9 results on '"Nandakumar, Subhiksha"'
Search Results
2. Quantifying Y chromosome loss in primary and metastatic prostate cancer by chromosome painting.
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Rajanala, Sai Harisha, Ghale, Romina, Nandakumar, Subhiksha, Chadalavada, Kalyani, Lee, Gwo-Shu Mary, Stopsack, Konrad H., Chen, Yu, Nanjangud, Gouri J., Chakraborty, Goutam, and Kantoff, Philip W.
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Y chromosome , *CASTRATION-resistant prostate cancer , *PROSTATE cancer , *METASTASIS , *CHROMOSOMES , *NUDITY - Abstract
Somatic Y chromosome loss in hematopoietic cells is associated with higher mortality in men. However, the status of the Y chromosome in cancer tissue is not fully known due to technical limitations, such as difficulties in labelling and sequencing DNA from the Y chromosome. We have developed a system to quantify Y chromosome gain or loss in patient-derived prostate cancer organoids. Using our system, we observed Y chromosome loss in 4 of the 13 (31%) patient-derived metastatic castration-resistant prostate cancer (mCRPC) organoids; interestingly, loss of Yq (long arm of the Y chromosome) was seen in 38% of patient-derived organoids. Additionally, potential associations were observed between mCRPC and Y chromosome nullisomy. The prevalence of Y chromosome loss was similar in primary and metastatic tissue, suggesting that Y chromosome loss is an early event in prostate cancer evolution and may not a result of drug resistance or organoid derivation. This study reports quantification of Y chromosome loss and gain in primary and metastatic prostate cancer tissue and lays the groundwork for further studies investigating the clinical relevance of Y chromosome loss or gain in mCRPC. [ABSTRACT FROM AUTHOR]
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- 2024
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3. Gene-based Confirmatory Germline Testing Following Tumor-only Sequencing of Prostate Cancer.
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Truong, Hong, Breen, Kelsey, Nandakumar, Subhiksha, Sjoberg, Daniel D., Kemel, Yelena, Mehta, Nikita, Lenis, Andrew T., Reisz, Peter A., Carruthers, Jessica, Benfante, Nicole, Joseph, Vijai, Khurram, Aliya, Gopalan, Anuradha, Fine, Samson W., Reuter, Victor E., Vickers, Andrew J., Birsoy, Ozge, Liu, Ying, Walsh, Michael, and Latham, Alicia
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PROSTATE cancer , *GERM cells , *TUMOR suppressor genes , *PROSTATE cancer patients , *CANCER genes , *CANCER patients , *GENETIC counseling - Abstract
In our analysis of men who underwent prostate cancer tumor sequencing, the possibility of a variant being germline in origin varied by gene. Reflex germline testing of DNA damage repair genes should be emphasized given their very high probability of being germline in origin. Tumor-only genomic profiling is an important tool in therapeutic management of men with prostate cancer. Since clinically actionable germline variants may be reflected in tumor profiling, it is critical to identify which variants have a higher risk of being germline in origin to better counsel patients and prioritize genetic testing. To determine when variants found on tumor-only sequencing of prostate cancers should prompt confirmatory germline testing. Men with prostate cancer who underwent both tumor and germline sequencing at Memorial Sloan Kettering Cancer Center from January 1, 2015 to January 31, 2020 were evaluated. Tumor and germline profiles were analyzed for pathogenic and likely pathogenic ("pathogenic") variants in 60 moderate- or high-penetrance genes associated with cancer predisposition. The germline probability (germline/germline + somatic) of a variant was calculated for each gene. Clinical and pathologic factors were analyzed as potential modifiers of germline probability. Of the 1883 patients identified, 1084 (58%) had a somatic or germline pathogenic variant in one of 60 cancer susceptibility genes, and of them, 240 (22%) had at least one germline variant. Overall, the most frequent variants were in TP53 , PTEN , APC , BRCA2 , RB1 , ATM , and CHEK2. Variants in TP53 , PTEN , or RB1 were identified in 746 (40%) patients and were exclusively somatic. Variants with the highest germline probabilities were in PALB2 (69%), MITF (62%), HOXB13 (60%), CHEK2 (55%), BRCA1 (55%), and BRCA2 (47%), and the overall germline probability of a variant in any DNA damage repair gene was 40%. Limitations were that most of the men included in the cohort had metastatic disease, and different thresholds for pathogenicity exist for somatic and germline variants. Of patients with pathogenic variants found on prostate tumor sequencing, 22% had clinically actionable germline variants, for which the germline probabilities varied widely by gene. Our results provide an evidenced-based clinical framework to prioritize referral to genetic counseling following tumor-only sequencing. Patients with advanced prostate cancer are recommended to have germline genetic testing. Genetic sequencing of a patient's prostate tumor may also identify certain gene variants that are inherited. We found that patients who had variants in certain genes, such as ones that function in DNA damage repair, identified in their prostate tumor sequencing, had a high risk for having an inherited cancer syndrome. [ABSTRACT FROM AUTHOR]
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- 2023
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4. Real-world experience with circulating tumor DNA in cerebrospinal fluid from patients with central nervous system tumors.
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Hickman, Richard A., Miller, Alexandra M., Holle, Bridget M., Jee, Justin, Liu, Si-Yang, Ross, Dara, Yu, Helena, Riely, Gregory J., Ombres, Christina, Gewirtz, Alexandra N., Reiner, Anne S., Nandakumar, Subhiksha, Price, Adam, Kaley, Thomas J., Graham, Maya S., Vanderbilt, Chad, Rana, Satshil, Hill, Katherine, Chabot, Kiana, and Campos, Carl
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CIRCULATING tumor DNA , *CENTRAL nervous system , *NOSOLOGY , *CEREBROSPINAL fluid ,CENTRAL nervous system tumors - Abstract
The characterization of genetic alterations in tumor samples has become standard practice for many human cancers to achieve more precise disease classification and guide the selection of targeted therapies. Cerebrospinal fluid (CSF) can serve as a source of tumor DNA in patients with central nervous system (CNS) cancer. We performed comprehensive profiling of CSF circulating tumor DNA (ctDNA) in 711 patients using an FDA-authorized platform (MSK-IMPACT™) in a hospital laboratory. We identified genetic alterations in 489/922 (53.0%) CSF samples with clinically documented CNS tumors. None of 85 CSF samples from patients without CNS tumors had detectable ctDNA. The distribution of clinically actionable somatic alterations was consistent with tumor-type specific alterations across the AACR GENIE cohort. Repeated CSF ctDNA examinations from the same patients identified clonal evolution and emergence of resistance mechanisms. ctDNA detection was associated with shortened overall survival following CSF collection. Next-generation sequencing of CSF, collected through a minimally invasive lumbar puncture in a routine hospital setting, provides clinically actionable cancer genotype information in a large fraction of patients with CNS tumors. [ABSTRACT FROM AUTHOR]
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- 2024
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5. Pan-cancer Analysis of CDK12 Alterations Identifies a Subset of Prostate Cancers with Distinct Genomic and Clinical Characteristics.
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Nguyen, Bastien, Mota, Jose Mauricio, Nandakumar, Subhiksha, Stopsack, Konrad H., Weg, Emily, Rathkopf, Dana, Morris, Michael J., Scher, Howard I., Kantoff, Philip W., Gopalan, Anuradha, Zamarin, Dmitriy, Solit, David B., Schultz, Nikolaus, and Abida, Wassim
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CASTRATION-resistant prostate cancer , *PROSTATE cancer , *PROSTATE cancer patients , *OVARIAN cancer , *REGRESSION analysis - Abstract
CDK12 genomic alterations occur in several tumor types, but little is known about their oncogenic role and clinical significance. To describe the landscape of CDK12 alterations across solid cancers and the clinical features of CDK12 -altered prostate cancer. A single-center retrospective study of 26743 patients across 25 solid tumor types who underwent tumor sequencing was performed. Clinicopathologic features and outcomes were assessed in prostate cancer. CDK12 alterations and their association with genomic characteristics are described. For prostate cancer patients, overall survival and time to castration resistance were assessed using univariable and multivariable Cox regression analysis. CDK12 alterations were identified in 404/26743 patients (1.5%) overall, but were most frequent in prostate (100/1875, 5.3%) and ovarian cancer (43/1034, 4.2%), in which they were associated with a high prevalence of truncating variants and biallelic inactivation. CDK12 alterations defined a genomic subtype of prostate cancer with a unique copy-number alteration profile and involvement of distinct oncogenic pathway alterations, including cell-cycle pathway genes. CDK12 -altered prostate cancer was associated with somewhat more aggressive clinical features and shorter overall survival (median 64.4 vs 74.9 mo; p = 0.032) independent of standard clinical factors and tumor copy-number alteration burden (adjusted hazard ratio 1.80, 95% confidence interval 1.12–2.89; p = 0.024). The study is limited by its retrospective nature. CDK12 alteration is a rare event across solid cancers but defines a clinically distinct molecular subtype of prostate cancer associated with unique genomic alterations and slightly more aggressive clinical features. CDK12 gene alterations occur rarely across tumor types, but more frequently in prostate cancer, where they are associated with genomic instability, cell-cycle pathway gene alterations, and somewhat worse clinical outcomes, warranting further investigation of therapeutic targeting of this disease subset. CDK12 genomic alterations occur across solid tumors but are most frequent in prostate cancer, where they define a disease subset characterized by a unique pattern of genomic alterations and slightly worse clinical outcomes. These features warrant novel investigational therapeutic approaches. [ABSTRACT FROM AUTHOR]
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- 2020
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6. CDKN2A/B mutations and allele-specific alterations stratify survival outcomes in IDH-mutant astrocytomas.
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Hickman, Richard A., Gedvilaite, Erika, Ptashkin, Ryan, Reiner, Anne S., Cimera, Robert, Nandakumar, Subhiksha, Price, Adam, Vanderbilt, Chad, Fahy, Tara, Young, Robert J., Miller, Alexandra M., Mellinghoff, Ingo K., Rosenblum, Marc K., Ladanyi, Marc, Arcila, Maria E., Zhang, Yanming, Brannon, A. Rose, and Bale, Tejus A.
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SURVIVAL rate , *ASTROCYTOMAS , *HETEROZYGOSITY - Abstract
We verified intermediate OS of I CDKN2A/B i HEMIDEL between I CDKN2A/B i HOMDEL/mutant and neutral tumors (Fig. 1c), approximating the OS of tumors with I CDKN2A/B i copy loss (median survival: 3.0 years, CI: 1.4 years-NR) even after excluding hypermutant tumors [[10]]. [Extracted from the article]
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- 2023
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7. Genome Analysis and Replication Studies of the African Green Monkey Simian Foamy Virus Serotype 3 Strain FV2014.
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Fuentes, Sandra M., Bae, Eunhae H., Nandakumar, Subhiksha, Williams, Dhanya K., and Khan, Arifa S.
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CERCOPITHECUS aethiops , *SIMIAN viruses , *FOAMY viruses , *SIMIAN immunodeficiency virus , *RNA sequencing , *NUCLEOTIDE sequencing , *COMPARATIVE genomics , *SEQUENCE analysis - Abstract
African green monkey (AGM) spumaretroviruses have been less well-studied than other simian foamy viruses (SFVs). We report the biological and genomic characterization of SFVcae_FV2014, which was the first foamy virus isolated from an African green monkey (AGM) and was found to be serotype 3. Infectivity studies in various cell lines from different species (mouse, dog, rhesus monkey, AGM, and human) indicated that like other SFVs, SFVcae_FV2014 had broad species and cell tropism, and in vitro cell culture infection resulted in cytopathic effect (CPE). In Mus dunni (a wild mouse fibroblast cell line), MDCK (Madin-Darby canine kidney cell line), FRhK-4 (a fetal rhesus kidney cell line), and MRC-5 (a human fetal lung cell line), SFVcae_FV2014 infection was productive resulting in CPE, and had delayed or similar replication kinetics compared with SFVmcy_FV21 and SFVmcy_FV34[RF], which are two Taiwanese macaque isolates, designated as serotypes 1 and 2, respectively. However, in Vero (AGM kidney cell line) and A549 (a human lung carcinoma cell line), the replication kinetics of SFVcae_FV2014 and the SFVmcy viruses were discordant: In Vero, SFVcae_FV2014 showed rapid replication kinetics and extensive CPE, and a persistent infection was seen in A549, with delayed, low CPE, which did not progress even upon extended culture (day 55). Nucleotide sequence analysis of the assembled SFVcae_FV2014 genome, obtained by high-throughput sequencing, indicated an overall 80–90% nucleotide sequence identity with SFVcae_LK3, the only available full-length genome sequence of an AGM SFV, and was distinct phylogenetically from other AGM spumaretroviruses, corroborating previous results based on analysis of partial env sequences. Our study confirmed that SFVcae_FV2014 and SFVcae_LK3 are genetically distinct AGM foamy virus (FV) isolates. Furthermore, comparative infectivity studies of SFVcae_FV2014 and SFVmcy isolates showed that although SFVs have a wide host range and cell tropism, regulation of virus replication is complex and depends on the virus strain and cell-specific factors. [ABSTRACT FROM AUTHOR]
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- 2020
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8. Genomic characterization of metastatic patterns from prospective clinical sequencing of 25,000 patients.
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Nguyen, Bastien, Fong, Christopher, Luthra, Anisha, Smith, Shaleigh A., DiNatale, Renzo G., Nandakumar, Subhiksha, Walch, Henry, Chatila, Walid K., Madupuri, Ramyasree, Kundra, Ritika, Bielski, Craig M., Mastrogiacomo, Brooke, Donoghue, Mark T.A., Boire, Adrienne, Chandarlapaty, Sarat, Ganesh, Karuna, Harding, James J., Iacobuzio-Donahue, Christine A., Razavi, Pedram, and Reznik, Ed
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BREAST , *FALLOPIAN tubes , *SOMATIC mutation , *METASTASIS , *CANCER invasiveness , *DUCTAL carcinoma , *COLORECTAL cancer , *OVARIAN cancer - Abstract
Metastatic progression is the main cause of death in cancer patients, whereas the underlying genomic mechanisms driving metastasis remain largely unknown. Here, we assembled MSK-MET, a pan-cancer cohort of over 25,000 patients with metastatic diseases. By analyzing genomic and clinical data from this cohort, we identified associations between genomic alterations and patterns of metastatic dissemination across 50 tumor types. We found that chromosomal instability is strongly correlated with metastatic burden in some tumor types, including prostate adenocarcinoma, lung adenocarcinoma, and HR+/HER2+ breast ductal carcinoma, but not in others, including colorectal cancer and high-grade serous ovarian cancer, where copy-number alteration patterns may be established early in tumor development. We also identified somatic alterations associated with metastatic burden and specific target organs. Our data offer a valuable resource for the investigation of the biological basis for metastatic spread and highlight the complex role of chromosomal instability in cancer progression. [Display omitted] • A large clinico-genomic database to study metastatic patterns across 50 tumor types • Oncogenic alteration frequency and chromosomal instability are increased in metastases • Correlations between chromosomal instability and metastatic burden depend on cancer type • Genomic features associated with metastasis are identified for specific target organs Clinico-genomic analysis of MSK-MET, a cohort of over 25,000 patients with metastasis across 50 cancer types, identifies somatic alterations associated with organ-specific metastasis and highlights that chromosomal instability correlates with metastatic burden in a cancer type-dependent manner. [ABSTRACT FROM AUTHOR]
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- 2022
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9. 37. Spatiotemporal patterns of metastatic spread and survival from MSK-IMPACT, a large-scale prospective clinical sequencing.
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Nguyen, Bastien, Fong, Christopher, Vega, Francisco Sanchez, Luthra, Anisha, Nandakumar, Subhiksha, Walch, Henry, Chatila, Walid, Rajanna, Arjun Raj, Dinatale, Renzo, Solit, David, Berger, Michael, Zehir, Ahmet, Gao, Jianjiong, and Schultz, Nikolaus
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ELECTRONIC health records - Published
- 2020
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