1. Genomic landscape of lung adenocarcinoma in East Asians
- Author
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Tony Kiat Hon Lim, Boon-Hean Ong, Devanand Anantham, Poh Sum Choi, Wan-Teck Lim, Bing Lim, Jin Liu, Chow Wei Too, Caretha L. Creasy, Lidyana Bte Amer, He-Chuan Yang, Jia Qi Lim, K.P. Chua, Yi Fei Lee, Mei Mei Chang, Audrey S.M. Teo, Jacob Josiah Santiago Alvarez, Wai Leong Tam, Poh Yong Ng, Lisda Suteja, Pauline Jieqi Chen, Jianbin Chen, Anders Jacobsen Skanderup, Lan-Ying Wang, Axel M. Hillmer, Chee Keong Toh, Eng Huat Tan, Apoorva Gogna, Bingxin Lu, Yin Yeng Lee, Weiwei Zhai, Zaw Win Aung, Chu Quan Tan, Joe Poh Sheng Yeong, Andreas Wilm, Angela Takano, Faranak Ghazi Sherbaf, Tina Puay Theng Koh, Rahul Nahar, Daniel Shao Weng Tan, Anne Ann Ling Hsu, Siming Ma, and Cheryl Zi Jin Phua
- Subjects
Genetics ,0303 health sciences ,Genomics ,Biology ,medicine.disease ,Phenotype ,Genome ,Gene expression profiling ,03 medical and health sciences ,0302 clinical medicine ,Genomic Profile ,medicine ,Adenocarcinoma ,Lung cancer ,Exome ,030217 neurology & neurosurgery ,030304 developmental biology - Abstract
Lung cancer is the world’s leading cause of cancer death and shows strong ancestry disparities. By sequencing and assembling a large genomic and transcriptomic dataset of lung adenocarcinoma (LUAD) in individuals of East Asian ancestry (EAS; n = 305), we found that East Asian LUADs had more stable genomes characterized by fewer mutations and fewer copy number alterations than LUADs from individuals of European ancestry. This difference is much stronger in smokers as compared to nonsmokers. Transcriptomic clustering identified a new EAS-specific LUAD subgroup with a less complex genomic profile and upregulated immune-related genes, allowing the possibility of immunotherapy-based approaches. Integrative analysis across clinical and molecular features showed the importance of molecular phenotypes in patient prognostic stratification. EAS LUADs had better prediction accuracy than those of European ancestry, potentially due to their less complex genomic architecture. This study elucidated a comprehensive genomic landscape of EAS LUADs and highlighted important ancestry differences between the two cohorts. Genomic and transcriptomic analysis of lung adenocarcinoma (LUAD) in Asia indicates that Asian LUADs have fewer mutations, lower driver prevalence and fewer copy number alterations than European LUADs.
- Published
- 2020