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Science 321 (5897): 1801-1806

Copyright © 2008 by the American Association for the Advancement of Science

Core Signaling Pathways in Human Pancreatic Cancers Revealed by Global Genomic Analyses

Siân Jones,1* Xiaosong Zhang,1* D. Williams Parsons,1,2* Jimmy Cheng-Ho Lin,1* Rebecca J. Leary,1* Philipp Angenendt,1* Parminder Mankoo,3 Hannah Carter,3 Hirohiko Kamiyama,4 Antonio Jimeno,1 Seung-Mo Hong,4 Baojin Fu,4 Ming-Tseh Lin,4 Eric S. Calhoun,1 Mihoko Kamiyama,4 Kimberly Walter,4 Tatiana Nikolskaya,5 Yuri Nikolsky,6 James Hartigan,7 Douglas R. Smith,7 Manuel Hidalgo,1 Steven D. Leach,1,8 Alison P. Klein,1,4 Elizabeth M. Jaffee,1,4 Michael Goggins,1,4 Anirban Maitra,1,4 Christine Iacobuzio-Donahue,1,4 James R. Eshleman,1,4 Scott E. Kern,1,4 Ralph H. Hruban,1,4 Rachel Karchin,3 Nickolas Papadopoulos,1 Giovanni Parmigiani,1,9 Bert Vogelstein,1{dagger} Victor E. Velculescu,1{dagger} Kenneth W. Kinzler1{dagger}

Abstract: There are currently few therapeutic options for patients with pancreatic cancer, and new insights into the pathogenesis of this lethal disease are urgently needed. Toward this end, we performed a comprehensive genetic analysis of 24 pancreatic cancers. We first determined the sequences of 23,219 transcripts, representing 20,661 protein-coding genes, in these samples. Then, we searched for homozygous deletions and amplifications in the tumor DNA by using microarrays containing probes for ~106 single-nucleotide polymorphisms. We found that pancreatic cancers contain an average of 63 genetic alterations, the majority of which are point mutations. These alterations defined a core set of 12 cellular signaling pathways and processes that were each genetically altered in 67 to 100% of the tumors. Analysis of these tumors' transcriptomes with next-generation sequencing-by-synthesis technologies provided independent evidence for the importance of these pathways and processes. Our data indicate that genetically altered core pathways and regulatory processes only become evident once the coding regions of the genome are analyzed in depth. Dysregulation of these core pathways and processes through mutation can explain the major features of pancreatic tumorigenesis.

1 Sol Goldman Pancreatic Cancer Research Center, Ludwig Center and Howard Hughes Medical Institute at the Johns Hopkins Kimmel Cancer Center, Baltimore, MD 21231, USA.
2 Department of Pediatrics, Section of Hematology-Oncology, Baylor College of Medicine, Houston, TX 77030, USA.
3 Department of Biomedical Engineering, Institute of Computational Medicine, Johns Hopkins Medical Institutions, Baltimore, MD 21218, USA.
4 Department of Pathology, Johns Hopkins Medical Institutions, Baltimore, MD 21231, USA.
5 Vavilov Institute for General Genetics, Moscow B333, 117809, Russia.
6 GeneGo, Incorporated, St. Joseph, MI 49085, USA.
7 Agencourt Bioscience Corporation, Beverly, MA 01915, USA.
8 Department of Surgery, Johns Hopkins Medical Institutions, Baltimore, MD 21231, USA.
9 Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.

* These authors contributed equally to this work.

{dagger} To whom correspondence should be addressed. E-mail: bertvog{at}gmail.com (B.V.); velculescu{at}jhmi.edu (V.E.V.); kinzlke{at}jhmi.edu (K.W.K.)


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GLI1 Inhibition Promotes Epithelial-to-Mesenchymal Transition in Pancreatic Cancer Cells.
S. Joost, L. L. Almada, V. Rohnalter, P. S. Holz, A. M. Vrabel, M. G. Fernandez-Barrena, R. R. McWilliams, M. Krause, M. E. Fernandez-Zapico, and M. Lauth (2012)
Cancer Res. 72, 88-99
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Pancreatic endocrine tumours: mutational and immunohistochemical survey of protein kinases reveals alterations in targetable kinases in cancer cell lines and rare primaries.
V. Corbo, S. Beghelli, S. Bersani, D. Antonello, G. Talamini, M. Brunelli, P. Capelli, M. Falconi, and A. Scarpa (2012)
Ann. Onc. 23, 127-134
   Abstract »    Full Text »    PDF »
Molecular Determinants of Retinoic Acid Sensitivity in Pancreatic Cancer.
S. Gupta, D. Pramanik, R. Mukherjee, N. R. Campbell, S. Elumalai, R. F. de Wilde, S.-M. Hong, M. G. Goggins, A. De Jesus-Acosta, D. Laheru, et al. (2012)
Clin. Cancer Res. 18, 280-289
   Abstract »    Full Text »    PDF »
A Polymeric Nanoparticle Encapsulated Small-Molecule Inhibitor of Hedgehog Signaling (NanoHHI) Bypasses Secondary Mutational Resistance to Smoothened Antagonists.
V. Chenna, C. Hu, D. Pramanik, B. T. Aftab, C. Karikari, N. R. Campbell, S.-M. Hong, M. Zhao, M. A. Rudek, S. R. Khan, et al. (2012)
Mol. Cancer Ther. 11, 165-173
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Whole-exome sequencing of neoplastic cysts of the pancreas reveals recurrent mutations in components of ubiquitin-dependent pathways.
J. Wu, Y. Jiao, M. Dal Molin, A. Maitra, R. F. de Wilde, L. D. Wood, J. R. Eshleman, M. G. Goggins, C. L. Wolfgang, M. I. Canto, et al. (2011)
PNAS 108, 21188-21193
   Abstract »    Full Text »    PDF »
Locally Advanced Pancreatic Cancer: Where Should We Go From Here?.
P. A. Philip (2011)
J. Clin. Oncol. 29, 4066-4068
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Pancreatic Ductal and Acinar Cell Neoplasms in Carney Complex: A Possible New Association.
S. Gaujoux, F. Tissier, B. Ragazzon, V. Rebours, E. Saloustros, K. Perlemoine, C. Vincent-Dejean, G. Meurette, E. Cassagnau, B. Dousset, et al. (2011)
J. Clin. Endocrinol. Metab. 96, E1888-E1895
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Toll-like Receptor 9 Agonist IMO Cooperates with Cetuximab in K-Ras Mutant Colorectal and Pancreatic Cancers.
R. Rosa, D. Melisi, V. Damiano, R. Bianco, S. Garofalo, T. Gelardi, S. Agrawal, F. Di Nicolantonio, A. Scarpa, A. Bardelli, et al. (2011)
Clin. Cancer Res. 17, 6531-6541
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Nuclear receptor liver receptor homologue 1 (LRH-1) regulates pancreatic cancer cell growth and proliferation.
C. Benod, M. V. Vinogradova, N. Jouravel, G. E. Kim, R. J. Fletterick, and E. P. Sablin (2011)
PNAS 108, 16927-16931
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Exome sequencing identifies a spectrum of mutation frequencies in advanced and lethal prostate cancers.
A. Kumar, T. A. White, A. P. MacKenzie, N. Clegg, C. Lee, R. F. Dumpit, I. Coleman, S. B. Ng, S. J. Salipante, M. J. Rieder, et al. (2011)
PNAS 108, 17087-17092
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A global insight into a cancer transcriptional space using pancreatic data: importance, findings and flaws.
E. Gadaleta, R. J. Cutts, G. P. Kelly, T. Crnogorac-Jurcevic, H. M. Kocher, N. R. Lemoine, and C. Chelala (2011)
Nucleic Acids Res. 39, 7900-7907
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cMyc Is a Principal Upstream Driver of {beta}-Cell Proliferation in Rat Insulinoma Cell Lines and Is an Effective Mediator of Human {beta}-Cell Replication.
E. Karslioglu, J. W. Kleinberger, F. G. Salim, A. E. Cox, K. K. Takane, D. K. Scott, and A. F. Stewart (2011)
Mol. Endocrinol. 25, 1760-1772
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Integrated Proteomic Profiling of Cell Line Conditioned Media and Pancreatic Juice for the Identification of Pancreatic Cancer Biomarkers.
S. Makawita, C. Smith, I. Batruch, Y. Zheng, F. Ruckert, R. Grutzmann, C. Pilarsky, S. Gallinger, and E. P. Diamandis (2011)
Mol. Cell. Proteomics 10, M111.008599
   Abstract »    Full Text »    PDF »

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