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Novel genetic and epigenetic alterations in ... - Ous-research.no

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RESULTSMSI-analysisTumors with k<strong>no</strong>wn MSI-status were selected for <strong>in</strong>clusion <strong>in</strong> the test set of carc<strong>in</strong>omas. Toensure a uniform MSI threshold both <strong>in</strong> the test- <strong>and</strong> the validation set, all samples were reanalyzedus<strong>in</strong>g consensus markers. After re-analysis, 87 tumors were <strong>in</strong>cluded as MSI-H <strong>and</strong>7 as MSI-L. For the validation set, MSI analysis was performed on a total of 491 tumors (385right-sided <strong>and</strong> 106 left-sided primary tumors). Twenty-six percent of the right-sided tumorsdisplayed MSI-H (n = 102), 6% were MSI-L (n = 24), 61% were MSS (n = 233) <strong>and</strong> 7%were unsuccessful (n = 26). Among the left-sided tumors, 6% were MSI-H (n = 6), 9% wereMSI-L (n = 10), 79% MSS (n = 84) <strong>and</strong> 6% unsuccessful (n = 6). In total, 108 (22%) of thetumors displayed a high degree of microsatellite <strong>in</strong>stability, <strong>and</strong> were <strong>in</strong>cluded <strong>in</strong> furtheranalyses.Mutation frequenciesMutation frequencies of the 41 genes varied from 6% (ZMYND8) to 91% (ACVR2A) witha median of 17 (range 0-28) mutated genes per sample for the MSI-H tumors <strong>in</strong> the testseries, <strong>and</strong> one (range 0-14) mutated gene per sample for the MSI-L tumors.In the validation series, mutation frequencies for each gene varied from 4% (EP300) to 92%(ACVR2A) with a median of 19 (range 0-29) mutated genes per sample. Gene specificmutation frequencies <strong>in</strong> the two tumor series can be seen <strong>in</strong> Figure 1, <strong>in</strong> which resultssummarized from the literature (from [10]) are <strong>in</strong>cluded as well.10

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