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Aksoy, B. Arman; Amin, Samirkumar B.; Bartlett, John; Behera, Madhusmita; Bernard, Brady; Boice, Lori; Brzezinski, Jakub; Cappellini, Giancarlo Antonini; Chevalier, Aaron; Cho, Juok; Cho, Raymond J.; Chudamani, Sudha; Clarke, Amanda; Coons, Stephen; Cope, Leslie; Davidsen, Tanja; Davies, Michael A.; Delman, Keith A.; Dhalla, Noreen; Dubina, Michael; Ebrom, J. Stephen; Eley, Greg; Gao, Jianjiong; Gardner, Johanna; Garraway, Levi A.; Gastier-Foster, Julie M.; Gaudioso, Carmelo; Getz, Gad; Gomez-Fernandez, Carmen; Hadjipanayis, Angela; Halaban, Ruth; Hayes, D. Neil; Hoadley, Katherine A.; Huang, Mei; Jones, Steven J.M.; Ju, Zhenlin; Kim, Jaegil; Kirkwood, John M.; Krauthammer, Michael; Kwong, Lawrence N.; Ladanyi, Marc; Łaźniak, Radoslaw; Lee, Darlene; Liu, Jia; Liu, Wenbin; Long, Georgina V.; Ma, Singer; Manikhas, Georgy M.; Mann, Graham J.; Mayo, Michael; Mehrabi, Sousan; Meng, Shaowu; Meyerson, Matthew; Mieczkowski, Piotr A.; Miller, Martin L.; Moschos, Stergios; Murawa, Dawid; Ozenberger, Bradley A.; Parfitt, Jeremy; Perou, Charles M.; Pihl, Todd D.; Quinn, Michael J.; Radenbaugh, Amie; Ramirez, Nilsa C.; Ramirez, Ricardo; Ren, Xiaojia; Reynolds, Sheila M.; Robertson, A. Gordon; Roszik, Jason; Saller, Charles; Santoso, Netty; Schein, Jacqueline E.; Scolyer, Richard A.; Sekhar, Pedamallu Chandra; Shannon, Kerwin F.; Sharpless, Norman E.; Shelton, Candace; Sheth, Margi; Shi, Yan; Sica, Gabriel L.; Sofia, Heidi J.; Spillane, Andrew J.; Stuart, Joshua; Sun, Yichao; Tam, Angela; Veluvolu, Umadevi; Voronina, Olga; Walter, Vonn; Wan, Yunhu; Watson, Ian R.; White, Peter; Wilkerson, Matthew D.; Wu, Junyuan; Xu, Andrew Wei; Yang, Da; Yang, Liming; Yang, Lixing; Zhang, Hailei; Zhang, Jianhua; Zmuda, Erik
Cell, 06/2015, Letnik: 161, Številka: 7Journal Article
We describe the landscape of genomic alterations in cutaneous melanomas through DNA, RNA, and protein-based analysis of 333 primary and/or metastatic melanomas from 331 patients. We establish a framework for genomic classification into one of four subtypes based on the pattern of the most prevalent significantly mutated genes: mutant BRAF, mutant RAS, mutant NF1, and Triple-WT (wild-type). Integrative analysis reveals enrichment of KIT mutations and focal amplifications and complex structural rearrangements as a feature of the Triple-WT subtype. We found no significant outcome correlation with genomic classification, but samples assigned a transcriptomic subclass enriched for immune gene expression associated with lymphocyte infiltrate on pathology review and high LCK protein expression, a T cell marker, were associated with improved patient survival. This clinicopathological and multi-dimensional analysis suggests that the prognosis of melanoma patients with regional metastases is influenced by tumor stroma immunobiology, offering insights to further personalize therapeutic decision-making. Display omitted •Represents the largest integrative analysis of cutaneous melanoma (331 patients)•Establishes a framework for melanoma genomic classification: BRAF, RAS, NF1, and Triple-WT•Identifies additional subtypes that may benefit from MAPK- and RTK-targeted therapies•Multi-dimensional analyses identify immune signatures associated with improved survival An integrative analysis of cutaneous melanomas establishes a framework for genomic classification into four subtypes that can guide clinical decision-making for targeted therapies. A subset of each of the genomic classes expresses considerable immune infiltration markers that are associated with improved survival, with potential implications for immunotherapy.
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in: SICRIS
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