2023
DOI: 10.1158/2159-8290.cd-22-1427
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Late-Stage Metastatic Melanoma Emerges through a Diversity of Evolutionary Pathways

Abstract: Understanding the evolutionary pathways to metastasis and resistance to immune checkpoint inhibitors (ICI) in melanoma is critical for improving outcomes. Here we present the most comprehensive intra-patient metastatic melanoma dataset assembled to date as part of the PEACE research autopsy programme, including 222 exome, 493 panel-sequenced, 161 RNA-seq, and 22 single-cell whole-genome sequencing samples from 14 ICI-treated patients. We observed frequent whole-genome doubling and widespread loss of heterozygo… Show more

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Cited by 23 publications
(14 citation statements)
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“…Stöber et al conducted a study on cells from neuroblastoma (NB) cell lines and patients and revealed that MYCN copy numbers among cells varied significantly, by orders of magnitude, and that such extensive heterogeneity was only observed in the ecDNA region [49] . Spain et al also reported the discovery of heterogeneous KIT copies in melanoma patients carrying ecDNA through single-cell whole genome sequencing (scWGS-seq) [51] . In another study, Parra et al found that in chromothriptic medulloblastoma (MB), most tumor cells carried 10–20 copies of ecDNA, while very few cells harbored more than 100 copies [42] .…”
Section: Single-cell Sequencing and Ecdna Researchmentioning
confidence: 99%
“…Stöber et al conducted a study on cells from neuroblastoma (NB) cell lines and patients and revealed that MYCN copy numbers among cells varied significantly, by orders of magnitude, and that such extensive heterogeneity was only observed in the ecDNA region [49] . Spain et al also reported the discovery of heterogeneous KIT copies in melanoma patients carrying ecDNA through single-cell whole genome sequencing (scWGS-seq) [51] . In another study, Parra et al found that in chromothriptic medulloblastoma (MB), most tumor cells carried 10–20 copies of ecDNA, while very few cells harbored more than 100 copies [42] .…”
Section: Single-cell Sequencing and Ecdna Researchmentioning
confidence: 99%
“…FST mediates the ability of YAP to stimulate cell invasion in melanoma [ 23 , 44 ], and its expression correlates with metastasis in a breast cancer mouse model [ 45 ] and with survival outcomes in cancer patients [ 46 ]. MYC is involved in tumor progression [ 47 ] and in the response to therapy of both melanoma [ 48 ] and breast carcinoma [ 49 ]. TP73 plays a role in the progression of melanoma [ 50 ], and breast carcinoma [ 51 ], and in YAP-mediated response of breast cancer to therapy [ 52 ].…”
Section: Discussionmentioning
confidence: 99%
“…These findings are consistent with those of Lina et al, who emphasized the critical role of antigen presentation in activating autologous CD8 + T cells in the prognosis of ICIs treatment 71 . According to Lavinia et al, the loss of heterozygosity resulting from frequent genomic alterations in advanced tumors frequently affects antigen presentation 72 . Therefore, we propose that the antigen presentation signature in melanoma may serve as a target to enhance the response to ICIs treatment.…”
Section: Discussionmentioning
confidence: 99%