
Section: Toward An Unbiased Somatic Tp53 Mutation Spectrummentioning
Amid the complexity of genetic alterations in human cancer, TP53 mutation appears as an almost invariant component, representing by far the most frequent genetic alteration overall. Compared with previous targeted sequencing studies, recent integrated genomics studies offer a less biased view of TP53 mutation patterns, revealing that .20% of mutations occur outside the DNA-binding domain. Among the 12 mutations representing each at least 1% of all mutations, five occur at residues directly involved in specific DNA binding, four affect the tertiary fold of the DNA-binding domain, and three are nonsense mutations, two of them in the carboxyl terminus. Significant mutations also occur in introns, affecting alternative splicing events or generating rearrangements (e.g., in intron 1 in sporadic osteosarcoma). In aggressive cancers, mutation is so common that it may not have prognostic value (all these cancers have impaired p53 function caused by mutation or by other mechanisms). In several other cancers, however, mutation makes a clear difference for prognostication, as, for example, in HER2-enriched breast cancers and in lung adenocarcinoma with EGFR mutations. Thus, the clinical significance of TP53 mutation is dependent on tumor subtype and context. Understanding the clinical impact of mutation will require integrating mutationspecific information (type, frequency, and predicted impact) with data on haplotypes and on loss of heterozygosity.
“…The intron 9 splice donor site contains three single-nucleotide substitutions and one insertion in three different tumors. The NC_000017.10:g.7576525A>C substitutions modify TP53 splicing by leading to an unbalanced ratio of the various TP53 mRNAs and a greater abundance of b isoforms (86). Similarly, the three-nucleotide insertion detected in a lymphoma (NC_000017.10:g.7576522_7576523insCTT) probably has a deleterious effect on splicing.…”
Section: Assessing Tp53 Status In Human Cancermentioning
Accurate assessment of TP53 gene status in sporadic tumors and in the germline of individuals at high risk of cancer due to Li-Fraumeni Syndrome (LFS) has important clinical implications for diagnosis, surveillance, and therapy. Genomic data from more than 20,000 cancer genomes provide a wealth of information on cancer gene alterations and have confirmed TP53 as the most commonly mutated gene in human cancer. Analysis of a database of 70,000 TP53 variants reveals that the two newly discovered exons of the gene, exons 9b and 9g, generated by alternative splicing, are the targets of inactivating mutation events in breast, liver, and head and neck tumors. Furthermore, germline rearrangements in intron 1 of TP53 are associated with LFS and are frequently observed in sporadic osteosarcoma. In this context of constantly growing genomic data, we discuss how screening strategies must be improved when assessing TP53 status in clinical samples. Finally, we discuss how TP53 alterations should be described by using accurate nomenclature to avoid confusion in scientific and clinical reports.
“…We previously reported (Iggo et al, 2013) by independent 454 sequencing that for samples of the difficult group and positive control, we expect one or two significant alterations (mutations) per sample, while we expect no mutations for the negative control group. The only sample that carries two mutations is 276_1, belonging to the difficult group, where MICADo correctly call one of them (the other one is a false negative).…”
Section: Resultsmentioning
confidence: 56%
“…The PacBio sequencing data is available from the NCBI SRA database under the accession number SRP064161 BioProject PRJNA290142. The main interest of this dataset for testing the accuracy of SNV detection is the existence of SNV calling results obtained from 454 Roche sequencing data generated for the 48 samples (available from NCBI SRA database under the accession number SRP020456, BioProject PRJNA193388; see Iggo et al, 2013 for details). Moreover, for these 48 samples there exists a classification into three categories (based on the percentage of red colonies in the yeast assay, (see Bonnefoi et al, 2011; Iggo et al, 2013).…”
Section: Methodsmentioning
confidence: 99%
“…The main interest of this dataset for testing the accuracy of SNV detection is the existence of SNV calling results obtained from 454 Roche sequencing data generated for the 48 samples (available from NCBI SRA database under the accession number SRP020456, BioProject PRJNA193388; see Iggo et al, 2013 for details). Moreover, for these 48 samples there exists a classification into three categories (based on the percentage of red colonies in the yeast assay, (see Bonnefoi et al, 2011; Iggo et al, 2013). These categories are:
negative control : 12 samples considered to be wild type;
positive control : 18 samples that are mutated with high rate of altered reads;
difficult group : 18 samples that are mutated with low rate or complex mutations.
Targeted sequencing is commonly used in clinical application of NGS technology since it enables generation of sufficient sequencing depth in the targeted genes of interest and thus ensures the best possible downstream analysis. This notwithstanding, the accurate discovery and annotation of disease causing mutations remains a challenging problem even in such favorable context. The difficulty is particularly salient in the case of third generation sequencing technology, such as PacBio. We present MICADo, a de Bruijn graph based method, implemented in python, that makes possible to distinguish between patient specific mutations and other alterations for targeted sequencing of a cohort of patients. MICADo analyses NGS reads for each sample within the context of the data of the whole cohort in order to capture the differences between specificities of the sample with respect to the cohort. MICADo is particularly suitable for sequencing data from highly heterogeneous samples, especially when it involves high rates of non-uniform sequencing errors. It was validated on PacBio sequencing datasets from several cohorts of patients. The comparison with two widely used available tools, namely VarScan and GATK, shows that MICADo is more accurate, especially when true mutations have frequencies close to backgound noise. The source code is available at http://github.com/cbib/MICADo.
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