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Ann Oncol. 2015 Jun;26(6):1216-23. doi: 10.1093/annonc/mdv109. Epub 2015 Feb 23.

Genomic alterations in head and neck squamous cell carcinoma determined by cancer gene-targeted sequencing.

Author information

1
Department of Oncology Department of Otolaryngology-Head and Neck Surgery cchung11@jhmi.edu.
2
Department of Biomedical Engineering, Institute for Computational Medicine.
3
Department of Oncology.
4
Department of Otolaryngology-Head and Neck Surgery.
5
Department of Oncology Department of Otolaryngology-Head and Neck Surgery Department of Milton J. Dance Head and Neck Center, Baltimore.
6
Department of Radiation Oncology.
7
Department of Oncology Department of Otolaryngology-Head and Neck Surgery Department of Radiology and Radiological Sciences.
8
Department of Medicine, University of Chicago, Chicago.
9
Foundation Medicine, Inc., Cambridge, USA.
10
Department of Oncology Department of Biomedical Engineering, Institute for Computational Medicine.
11
Department of Pathology, The Johns Hopkins University School of Medicine, Baltimore.

Abstract

BACKGROUND:

To determine genomic alterations in head and neck squamous cell carcinoma (HNSCC) using formalin-fixed, paraffin-embedded (FFPE) tumors obtained through routine clinical practice, selected cancer-related genes were evaluated and compared with alterations seen in frozen tumors obtained through research studies.

PATIENTS AND METHODS:

DNA samples obtained from 252 FFPE HNSCC were analyzed using next-generation sequencing-based (NGS) clinical assay to determine sequence and copy number variations in 236 cancer-related genes plus 47 introns from 19 genes frequently rearranged in cancer. Human papillomavirus (HPV) status was determined by presence of the HPV DNA sequence in all samples and corroborated with high-risk HPV in situ hybridization (ISH) and p16 immunohistochemical (IHC) staining in a subset of tumors. Sequencing data from 399 frozen tumors in The Cancer Genome Atlas and University of Chicago public datasets were analyzed for comparison.

RESULTS:

Among 252 FFPE HNSCC, 84 (33%) were HPV positive and 168 (67%) were HPV negative by sequencing. A subset of 40 tumors with HPV ISH and p16 IHC results showed complete concordance with NGS-derived HPV status. The most common genes with genomic alterations were PIK3CA and PTEN in HPV-positive tumors and TP53 and CDKN2A/B in HPV-negative tumors. In the pathway analysis, the PI3K pathway in HPV-positive tumors and DNA repair-p53 and cell cycle pathways in HPV-negative tumors were frequently altered. The HPV-positive oropharynx and HPV-positive nasal cavity/paranasal sinus carcinoma shared similar mutational profiles.

CONCLUSION:

The genomic profile of FFPE HNSCC tumors obtained through routine clinical practice is comparable with frozen tumors studied in research setting, demonstrating the feasibility of comprehensive genomic profiling in a clinical setting. However, the clinical significance of these genomic alterations requires further investigation through application of these genomic profiles as integral biomarkers in clinical trials.

KEYWORDS:

DNA mutation; copy number variation; head and neck squamous cell carcinoma; human papillomavirus

PMID:
25712460
PMCID:
PMC4516044
DOI:
10.1093/annonc/mdv109
[Indexed for MEDLINE]
Free PMC Article

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