Breast Cancer: Recurrent Genomic Alterations: Difference between revisions
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|- | |- | ||
|8p11.2 amplification | |8p11.2 amplification | ||
|''FGFR1'', ''ZNF703'' | |''[[FGFR1]]'', ''[[ZNF703]]'' | ||
|2 | |2 | ||
|METABRIC IntClust6, ER positive | |METABRIC IntClust6, ER positive | ||
|- | |- | ||
|8q24 amplification | |8q24 amplification | ||
|''MYC'' | |''[[MYC]]'' | ||
|2 | |2 | ||
|METABRIC IntClust9, ER positive | |METABRIC IntClust9, ER positive | ||
|- | |- | ||
|9p24 amplification | |9p24 amplification | ||
|''JAK2, CD274, PDCD1LG2'' | |''[[JAK2]], [[CD274]], [[PDCD1LG2]]'' | ||
|2 | |2 | ||
|Enriched in TNBC | |Enriched in TNBC | ||
|- | |- | ||
|10q23.3 loss or LOH | |10q23.3 loss or LOH | ||
|''PTEN'' | |''[[PTEN]]'' | ||
|2 | |2 | ||
|Enriched in TNBC and in lobular carcinoma | |Enriched in TNBC and in lobular carcinoma | ||
|- | |- | ||
|11q13-q14 gain / amplification | |11q13-q14 gain / amplification | ||
|''CCND1'', ''EMS1'', and others | |''[[CCND1]]'', ''[[EMS1]]'', and others | ||
|2 | |2 | ||
|METABRIC IntClust2 | |METABRIC IntClust2 | ||
|- | |- | ||
|16q loss / LOH | |16q loss / LOH | ||
|''CDH1'' | |''[[CDH1]]'' | ||
|2 | |2 | ||
|METABRIC IntClust2, ER positive | |METABRIC IntClust2, ER positive | ||
|- | |- | ||
|17p loss / LOH | |17p loss / LOH | ||
|''TP53'' | |''[[TP53]]'' | ||
|2 | |2 | ||
|TNBC, basal-like intrinsic subtype | |TNBC, basal-like intrinsic subtype | ||
|- | |- | ||
|17q12 amplification | |17q12 amplification | ||
|''ERBB2'' (''HER2'') | |''[[ERBB2]]'' (''HER2'') | ||
|1 | |1 | ||
|METABRIC IntClust5, HER2-enriched | |METABRIC IntClust5, HER2-enriched | ||
|- | |- | ||
|17q21 amplification | |17q21 amplification | ||
|''TOP2A'' | |''[[TOP2A]]'' | ||
|2 | |2 | ||
|METABRIC IntClust5, HER2-enriched | |METABRIC IntClust5, HER2-enriched | ||
|- | |- | ||
|17q23 amplification (“17q distal amplicon”) | |17q23 amplification (“17q distal amplicon”) | ||
|''RPS6KB'', others | |''[[RPS6KB]]'', others | ||
|2 | |2 | ||
|METABRIC IntClust1 | |METABRIC IntClust1 | ||
|- | |- | ||
|19q12 | |19q12 | ||
|''CCNE1'' | |''[[CCNE1]]'' | ||
|2 | |2 | ||
|METABRIC IntClust5; HER2-enriched | |METABRIC IntClust5; HER2-enriched | ||
|- | |- | ||
|20q gain; 20q13 amp | |20q gain; 20q13 amp | ||
|''AURKA'', ''GNAS'', ''ZNF217'' | |''[[AURKA]]'', ''[[GNAS]]'', ''[[ZNF217]]'' | ||
|2 | |2 | ||
|METABRIC IntClust1, ER Positive | |METABRIC IntClust1, ER Positive | ||
|} | |} | ||
Abbreviations: TNBC, triple negative breast cancer. | |||
'''Table 2 - Major clinically significant genes associated with somatic sequence alterations in breast cancer''' Table derived from Geiersbach et al., 2018 [<nowiki>PMID 32087595</nowiki>] with permission from Cancer Genetics. | '''Table 2 - Major clinically significant genes associated with somatic sequence alterations in breast cancer''' Table derived from Geiersbach et al., 2018 [<nowiki>PMID 32087595</nowiki>] with permission from Cancer Genetics. | ||
{| class="wikitable" | {| class="wikitable" | ||
| Line 78: | Line 80: | ||
|'''Therapy Implication(s)''' | |'''Therapy Implication(s)''' | ||
|- | |- | ||
|''AKT1'' | |''[[AKT1]]'' | ||
|2 | |2 | ||
|Metastatic BC | |Metastatic BC | ||
|AKT inhibitors | |AKT inhibitors | ||
|- | |- | ||
|''ATM'' | |''[[ATM]]'' | ||
|1 | |1 | ||
|Possible hereditary risk; TNBC | |Possible hereditary risk; TNBC | ||
|PARP inhibitors (germline) | |PARP inhibitors (germline) | ||
|- | |- | ||
|''BRCA1, BRCA2'' | |''[[BRCA1 syndrome|BRCA1]], [[BRCA2 syndrome|BRCA2]]'' | ||
|1 | |1 | ||
|Often hereditary risk; TNBC | |Often hereditary risk; TNBC | ||
|Platinum based therapy; PARP inhibitors (germline) | |Platinum based therapy; PARP inhibitors (germline) | ||
|- | |- | ||
|''CBFB'' | |''[[CBFB]]'' | ||
|2 | |2 | ||
|ER-positive, Metastatic BC | |ER-positive, Metastatic BC | ||
| | | | ||
|- | |- | ||
|''CCND1, CCNE1''* | |''[[CCND1]], [[CCNE1]]''* | ||
|2 | |2 | ||
|HER2-enriched | |HER2-enriched | ||
|CDK4/6 inhibitors | |CDK4/6 inhibitors | ||
|- | |- | ||
|''CDK4, CDK6''* | |''[[CDK4]], [[CDK6]]''* | ||
|2 | |2 | ||
|ER-positive, Metastatic BC | |ER-positive, Metastatic BC | ||
|CDK4/6 inhibitors | |CDK4/6 inhibitors | ||
|- | |- | ||
|''CDH1'' | |''[[CDH1]]'' | ||
|1 | |1 | ||
|Lobular histology; Possible hereditary risk | |Lobular histology; Possible hereditary risk | ||
| | | | ||
|- | |- | ||
|''CDKN2A'' | |''[[CDKN2A]]'' | ||
|2 | |2 | ||
|Metastatic BC | |Metastatic BC | ||
| | | | ||
|- | |- | ||
|''CHEK2'' | |''[[CHEK2]]'' | ||
|1 | |1 | ||
|Often hereditary risk | |Often hereditary risk | ||
|PARP inhibitors (germline) | |PARP inhibitors (germline) | ||
|- | |- | ||
|''ERBB2''* | |''[[ERBB2]]''* | ||
|1 | |1 | ||
|Rare activating sequence alterations; kinase domain resistance mutations; HER2-enriched | |Rare activating sequence alterations; kinase domain resistance mutations; HER2-enriched | ||
|HER2-targeted therapy | |HER2-targeted therapy | ||
|- | |- | ||
|''ESR1'' | |''[[ESR1]]'' | ||
|1 | |1 | ||
|Metastatic ER-positive | |Metastatic ER-positive | ||
|Hormone therapy resistance | |Hormone therapy resistance | ||
|- | |- | ||
|''FGFR1 | |''[[FGFR1]], [[FGFR2]], [[FGFR3]], [[FGFR4]]'' | ||
|2 | |2 | ||
|ER-positive | |ER-positive | ||
|FGFR inhibitors | |FGFR inhibitors | ||
|- | |- | ||
|''FOXA1'' | |''[[FOXA1]]'' | ||
|2 | |2 | ||
|ER-positive, Luminal subtype, lobular histology | |ER-positive, Luminal subtype, lobular histology | ||
| | | | ||
|- | |- | ||
|''GATA3'' | |''[[GATA3]]'' | ||
|2 | |2 | ||
|ER-positive, Luminal subtype | |ER-positive, Luminal subtype | ||
| | | | ||
|- | |- | ||
|''JAK2''* | |''[[JAK2]]''* | ||
|2 | |2 | ||
|TNBC | |TNBC | ||
|JAK2 inhibitors, immunotherapy | |JAK2 inhibitors, immunotherapy | ||
|- | |- | ||
|''MAP2K4'' | |''[[MAP2K4]]'' | ||
|2 | |2 | ||
|Metastatic BC | |Metastatic BC | ||
| | | | ||
|- | |- | ||
|''MAP3K1'' | |''[[MAP3K1]]'' | ||
|2 | |2 | ||
|ER-positive, Metastatic BC | |ER-positive, Metastatic BC | ||
| | | | ||
|- | |- | ||
|''MYC''* | |''[[MYC]]''* | ||
|2 | |2 | ||
| | | | ||
| | | | ||
|- | |- | ||
|''NBN'' | |''[[NBN]]'' | ||
|1 | |1 | ||
|Possible hereditary risk | |Possible hereditary risk | ||
|PARP inhibitors (germline) | |PARP inhibitors (germline) | ||
|- | |- | ||
|''NF1'' | |''[[NF1]]'' | ||
|1 | |1 | ||
|Possible hereditary risk | |Possible hereditary risk | ||
|mTOR/PI3K/AKT inhibitors (germline) | |mTOR/PI3K/AKT inhibitors (germline) | ||
|- | |- | ||
|''NTRK1 | |''[[NTRK1]], [[NTRK2]], [[NTRK3]]'' | ||
|1 | |1 | ||
| | | | ||
|NTRK inhibitors | |NTRK inhibitors | ||
|- | |- | ||
|''PALB2'' | |''[[PALB2]]'' | ||
|1 | |1 | ||
|Often hereditary risk | |Often hereditary risk | ||
|PARP inhibitors (germline) | |PARP inhibitors (germline) | ||
|- | |- | ||
|''PIK3CA'' | |''[[PIK3CA]]'' | ||
|1 | |1 | ||
|ER-Positive, Luminal subtype | |ER-Positive, Luminal subtype | ||
|PI3K inhibitors for selected hotspot mutations; acquired hormone resistance | |PI3K inhibitors for selected hotspot mutations; acquired hormone resistance | ||
|- | |- | ||
|''PTEN'' | |''[[PTEN]]'' | ||
|2 | |2 | ||
|Loss in lobular BC | |Loss in lobular BC | ||
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|mTOR/PI3K/AKT inhibitors; radiation contraindicated | |mTOR/PI3K/AKT inhibitors; radiation contraindicated | ||
|- | |- | ||
|''RB1'' | |''[[RB1]]'' | ||
|2 | |2 | ||
|Metastatic BC | |Metastatic BC | ||
|Acquired hormone resistance | |Acquired hormone resistance | ||
|- | |- | ||
|''STK11'' | |''[[STK11]]'' | ||
|1 | |1 | ||
|Possible hereditary risk | |Possible hereditary risk | ||
| | | | ||
|- | |- | ||
|''TBX3'' | |''[[TBX3]]'' | ||
|2 | |2 | ||
|Lobular BC | |Lobular BC | ||
| | | | ||
|- | |- | ||
|''TOP2A''* | |''[[TOP2A]]''* | ||
|2 | |2 | ||
| | | | ||
|Anthracycline inhibitors | |Anthracycline inhibitors | ||
|- | |- | ||
|''TP53'' | |''[[TP53]]'' | ||
|1 | |1 | ||
|TNBC, HER2-enriched, Metastatic BC | |TNBC, HER2-enriched, Metastatic BC | ||
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|'''Associated Syndrome; Breast Cancer Subtype''' | |'''Associated Syndrome; Breast Cancer Subtype''' | ||
|- | |- | ||
|''ATM'' | |''[[ATM]]'' | ||
|Ataxia telangiectasia syndrome | |Ataxia telangiectasia syndrome | ||
|- | |- | ||
|''BARD1'' | |''[[BARD1]]'' | ||
|TNBC | |TNBC | ||
|- | |- | ||
|''BRCA1'' | |''BRCA1'' | ||
|BRCA-Related Breast/ Ovarian Cancer Syndrome; TNBC | |[[BRCA1 syndrome|BRCA-Related Breast/ Ovarian Cancer Syndrome]]; TNBC | ||
|- | |- | ||
|''BRCA2'' | |''BRCA2'' | ||
|BRCA-Related Breast/ Ovarian Cancer Syndrome; TNBC | |[[BRCA2 syndrome|BRCA-Related Breast/ Ovarian Cancer Syndrome]]; TNBC | ||
|- | |- | ||
|''CDH1'' | |''[[CDH1]]'' | ||
|Hereditary Diffuse Gastric Cancer and Lobular Breast Cancer | |Hereditary Diffuse Gastric Cancer and Lobular Breast Cancer | ||
|- | |- | ||
|''CHEK2'' | |''[[CHEK2]]'' | ||
|Inherited breast cancer | |Inherited breast cancer | ||
|- | |- | ||
|''NBN'' | |''[[NBN]]'' | ||
|Nijmegen Breakage Syndrome | |Nijmegen Breakage Syndrome | ||
|- | |- | ||
|''NF1'' | |''[[NF1]]'' | ||
|Neurofibromatosis type 1 | |Neurofibromatosis type 1 | ||
|- | |- | ||
|''PALB2'' | |''[[PALB2]]'' | ||
|Fanconi anemia | |Fanconi anemia | ||
|- | |- | ||
|''PTEN'' | |''[[PTEN]]'' | ||
|Cowden syndrome | |Cowden syndrome | ||
|- | |- | ||
|''RAD51C'' | |''[[RAD51C]]'' | ||
|TNBC | |TNBC | ||
|- | |- | ||
|''RAD51D'' | |''[[RAD51D]]'' | ||
|TNBC | |TNBC | ||
|- | |- | ||
|''STK11'' | |''[[STK11]]'' | ||
|Peutz-Jeghers syndrome | |Peutz-Jeghers syndrome | ||
|- | |- | ||
|''TP53'' | |''[[TP53]]'' | ||
|Li-Fraumeni syndrome | |Li-Fraumeni syndrome | ||
|} | |} | ||
Abbreviations: TNBC, triple negative breast cancer. | |||