2017
DOI: 10.1101/gr.216788.116
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Single-cell sequencing deciphers a convergent evolution of copy number alterations from primary to circulating tumor cells

Abstract: Copy number alteration (CNA) is a major contributor to genome instability, a hallmark of cancer. Here, we studied genomic alterations in single primary tumor cells and circulating tumor cells (CTCs) from the same patient. Single-nucleotide variants (SNVs) in single cells from both samples occurred sporadically, whereas CNAs among primary tumor cells emerged accumulatively rather than abruptly, converging toward the CNA in CTCs. Focal CNAs affecting the gene and the gene were observed only in a minor portion of… Show more

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Cited by 82 publications
(78 citation statements)
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“…Thus, these authors concluded that the CNV evolution of CTC would be affected by therapeutic pressure in prostate cancer (Dago et al 2014 ). Gao et al analyzed the CNV of CTCs across 23 patients and concluded that the CNV tumor evolution process follows a convergent evolution model through primary tumor to CTCs but does not follow the classical gradual acquisition mode or the recent alert punctuated model (Gao et al 2017 ). However, more patients showed different variation spectrums during evolution, most of which still cannot be comprehensively explained.…”
Section: Inferring Tumor Heterogeneity and Evolution Dynamicallymentioning
confidence: 99%
“…Thus, these authors concluded that the CNV evolution of CTC would be affected by therapeutic pressure in prostate cancer (Dago et al 2014 ). Gao et al analyzed the CNV of CTCs across 23 patients and concluded that the CNV tumor evolution process follows a convergent evolution model through primary tumor to CTCs but does not follow the classical gradual acquisition mode or the recent alert punctuated model (Gao et al 2017 ). However, more patients showed different variation spectrums during evolution, most of which still cannot be comprehensively explained.…”
Section: Inferring Tumor Heterogeneity and Evolution Dynamicallymentioning
confidence: 99%
“…Based on cell type enrichment analysis [32] on the gene co-expression modules unique to subtype 2 (i.e., the yellow and brown modules in Fig. 6), we found an erythroblast/stem-like signature that may be related to convergent evolution in tumors, since evidence of convergent evolution has already been noted through copy number alterations in circulating tumor cells in multiple cancer types [33]. Another possible explanation could be that subtype 2 is some form of malignant progenitor cell.…”
Section: Discussionmentioning
confidence: 93%
“…Gao et al studied the genomic alterations in single CTC and primary tumor cells from 23 patients of colorectal cancer, breast cancer, gastric carcinoma and prostatic cancer and found the similar CNV modal between CTC and primary tumor cells. They also detected those primary cells that have transfer ability, which is important for mechanism study of cancer transfer . Accordingly, single‐cell omics analysis helps in identifying heterogeneous cancer cell subtypes and holds a great potential for clinical diagnosis and precision medicine.…”
Section: Applicationsmentioning
confidence: 99%