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The copy number and mutational landscape of recurrent ovarian high-grade serous carcinoma

Author

Listed:
  • Philip Smith

    (CRUK Cambridge Institute, University of Cambridge)

  • Thomas Bradley

    (CRUK Cambridge Institute, University of Cambridge)

  • Lena Morrill Gavarró

    (CRUK Cambridge Institute, University of Cambridge)

  • Teodora Goranova

    (CRUK Cambridge Institute, University of Cambridge)

  • Darren P. Ennis

    (Imperial College London)

  • Hasan B. Mirza

    (Imperial College London)

  • Dilrini Silva

    (CRUK Cambridge Institute, University of Cambridge)

  • Anna M. Piskorz

    (CRUK Cambridge Institute, University of Cambridge)

  • Carolin M. Sauer

    (CRUK Cambridge Institute, University of Cambridge)

  • Sarwah Al-Khalidi

    (CRUK Cambridge Institute, University of Cambridge)

  • Ionut-Gabriel Funingana

    (CRUK Cambridge Institute, University of Cambridge
    Cambridge University Hospitals NHS Foundation Trust)

  • Marika A. V. Reinius

    (CRUK Cambridge Institute, University of Cambridge
    Cambridge University Hospitals NHS Foundation Trust)

  • Gaia Giannone

    (Imperial College London)

  • Liz-Anne Lewsley

    (University of Glasgow)

  • Jamie Stobo

    (University of Glasgow)

  • John McQueen

    (University of Glasgow)

  • Gareth Bryson

    (Queen Elizabeth University Hospital)

  • Matthew Eldridge

    (CRUK Cambridge Institute, University of Cambridge)

  • Geoff Macintyre

    (CRUK Cambridge Institute, University of Cambridge
    Centro Nacional de Investigaciones Oncológicas)

  • Florian Markowetz

    (CRUK Cambridge Institute, University of Cambridge)

  • James D. Brenton

    (CRUK Cambridge Institute, University of Cambridge
    Cambridge University Hospitals NHS Foundation Trust)

  • Iain A. McNeish

    (Imperial College London)

Abstract

The drivers of recurrence and resistance in ovarian high grade serous carcinoma remain unclear. We investigate the acquisition of resistance by collecting tumour biopsies from a cohort of 276 women with relapsed ovarian high grade serous carcinoma in the BriTROC-1 study. Panel sequencing shows close concordance between diagnosis and relapse, with only four discordant cases. There is also very strong concordance in copy number between diagnosis and relapse, with no significant difference in purity, ploidy or focal somatic copy number alterations, even when stratified by platinum sensitivity or prior chemotherapy lines. Copy number signatures are strongly correlated with immune cell infiltration, whilst diagnosis samples from patients with primary platinum resistance have increased rates of CCNE1 and KRAS amplification and copy number signature 1 exposure. Our data show that the ovarian high grade serous carcinoma genome is remarkably stable between diagnosis and relapse and acquired chemotherapy resistance does not select for common copy number drivers.

Suggested Citation

  • Philip Smith & Thomas Bradley & Lena Morrill Gavarró & Teodora Goranova & Darren P. Ennis & Hasan B. Mirza & Dilrini Silva & Anna M. Piskorz & Carolin M. Sauer & Sarwah Al-Khalidi & Ionut-Gabriel Funi, 2023. "The copy number and mutational landscape of recurrent ovarian high-grade serous carcinoma," Nature Communications, Nature, vol. 14(1), pages 1-15, December.
  • Handle: RePEc:nat:natcom:v:14:y:2023:i:1:d:10.1038_s41467-023-39867-7
    DOI: 10.1038/s41467-023-39867-7
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