Genomic alterations driving precancerous to cancerous lesions in esophageal cancer development.

Cancer Cell

Department of Etiology and Carcinogenesis, National Cancer Center/National Clinical Research Center/Cancer Hospital, Chinese Academy of Medical Sciences (CAMS) and Peking Union Medical College (PUMC), Beijing 100021, China; Key Laboratory of Cancer Genomic Biology, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China; Collaborative Innovation Center for Cancer Personalized Medicine, Nanjing Medical University, Nanjing 211166, China; CAMS Oxford Institute, Chinese Academy of Medical Sciences, Beijing 100006, China. Electronic address:

Published: December 2023

AI Article Synopsis

  • Esophageal squamous cell carcinoma (ESCC) evolves from normal esophageal tissue through various precancerous stages, each demonstrating distinct genomic changes.
  • This study examined 1,275 micro-biopsies, revealing that TP53 biallelic inactivation occurs early in precancerous lesions, while copy number alterations (CNAs) and APOBEC mutagenesis peak later.
  • The findings indicate that the loss of TP53 is a crucial early event that leads to further genetic changes associated with cancer development, highlighting its role as a key trigger in the transition to malignancy.

Article Abstract

Esophageal squamous cell carcinoma (ESCC) develops through a series of increasingly abnormal precancerous lesions. Previous studies have revealed the striking differences between normal esophageal epithelium and ESCC in copy number alterations (CNAs) and mutations in genes driving clonal expansion. However, due to limited data on early precancerous lesions, the timing of these transitions and which among them are prerequisites for malignant transformation remained unclear. Here, we analyze 1,275 micro-biopsies from normal esophagus, early and late precancerous lesions, and esophageal cancers to decipher the genomic alterations at each stage. We show that the frequency of TP53 biallelic inactivation increases dramatically in early precancerous lesion stage while CNAs and APOBEC mutagenesis substantially increase at late stages. TP53 biallelic loss is the prerequisite for the development of CNAs of genes in cell cycle, DNA repair, and apoptosis pathways, suggesting it might be one of the earliest steps initiating malignant transformation.

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Source
http://dx.doi.org/10.1016/j.ccell.2023.11.003DOI Listing

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