Molecular profiling of head and neck squamous cell carcinoma

Background Head and neck squamous cell carcinoma (HNSCC) exhibits high rates of recurrence, and with few approved targeted agents, novel treatments are needed. We analyzed a molecular profiling database for the distribution of biomarkers predictive of chemotherapies and targeted agents. Methods Seve...

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Veröffentlicht in:Head & neck 2016-04, Vol.38 (S1), p.E1625-E1638
Hauptverfasser: Feldman, Rebecca, Gatalica, Zoran, Knezetic, Joseph, Reddy, Sandeep, Nathan, Cherie-Ann, Javadi, Nader, Teknos, Theodoros
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container_end_page E1638
container_issue S1
container_start_page E1625
container_title Head & neck
container_volume 38
creator Feldman, Rebecca
Gatalica, Zoran
Knezetic, Joseph
Reddy, Sandeep
Nathan, Cherie-Ann
Javadi, Nader
Teknos, Theodoros
description Background Head and neck squamous cell carcinoma (HNSCC) exhibits high rates of recurrence, and with few approved targeted agents, novel treatments are needed. We analyzed a molecular profiling database for the distribution of biomarkers predictive of chemotherapies and targeted agents. Methods Seven hundred thirty‐five patients with advanced HNSCC (88 with known human papillomavirus [HPV] status), were profiled using multiple platforms (gene sequencing, gene copy number, and protein expression). Results Among the entire patient population studied, epidermal growth factor receptor (EGFR) was the protein most often overexpressed (90%), TP53 gene most often mutated (41%), and phosphatidylinositol 3‐kinase (PIK3CA) most often amplified (40%; n = 5). With the exception of TP53 mutation, other biomarker frequencies were not significantly different among HPV‐positive or HPV‐negative patients. PIK3CA mutations and phosphatase and tensin homolog (PTEN) loss are frequent events, independent of HPV status. The immune response‐modulating programmed cell death 1 (PD1) and programmed cell death ligand 1 (PDL1) axis was active across sites, stages, and HPV status. Conclusion Molecular profiling utilizing multiple platforms provides a range of therapy options beyond standard of care. © 2015 Wiley Periodicals, Inc. Head Neck 38: E1625–E1638, 2016
doi_str_mv 10.1002/hed.24290
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We analyzed a molecular profiling database for the distribution of biomarkers predictive of chemotherapies and targeted agents. Methods Seven hundred thirty‐five patients with advanced HNSCC (88 with known human papillomavirus [HPV] status), were profiled using multiple platforms (gene sequencing, gene copy number, and protein expression). Results Among the entire patient population studied, epidermal growth factor receptor (EGFR) was the protein most often overexpressed (90%), TP53 gene most often mutated (41%), and phosphatidylinositol 3‐kinase (PIK3CA) most often amplified (40%; n = 5). With the exception of TP53 mutation, other biomarker frequencies were not significantly different among HPV‐positive or HPV‐negative patients. PIK3CA mutations and phosphatase and tensin homolog (PTEN) loss are frequent events, independent of HPV status. The immune response‐modulating programmed cell death 1 (PD1) and programmed cell death ligand 1 (PDL1) axis was active across sites, stages, and HPV status. Conclusion Molecular profiling utilizing multiple platforms provides a range of therapy options beyond standard of care. © 2015 Wiley Periodicals, Inc. 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We analyzed a molecular profiling database for the distribution of biomarkers predictive of chemotherapies and targeted agents. Methods Seven hundred thirty‐five patients with advanced HNSCC (88 with known human papillomavirus [HPV] status), were profiled using multiple platforms (gene sequencing, gene copy number, and protein expression). Results Among the entire patient population studied, epidermal growth factor receptor (EGFR) was the protein most often overexpressed (90%), TP53 gene most often mutated (41%), and phosphatidylinositol 3‐kinase (PIK3CA) most often amplified (40%; n = 5). With the exception of TP53 mutation, other biomarker frequencies were not significantly different among HPV‐positive or HPV‐negative patients. PIK3CA mutations and phosphatase and tensin homolog (PTEN) loss are frequent events, independent of HPV status. The immune response‐modulating programmed cell death 1 (PD1) and programmed cell death ligand 1 (PDL1) axis was active across sites, stages, and HPV status. Conclusion Molecular profiling utilizing multiple platforms provides a range of therapy options beyond standard of care. © 2015 Wiley Periodicals, Inc. Head Neck 38: E1625–E1638, 2016</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>B7-H1 Antigen - genetics</subject><subject>biomarkers</subject><subject>Biomarkers, Tumor - genetics</subject><subject>Carcinoma, Squamous Cell - diagnosis</subject><subject>Carcinoma, Squamous Cell - genetics</subject><subject>Class I Phosphatidylinositol 3-Kinases - genetics</subject><subject>DNA sequencing</subject><subject>Female</subject><subject>Head and Neck Neoplasms - diagnosis</subject><subject>Head and Neck Neoplasms - genetics</subject><subject>head and neck squamous cell carcinoma</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>molecular profiling</subject><subject>Mutation</subject><subject>Neoplasm Recurrence, Local</subject><subject>Original</subject><subject>Papillomaviridae</subject><subject>Papillomavirus Infections</subject><subject>Programmed Cell Death 1 Receptor - genetics</subject><subject>protein expression</subject><subject>PTEN Phosphohydrolase - genetics</subject><subject>Receptor, Epidermal Growth Factor - genetics</subject><subject>Tumor Suppressor Protein p53 - genetics</subject><subject>Young Adult</subject><issn>1043-3074</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><recordid>eNp1kE1v1DAQhi0EakvpgT9Q5QiHtOOP2IlUIUEpLai0hy4fN2viTLqmSby1N0D_Pdluu4IDJ4_kZ56ZeRl7yeGAA4jDOTUHQokKnrAdDpXJQSrzdFUrmUswaps9T-kHAEitxBbbFlpzZaDcYUefQ0du7DBmixha3_nhOgttNidsMhyabCB3k6XbEfswpsxR12UOo_ND6PEFe9Zil2jv4d1lXz6czI7P8vPL04_Hb89zV_AKciGLppUKtWgJnC5qARKFqZQRWNQaGoOq1K6ta65KabgwoqlEJUhXhIJKucverL2Lse6pcTQsI3Z2EX2P8c4G9Pbfn8HP7XX4aQvQkhuYBK8eBDHcjpSWtvdpdQsONJ1luSmVUbqSK_T1GnUxpBSp3YzhYFdp2ylte5_2xO7_vdeGfIx3Ag7XwC_f0d3_Tfbs5P2jMl93-LSk35sOjDdWG2kK--3i1H4tZp_efeczeyX_ALJnl-w</recordid><startdate>201604</startdate><enddate>201604</enddate><creator>Feldman, Rebecca</creator><creator>Gatalica, Zoran</creator><creator>Knezetic, Joseph</creator><creator>Reddy, Sandeep</creator><creator>Nathan, Cherie-Ann</creator><creator>Javadi, Nader</creator><creator>Teknos, Theodoros</creator><general>Blackwell Publishing Ltd</general><general>John Wiley and Sons Inc</general><scope>BSCLL</scope><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201604</creationdate><title>Molecular profiling of head and neck squamous cell carcinoma</title><author>Feldman, Rebecca ; Gatalica, Zoran ; Knezetic, Joseph ; Reddy, Sandeep ; Nathan, Cherie-Ann ; Javadi, Nader ; Teknos, Theodoros</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5190-235df34a62fe0c65b203a279472a5b60d7a486cfbb148371272d9292e69ea2e83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>B7-H1 Antigen - genetics</topic><topic>biomarkers</topic><topic>Biomarkers, Tumor - genetics</topic><topic>Carcinoma, Squamous Cell - diagnosis</topic><topic>Carcinoma, Squamous Cell - genetics</topic><topic>Class I Phosphatidylinositol 3-Kinases - genetics</topic><topic>DNA sequencing</topic><topic>Female</topic><topic>Head and Neck Neoplasms - diagnosis</topic><topic>Head and Neck Neoplasms - genetics</topic><topic>head and neck squamous cell carcinoma</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>molecular profiling</topic><topic>Mutation</topic><topic>Neoplasm Recurrence, Local</topic><topic>Original</topic><topic>Papillomaviridae</topic><topic>Papillomavirus Infections</topic><topic>Programmed Cell Death 1 Receptor - genetics</topic><topic>protein expression</topic><topic>PTEN Phosphohydrolase - genetics</topic><topic>Receptor, Epidermal Growth Factor - genetics</topic><topic>Tumor Suppressor Protein p53 - genetics</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Feldman, Rebecca</creatorcontrib><creatorcontrib>Gatalica, Zoran</creatorcontrib><creatorcontrib>Knezetic, Joseph</creatorcontrib><creatorcontrib>Reddy, Sandeep</creatorcontrib><creatorcontrib>Nathan, Cherie-Ann</creatorcontrib><creatorcontrib>Javadi, Nader</creatorcontrib><creatorcontrib>Teknos, Theodoros</creatorcontrib><collection>Istex</collection><collection>Wiley Online Library Open Access</collection><collection>Wiley Online Library Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Head &amp; neck</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Feldman, Rebecca</au><au>Gatalica, Zoran</au><au>Knezetic, Joseph</au><au>Reddy, Sandeep</au><au>Nathan, Cherie-Ann</au><au>Javadi, Nader</au><au>Teknos, Theodoros</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Molecular profiling of head and neck squamous cell carcinoma</atitle><jtitle>Head &amp; neck</jtitle><addtitle>Head Neck</addtitle><date>2016-04</date><risdate>2016</risdate><volume>38</volume><issue>S1</issue><spage>E1625</spage><epage>E1638</epage><pages>E1625-E1638</pages><issn>1043-3074</issn><eissn>1097-0347</eissn><abstract>Background Head and neck squamous cell carcinoma (HNSCC) exhibits high rates of recurrence, and with few approved targeted agents, novel treatments are needed. We analyzed a molecular profiling database for the distribution of biomarkers predictive of chemotherapies and targeted agents. Methods Seven hundred thirty‐five patients with advanced HNSCC (88 with known human papillomavirus [HPV] status), were profiled using multiple platforms (gene sequencing, gene copy number, and protein expression). Results Among the entire patient population studied, epidermal growth factor receptor (EGFR) was the protein most often overexpressed (90%), TP53 gene most often mutated (41%), and phosphatidylinositol 3‐kinase (PIK3CA) most often amplified (40%; n = 5). With the exception of TP53 mutation, other biomarker frequencies were not significantly different among HPV‐positive or HPV‐negative patients. PIK3CA mutations and phosphatase and tensin homolog (PTEN) loss are frequent events, independent of HPV status. The immune response‐modulating programmed cell death 1 (PD1) and programmed cell death ligand 1 (PDL1) axis was active across sites, stages, and HPV status. Conclusion Molecular profiling utilizing multiple platforms provides a range of therapy options beyond standard of care. © 2015 Wiley Periodicals, Inc. Head Neck 38: E1625–E1638, 2016</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>26614708</pmid><doi>10.1002/hed.24290</doi><tpages>14</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Aged, 80 and over
B7-H1 Antigen - genetics
biomarkers
Biomarkers, Tumor - genetics
Carcinoma, Squamous Cell - diagnosis
Carcinoma, Squamous Cell - genetics
Class I Phosphatidylinositol 3-Kinases - genetics
DNA sequencing
Female
Head and Neck Neoplasms - diagnosis
Head and Neck Neoplasms - genetics
head and neck squamous cell carcinoma
Humans
Male
Middle Aged
molecular profiling
Mutation
Neoplasm Recurrence, Local
Original
Papillomaviridae
Papillomavirus Infections
Programmed Cell Death 1 Receptor - genetics
protein expression
PTEN Phosphohydrolase - genetics
Receptor, Epidermal Growth Factor - genetics
Tumor Suppressor Protein p53 - genetics
Young Adult
title Molecular profiling of head and neck squamous cell carcinoma
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