Fusobacterium Nucleatum-Induced Tumor Mutation Burden Predicts Poor Survival of Gastric Cancer Patients

Co-infection of and is a microbial biomarker for poor prognosis of gastric cancer patients. is associated with microsatellite instability and the accumulation of mutations in colorectal cancer. Here, we investigated the mutation landscape of -positive resected gastric cancer tissues using Illumina T...

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Veröffentlicht in:Cancers 2022-12, Vol.15 (1), p.269
Hauptverfasser: Hsieh, Yung-Yu, Kuo, Wen-Lin, Hsu, Wan-Ting, Tung, Shui-Yi, Li, Chin
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Hsu, Wan-Ting
Tung, Shui-Yi
Li, Chin
description Co-infection of and is a microbial biomarker for poor prognosis of gastric cancer patients. is associated with microsatellite instability and the accumulation of mutations in colorectal cancer. Here, we investigated the mutation landscape of -positive resected gastric cancer tissues using Illumina TruSight Oncology 500 comprehensive panel. Sequencing data were processed to identify the small nucleotide variants, small insertions and deletions, and unstable microsatellite sites. The bioinformatic algorithm also calculated copy number gains of preselected genes and tumor mutation burden. The recurrent genetic aberrations were identified in this study cohort. For gene amplification events, ERBB2, cell cycle regulators, and specific FGF ligands and receptors were the most frequently amplified genes. Pathogenic activation mutations of ERBB2, ERBB3, and PIK3CA, as well as loss-of-function of TP53, were identified in multiple patients. Furthermore, infection is positively correlated with a higher tumor mutation burden. Survival analysis showed that the combination of infection and high tumor mutation burden formed an extremely effective biomarker to predict poor prognosis. Our results indicated that the ERBB2-PIK3-AKT-mTOR pathway is frequently activated in gastric cancer and that and high mutation burden are strong biomarkers of poor prognosis for gastric cancer patients.
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subjects AKT protein
Biomarkers
Capillary electrophoresis
Cell cycle
Colorectal cancer
Colorectal carcinoma
Copy number
DNA damage
ErbB-2 protein
ErbB-3 protein
Fibroblast growth factors
Fusobacterium nucleatum
Gastric cancer
Gastrointestinal tract
Gene amplification
Genetic aspects
Genomes
Gram-negative bacteria
Health aspects
Helicobacter pylori
Infections
Medical prognosis
Microbiota
Microsatellite instability
Mutation
Mutation (Biology)
Oncology
p53 Protein
Prognosis
Review boards
Risk factors
Statistical analysis
Stomach cancer
TOR protein
Transcription activation
Tumors
title Fusobacterium Nucleatum-Induced Tumor Mutation Burden Predicts Poor Survival of Gastric Cancer Patients
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