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Systematic investigation of the prognostic impact of clonal status of somatic mutations across multiple cancer types

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机构: [1]College of Bioinformatics Science and Technology, Harbin Medical University, Harbin, Heilongjiang 150081, China [2]Advanced Innovation Center for Human Brain Protection, and National Clinical Research Center for Geriatric Disorders, Xuanwu Hospital Capital Medical University, Beijing 100053, China
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关键词: Clonal status Prognosis Subclonal mutation Intra-tumor heterogeneity Risk stratification

摘要:
Tumors are genetically heterogeneous and many mutations are actually present in subclonal populations. The clonal status of mutations is valuable for accurate prognosis, clinical management. The aim of this study was to identify the clonal status of somatic mutations and systematically evaluate their prognostic values across various cancer types. We totally identified 227 clonal and 432 subclonal mutations contributed to prognosis and demonstrated the importance of clonal status in improving mutation-related clinical guidance. We further developed a customized multi-step approach to identify gene-specific prognostic patterns of clonal status at pan -cancer level and found some cancer-specific prognostic patterns. The 'subclonal-dependent risk' subpattern was one of the most common subpatterns, it usually accompanied by high genomic in-stability and high extent of intra-tumor heterogeneity and could be used to improve the accuracy of prognostic analysis. Our results revealed the importance of clonal status, especially subclonal mutation in clinical survival.

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出版当年[2021]版:
大类 | 3 区 生物学
小类 | 3 区 生物工程与应用微生物 3 区 遗传学
最新[2023]版:
大类 | 2 区 生物学
小类 | 2 区 生物工程与应用微生物 2 区 遗传学
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出版当年[2020]版:
Q1 GENETICS & HEREDITY Q1 BIOTECHNOLOGY & APPLIED MICROBIOLOGY
最新[2023]版:
Q2 GENETICS & HEREDITY Q2 BIOTECHNOLOGY & APPLIED MICROBIOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2020版] 出版当年五年平均 出版前一年[2019版] 出版后一年[2021版]

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第一作者机构: [1]College of Bioinformatics Science and Technology, Harbin Medical University, Harbin, Heilongjiang 150081, China
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