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  • 1
    In: The Journal of Pathology, Wiley
    Abstract: Circulating tumor DNA (ctDNA) holds promise in resectable esophageal adenocarcinoma (EAC) to predict patient outcome but is not yet sensitive enough to be clinically applicable. Our aim was to combine ctDNA mutation data with shallow whole‐genome sequencing (sWGS)‐derived copy number tumor fraction estimates (ichorCNA) to improve pathological response and survival prediction in EAC. In total, 111 stage II/III EAC patients with baseline ( n  = 111), post‐neoadjuvant chemoradiotherapy (nCRT) ( n  = 68), and pre‐surgery ( n  = 92) plasma samples were used for ctDNA characterization. sWGS ( 〈 5× coverage) was performed on all time‐point samples, and copy number aberrations were estimated using ichorCNA. Baseline and pre‐surgery samples were sequenced using a custom amplicon panel for mutation detection. Detection of baseline ctDNA was successful in 44.3% of patients by amplicon sequencing and 10.5% by ichorCNA. Combining both, ctDNA could be detected in 50.5% of patients. Baseline ctDNA positivity was related to higher T stage (cT3, 4) ( p  = 0.017). There was no relationship between pathological response and baseline ctDNA positivity. However, baseline ctDNA metrics (variant allele frequency  〉  1% or ichorCNA  〉  3%) were associated with a high risk of disease progression [HR = 2.23 (95% CI 1.22–4.07), p  = 0.007]. The non‐clearance of a baseline variant or ichorCNA  〉  3% in pre‐surgery samples was related to early progression [HR = 4.58 (95% CI 2.22–9.46), p   〈  0.001]. Multi‐signal analysis improves detection of ctDNA and can be used for prognostication of resectable EAC patients. Future studies should explore the potential of multi‐modality sequencing for risk stratification and treatment adaptation based on ctDNA results. © 2023 The Authors. The Journal of Pathology published by John Wiley & Sons Ltd on behalf of The Pathological Society of Great Britain and Ireland.
    Type of Medium: Online Resource
    ISSN: 0022-3417 , 1096-9896
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    Language: English
    Publisher: Wiley
    Publication Date: 2023
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  • 2
    In: BMC Cancer, Springer Science and Business Media LLC, Vol. 15, No. 1 ( 2015-12)
    Type of Medium: Online Resource
    ISSN: 1471-2407
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2015
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  • 3
    In: BMC Medical Genomics, Springer Science and Business Media LLC, Vol. 4, No. 1 ( 2011-12)
    Abstract: Infection with H. pylori is important in the etiology of gastric cancer. Gastric cancer is infrequent in Africa, despite high frequencies of H. pylori infection, referred to as the African enigma. Variation in environmental and host factors influencing gastric cancer risk between different populations have been reported but little is known about the biological differences between gastric cancers from different geographic locations. We aim to study genomic instability patterns of gastric cancers obtained from patients from United Kingdom (UK) and South Africa (SA), in an attempt to support the African enigma hypothesis at the biological level. Methods DNA was isolated from 67 gastric adenocarcinomas, 33 UK patients, 9 Caucasian SA patients and 25 native SA patients. Microsatellite instability and chromosomal instability were analyzed by PCR and microarray comparative genomic hybridization, respectively. Data was analyzed by supervised univariate and multivariate analyses as well as unsupervised hierarchical cluster analysis. Results Tumors from Caucasian and native SA patients showed significantly more microsatellite instable tumors (p 〈 0.05). For the microsatellite stable tumors, geographical origin of the patients correlated with cluster membership, derived from unsupervised hierarchical cluster analysis (p = 0.001). Several chromosomal alterations showed significantly different frequencies in tumors from UK patients and native SA patients, but not between UK and Caucasian SA patients and between native and Caucasian SA patients. Conclusions Gastric cancers from SA and UK patients show differences in genetic instability patterns, indicating possible different biological mechanisms in patients from different geographical origin. This is of future clinical relevance for stratification of gastric cancer therapy.
    Type of Medium: Online Resource
    ISSN: 1755-8794
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2011
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  • 4
    In: The Journal of Pathology, Wiley, Vol. 256, No. 3 ( 2022-03), p. 282-296
    Abstract: Immunotherapy is a new anti‐cancer treatment option, showing promising results in clinical trials. To investigate potential immune biomarkers in esophageal adenocarcinoma (EAC), we explored immune landscape patterns in the tumor microenvironment before and after neoadjuvant chemoradiation (nCRT). Sections from matched pretreatment biopsies and post‐nCRT resection specimens ( n  = 188) were stained for (1) programmed death‐ligand 1 (PD‐L1, CD274); (2) programmed cell death protein 1 (PD‐1, CD279), forkhead box P3 (FOXP3), CD8, pan‐cytokeratin multiplex; and (3) an MHC class I, II duplex. The densities of tumor‐associated immune cells (TAICs) were calculated using digital image analyses and correlated to histopathological nCRT response [tumor regression grade (TRG)], survival, and post‐nCRT immune patterns. PD‐L1 positivity defined by a combined positive score of 〉 1 was associated with a better response post‐nCRT (TRG 1–3 versus 4, 5, p =  0.010). In addition, high combined mean densities of CD8 + , FOXP3 + , and PD‐1 + TAICs in the tumor epithelium and stroma of biopsies were associated with a better response (TRG 1–3 versus 4, 5, p =  0.025 and p =  0.044, respectively). Heterogeneous TAIC density patterns were observed post‐nCRT, with significantly higher CD8 + and PD‐1 + TAIC mean densities compared with biopsies (both p =  0.000). Three immune landscape patterns were defined post‐nCRT: ‘inflamed’, ‘invasive margin’, and ‘desert’, of which ‘inflamed’ was the most frequent (57%). Compared with matched biopsies, resection specimens with ‘inflamed’ tumors showed a significantly higher increase in CD8 + density compared with non‐inflamed tumors post‐nCRT ( p =  0.000). In this cohort of EAC patients, higher TAIC densities in pretreatment biopsies were associated with response to nCRT. This warrants future research into the potential of the tumor‐immune landscape for patient stratification and novel (immune) therapeutic strategies. © 2021 The Authors. The Journal of Pathology published by John Wiley & Sons, Ltd on behalf of The Pathological Society of Great Britain and Ireland.
    Type of Medium: Online Resource
    ISSN: 0022-3417 , 1096-9896
    URL: Issue
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    Language: English
    Publisher: Wiley
    Publication Date: 2022
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  • 5
    In: BMC Cancer, Springer Science and Business Media LLC, Vol. 11, No. 1 ( 2011-12)
    Abstract: Radical surgery is the cornerstone in the treatment of resectable gastric cancer. The Intergroup 0116 and MAGIC trials have shown benefit of postoperative chemoradiation and perioperative chemotherapy, respectively. Since these trials cannot be compared directly, both regimens are evaluated prospectively in the CRITICS trial. This study aims to obtain an improved overall survival for patients treated with preoperative chemotherapy and surgery by incorporating radiotherapy concurrently with chemotherapy postoperatively. Methods/design In this phase III multicentre study, patients with resectable gastric cancer are treated with three cycles of preoperative ECC (epirubicin, cisplatin and capecitabine), followed by surgery with adequate lymph node dissection, and then either another three cycles of ECC or concurrent chemoradiation (45 Gy, cisplatin and capecitabine). Surgical, pathological, and radiotherapeutic quality control is performed. The primary endpoint is overall survival, secondary endpoints are disease-free survival (DFS), toxicity, health-related quality of life (HRQL), prediction of response, and recurrence risk assessed by genomic and expression profiling. Accrual for the CRITICS trial is from the Netherlands, Sweden, and Denmark, and more countries are invited to participate. Conclusion Results of this study will demonstrate whether the combination of preoperative chemotherapy and postoperative chemoradiotherapy will improve the clinical outcome of the current European standard of perioperative chemotherapy, and will therefore play a key role in the future management of patients with resectable gastric cancer. Trial registration clinicaltrials.gov NCT00407186
    Type of Medium: Online Resource
    ISSN: 1471-2407
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2011
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  • 6
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 73, No. 8_Supplement ( 2013-04-15), p. 3073-3073
    Abstract: INTRODUCTION: Biomarkers are increasingly used for selecting the most optimal therapy for each patient. Genetic information of a primary tumor is often used to guide therapy selection. MiRs have recently been recognized as promising candidate biomarkers because of their role in cancer biology while being protected from degradation in clinical samples. It is unknown whether miRs are differentially expressed between primary colorectal cancers (CRC) and metastatic lesions. Such a comparison may provide information on the potential use of miRs for therapy selection. Moreover, the full miR-ome of CRC has not been elucidated and consequently miR expression have not been studied in a thoroughly manner. AIMS: 1) To elucidate the miRNA expression of known and potential novel candidate miRs in mCRC and 2) To compare miR expression of primary CRCs and metastases from the same patients. METHODS: Total RNA was isolated from 64 snap frozen resection specimens, including 16 primary CRCs with 17 corresponding metastases. All tumor samples contained & gt;70% tumor cells. Next generation sequencing (NGS) was performed on the Illumina Highseq 2000 platform. Sequence data were aligned to miRBase v19. Prediction of novel candidate miRs was based on specific folding characteristics of the precursor sequences and fit of sequenced RNAs to the biological model of miRNA biogenesis (miRdeep2). Cluster analysis and differential expression analysis for known and novel miRs which are expressed ≥5 times were performed using EdgeR (R statistical software) in a paired manner. RESULTS: 622.183.482 small RNA sequences were obtained for 64 samples, identifying 1634 known and 401 potential novel unique mature or complementary strand miRs expressed in mCRC. Unsupervised clustering showed a trend of close relationship between samples of the same patient, indicating that general expression profiles of metastases resemble those of primary CRCs. 10 miRs were upregulated and 9 miRs were downregulated (FDR & lt;0.1) in the metastases compared to their paired primary tumors. Including one novel candidate miR and miRs known in metastasis formation (miR-10b), tumor suppression (miR-133, miR-486) or associated with worse prognosis (miR-199b). Interestingly, subgroup analysis revealed specific expression changes for different organs of metastases (liver, lung, ovarian), indicating that these miRs might contribute to organ specific colonization. CONCLUSION: Using NGS, 401 potential novel miRs were identified in mCRC. MiR expression profiles of primary CRCs resemble those of their metastases. Only 1.15% of the miRs may be differentially expressed between primary CRCs and corresponding metastases, which is most likely determined by organ specificity. Based on our results, we expect that miR expression can be used as a biomarker for therapy selection irrespective of a primary or secondary origin of the CRC tissue. Citation Format: Maarten Neerincx, Tineke E. Buffart, Daoud LS Sie, Mark A. van de Wiel, Henk Dekker, Paul P. Eijk, Jan-Dirk Burggraaf, Begonia Diosdado, Nicole CT van Grieken, Bauke Ylstra, Gerrit A. Meijer, Henk MW Verheul. Deep sequencing of paired colorectal cancers and metastases: Detection of novel miRs and colonization specific miRs. [abstract]. In: Proceedings of the 104th Annual Meeting of the American Association for Cancer Research; 2013 Apr 6-10; Washington, DC. Philadelphia (PA): AACR; Cancer Res 2013;73(8 Suppl):Abstract nr 3073. doi:10.1158/1538-7445.AM2013-3073
    Type of Medium: Online Resource
    ISSN: 0008-5472 , 1538-7445
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    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2013
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    detail.hit.zdb_id: 1432-1
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  • 7
    In: World Journal of Gastrointestinal Oncology, Baishideng Publishing Group Inc., Vol. 12, No. 3 ( 2020-3-15), p. 347-357
    Type of Medium: Online Resource
    ISSN: 1948-5204
    Language: Unknown
    Publisher: Baishideng Publishing Group Inc.
    Publication Date: 2020
    detail.hit.zdb_id: 2573696-6
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  • 8
    In: BMC Cancer, Springer Science and Business Media LLC, Vol. 13, No. 1 ( 2013-12)
    Abstract: Nonpolypoid adenomas are a subgroup of colorectal adenomas that have been associated with a more aggressive clinical behaviour compared to their polypoid counterparts. A substantial proportion of nonpolypoid and polypoid adenomas lack APC mutations, APC methylation or chromosomal loss of the APC locus on chromosome 5q, suggesting the involvement of other Wnt-pathway genes. The present study investigated promoter methylation of several Wnt-pathway antagonists in both nonpolypoid and polypoid adenomas. Methods Quantitative methylation-specific PCR (qMSP) was used to evaluate methylation of four Wnt-antagonists, SFRP2 , WIF-1 , DKK3 and SOX17 in 18 normal colorectal mucosa samples, 9 colorectal cancer cell lines, 18 carcinomas, 44 nonpolypoid and 44 polypoid adenomas. Results were integrated with previously obtained data on APC mutation, methylation and chromosome 5q status from the same samples. Results Increased methylation of all genes was found in the majority of cell lines, adenomas and carcinomas compared to normal controls. WIF-1 and DKK3 showed a significantly lower level of methylation in nonpolypoid compared to polypoid adenomas (p  〈  0.01). Combining both adenoma types, a positive trend between APC mutation and both WIF-1 and DKK3 methylation was observed (p  〈  0.05). Conclusions Methylation of Wnt-pathway antagonists represents an additional mechanism of constitutive Wnt-pathway activation in colorectal adenomas. Current results further substantiate the existence of partially alternative Wnt-pathway disruption mechanisms in nonpolypoid compared to polypoid adenomas, in line with previous observations.
    Type of Medium: Online Resource
    ISSN: 1471-2407
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2013
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  • 9
    Online Resource
    Online Resource
    Elsevier BV ; 2009
    In:  The Lancet Vol. 374, No. 9688 ( 2009-08), p. 477-490
    In: The Lancet, Elsevier BV, Vol. 374, No. 9688 ( 2009-08), p. 477-490
    Type of Medium: Online Resource
    ISSN: 0140-6736
    RVK:
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2009
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    detail.hit.zdb_id: 3306-6
    detail.hit.zdb_id: 1476593-7
    SSG: 5,21
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  • 10
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 72, No. 8_Supplement ( 2012-04-15), p. 4523-4523
    Abstract: Background Colorectal Cancer (CRC) screening can save many lives. Many invitational large scale screening programs worldwide use stool tests like the fecal immunochemical tests (FIT), which detects human hemoglobin. Tumor-specific biomarkers have the potential to improve the performance of these tests but so far, no protein-based fecal test has proved better than the FIT. Although most biomarker discoveries are done in tumor-tissues, the presence and/or chemical nature of biomarkers may be different in samples that ultimately will be used for screening like stool. Measuring biomarkers directly in stool samples may therefore yield candidate CRC biomarkers that are stable in the fecal environment. Aim The aim of the present study was to identify tumor-specific protein based biomarkers for the early detection of CRC, by applying in-depth proteomics to stool samples from CRC patients and healthy controls. Material and method Stool samples were obtained from 10 subjects with negative colonoscopy and from 12 CRC patients. Proteins were analyzed by in-depth proteomics using gel electrophoresis and nano Liquid Chromatography coupled to tandem mass spectrometry (nano LC-MS/MS). Resulting MS/MS spectra were searched against the human IPI database (version 3.62). Proteins were analyzed by hierarchical cluster analysis and visualized in a heat map. Non-paired statistical analysis of spectral count data from human proteins was performed using a beta-binomial test. Verification of candidate biomarkers was performed by Selected Reaction Monitoring Mass Spectometry (SRM-MS). Results In total 830 human proteins were identified of which 221 were present at different levels in stool samples from CRC patients compared to control subjects. Of these, 134 proteins were significantly enriched in CRC. Unsupervised hierarchical cluster analysis revealed two clusters. One cluster contained nine CRC stool samples, the other cluster contained all ten control stool samples together with three CRC stool samples. SRM-MS analysis of selected candidate biomarkers on the same stool samples verified the results obtained by LC-MS/MS. Conclusion Proteome profiling on stool revealed 134 proteins significantly enriched in CRC compared to control stool samples, of which a sub set could be verified by SRM-MS. Validation in an independent series of stool samples collection (n=200) by SRM-MS is in process. Citation Format: {Authors}. {Abstract title} [abstract]. In: Proceedings of the 103rd Annual Meeting of the American Association for Cancer Research; 2012 Mar 31-Apr 4; Chicago, IL. Philadelphia (PA): AACR; Cancer Res 2012;72(8 Suppl):Abstract nr 4523. doi:1538-7445.AM2012-4523
    Type of Medium: Online Resource
    ISSN: 0008-5472 , 1538-7445
    RVK:
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    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2012
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    detail.hit.zdb_id: 1432-1
    detail.hit.zdb_id: 410466-3
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