Abstract
Background/aims:
Malignant mesothelioma of the tunica vaginalis testis is a rare and lethal disease. The genomic characteristics and genetic changes of tumor cells during the progression of this disease are unknown.
Methods:
we performed whole-genome sequencing of four successive tumor samples derived from surgery and a blood sample in a single patient.
Results:
All tumors were found to have significant C-to-T and T-to-C mutations, and amplification of copy number in chromosomes 1 and 12 were notified in all tumor samples. Subclone analysis revealed a parallel evolution of the tumor in this patient. We also identified some mutations in mesothelioma-associated genes such as KIF25, AHNAK, and PRDM2.
Conclusions:
The results showed a comprehensive genomic change in malignant mesothelioma of the tunica vaginalis testis and provide a better understanding of the clonal evolution during tumor recurrence and metastasis.
Keywords:
Clonal evolution; Mutational landscape; Tumor heterogeneity; Tunica vaginalis testis; Whole-genome sequencing.
© 2018 The Author(s). Published by S. Karger AG, Basel.
MeSH terms
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Aged
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Antineoplastic Agents / therapeutic use
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DNA-Binding Proteins / chemistry
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DNA-Binding Proteins / genetics
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Evolution, Molecular*
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Histone-Lysine N-Methyltransferase / chemistry
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Histone-Lysine N-Methyltransferase / genetics
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Humans
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INDEL Mutation
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Kinesins / chemistry
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Kinesins / genetics
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Lung Neoplasms / drug therapy
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Lung Neoplasms / genetics*
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Lung Neoplasms / pathology
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Lung Neoplasms / radiotherapy
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Male
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Membrane Proteins / chemistry
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Membrane Proteins / genetics
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Mesothelioma / drug therapy
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Mesothelioma / genetics*
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Mesothelioma / pathology
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Mesothelioma / radiotherapy
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Mesothelioma, Malignant
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Mutagenesis, Insertional
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Neoplasm Proteins / chemistry
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Neoplasm Proteins / genetics
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Neoplasm Recurrence, Local
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Nuclear Proteins / chemistry
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Nuclear Proteins / genetics
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Polymorphism, Single Nucleotide
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Radiation, Ionizing
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Sequence Analysis, DNA
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Testicular Neoplasms / genetics*
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Testicular Neoplasms / pathology
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Transcription Factors / chemistry
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Transcription Factors / genetics
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Whole Genome Sequencing
Substances
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AHNAK protein, human
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Antineoplastic Agents
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DNA-Binding Proteins
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KIF25 protein, human
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Membrane Proteins
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Neoplasm Proteins
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Nuclear Proteins
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Transcription Factors
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Histone-Lysine N-Methyltransferase
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PRDM2 protein, human
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Kinesins