Abstract
Anaplastic thyroid carcinoma is arguably the most lethal human malignancy. It often co-occurs with differentiated thyroid cancers, yet the molecular origins of its aggressivity are unknown. We sequenced tumor DNA from 329 regions of thyroid cancer, including 213 from patients with primary anaplastic thyroid carcinomas. We also whole genome sequenced 9 patients using multi-region sequencing of both differentiated and anaplastic thyroid cancer components. Using these data, we demonstrate thatanaplastic thyroid carcinomas have a higher burden of mutations than other thyroid cancers, with distinct mutational signatures and molecular subtypes. Further, different cancer driver genes are mutated in anaplastic and differentiated thyroid carcinomas, even those arising in a single patient. Finally, we unambiguously demonstrate that anaplastic thyroid carcinomas share a genomic origin with co-occurring differentiated carcinomas and emerge from a common malignant field through acquisition of characteristic clonal driver mutations.
Original language | English (US) |
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Article number | 113826 |
Journal | Cell Reports |
Volume | 43 |
Issue number | 3 |
DOIs | |
State | Published - Mar 26 2024 |
Keywords
- CP: Cancer
- CP: Genomics
- anaplastic thyroid cancer
- cancer progression
- genomics
- tumour evolution
- tumour heterogeneity
ASJC Scopus subject areas
- General Biochemistry, Genetics and Molecular Biology