2022
DOI: 10.1158/2159-8290.cd-21-0669
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Comprehensive Genomic Profiling of Neuroendocrine Carcinomas of the Gastrointestinal System

Abstract: The neuroendocrine carcinoma of the gastrointestinal system (GIS-NEC) is a rare but highly malignant neoplasm. We analyzed 115 cases using whole-genome/exome sequencing, transcriptome sequencing, DNA methylation assays, and/or ATAC-seq and found GIS-NECs to be genetically distinct from neuroendocrine tumors (GIS-NETs) in the same location. Clear genomic differences were also evident between pancreatic NECs (Panc-NECs) and non-pancreatic GIS-NECs (Nonpanc-NECs). Panc-NECs could be classified into two subgroups … Show more

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Cited by 69 publications
(95 citation statements)
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References 75 publications
(115 reference statements)
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“…The collection of 60 GI-NECs analyzed included pancreatic, colorectal, gastric, biliary, ampullary and esophageal tumors, while the remaining 55 GI-NET samples included pancreatic, colorectal and duodenal. Analysis of mutations allowed GI-NECs to be distinguished from GI-NETs, with GI-NECs containing mutations in TP53 , KRAS , RB1 , CCNE1 , CDKN2A and MYC ( 43 ).…”
Section: Genetic Basis Of Gep-nensmentioning
confidence: 99%
See 1 more Smart Citation
“…The collection of 60 GI-NECs analyzed included pancreatic, colorectal, gastric, biliary, ampullary and esophageal tumors, while the remaining 55 GI-NET samples included pancreatic, colorectal and duodenal. Analysis of mutations allowed GI-NECs to be distinguished from GI-NETs, with GI-NECs containing mutations in TP53 , KRAS , RB1 , CCNE1 , CDKN2A and MYC ( 43 ).…”
Section: Genetic Basis Of Gep-nensmentioning
confidence: 99%
“…also evaluated methylation profiles and using unsupervised hierarchical cluster analysis of methylation status, divided their samples into three groups. pNETs were grouped into one group, non-pNETs in another, and the remaining group featured a CpG island methylator phenotype (CIMP) due to alterations in genes related to DNA methylation and/or due to MLH1 promoter hypermethylation ( 43 ).…”
Section: Dna Methylationmentioning
confidence: 99%
“…The study implies that metagenome-based physiological dysfunction in the intestinal microenvironment drives the disease-progression state of individuals with rectal NETs. For viruses, two kinds of GEP-NECs are etiologically related to viruses: MCPyV acts on gastric NECs, and HPV acts on colorectal NECs [ 100 ]. However, reports of fungal involvement in tumors remain to be explored.…”
Section: Microbial Communitymentioning
confidence: 99%
“…Alterations in the Notch gene family are characteristic of nonpancreatic NECs. The transcription factors, mainly the SOX2 gene, are overexpressed in most GI-NECs[ 30 ].…”
Section: Molecular Factors – Genomic Profilementioning
confidence: 99%