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  • Clinical sequencing of soft...
    Nacev, Benjamin A; Sanchez-Vega, Francisco; Smith, Shaleigh A; Antonescu, Cristina R; Rosenbaum, Evan; Shi, Hongyu; Tang, Cerise; Socci, Nicholas D; Rana, Satshil; Gularte-Mérida, Rodrigo; Zehir, Ahmet; Gounder, Mrinal M; Bowler, Timothy G; Luthra, Anisha; Jadeja, Bhumika; Okada, Azusa; Strong, Jonathan A; Stoller, Jake; Chan, Jason E; Chi, Ping; D'Angelo, Sandra P; Dickson, Mark A; Kelly, Ciara M; Keohan, Mary Louise; Movva, Sujana; Thornton, Katherine; Meyers, Paul A; Wexler, Leonard H; Slotkin, Emily K; Glade Bender, Julia L; Shukla, Neerav N; Hensley, Martee L; Healey, John H; La Quaglia, Michael P; Alektiar, Kaled M; Crago, Aimee M; Yoon, Sam S; Untch, Brian R; Chiang, Sarah; Agaram, Narasimhan P; Hameed, Meera R; Berger, Michael F; Solit, David B; Schultz, Nikolaus; Ladanyi, Marc; Singer, Samuel; Tap, William D

    Nature communications, 06/2022, Letnik: 13, Številka: 1
    Journal Article

    The genetic, biologic, and clinical heterogeneity of sarcomas poses a challenge for the identification of therapeutic targets, clinical research, and advancing patient care. Because there are > 100 sarcoma subtypes, in-depth genetic studies have focused on one or a few subtypes. Herein, we report a comparative genetic analysis of 2,138 sarcomas representing 45 pathological entities. This cohort is prospectively analyzed using targeted sequencing to characterize subtype-specific somatic alterations in targetable pathways, rates of whole genome doubling, mutational signatures, and subtype-agnostic genomic clusters. The most common alterations are in cell cycle control and TP53, receptor tyrosine kinases/PI3K/RAS, and epigenetic regulators. Subtype-specific associations include TERT amplification in intimal sarcoma and SWI/SNF alterations in uterine adenosarcoma. Tumor mutational burden, while low compared to other cancers, varies between and within subtypes. This resource will improve sarcoma models, motivate studies of subtype-specific alterations, and inform investigations of genetic factors and their correlations with treatment response.