TY - JOUR
T1 - Tumor sequencing of African ancestry reveals differences in clinically relevant alterations across common cancers
AU - Jiagge, Evelyn
AU - Jin, Dexter X.
AU - Newberg, Justin Y.
AU - Perea-Chamblee, Tomin
AU - Pekala, Kelly R.
AU - Fong, Christopher
AU - Waters, Michele
AU - Ma, David
AU - Dei-Adomakoh, Yvonne
AU - Erb, Gilles
AU - Arora, Kanika S.
AU - Maund, Sophia L.
AU - Njiraini, Njoki
AU - Ntekim, Atara
AU - Kim, Susie
AU - Bai, Xuechun
AU - Thomas, Marlene
AU - van Eeden, Ronwyn
AU - Hegde, Priti
AU - Jee, Justin
AU - Chakravarty, Debyani
AU - Schultz, Nikolaus
AU - Berger, Michael F.
AU - Frampton, Garrett M.
AU - Sokol, Ethan S.
AU - Carrot-Zhang, Jian
N1 - Publisher Copyright:
© 2023 The Authors
PY - 2023/11/13
Y1 - 2023/11/13
N2 - Cancer genomes from patients with African (AFR) ancestry have been poorly studied in clinical research. We leverage two large genomic cohorts to investigate the relationship between genomic alterations and AFR ancestry in six common cancers. Cross-cancer type associations, such as an enrichment of MYC amplification with AFR ancestry in lung, breast, and prostate cancers, and depletion of BRAF alterations are observed in colorectal and pancreatic cancers. There are differences in actionable alterations, such as depletion of KRAS G12C and EGFR L858R, and enrichment of ROS1 fusion with AFR ancestry in lung cancers. Interestingly, in lung cancer, KRAS mutations are less common in both smokers and non-smokers with AFR ancestry, whereas the association of TP53 mutations with AFR ancestry is only seen in smokers, suggesting an ancestry-environment interaction that modifies driver rates. Our study highlights the need to increase representation of patients with AFR ancestry in drug development and biomarker discovery.
AB - Cancer genomes from patients with African (AFR) ancestry have been poorly studied in clinical research. We leverage two large genomic cohorts to investigate the relationship between genomic alterations and AFR ancestry in six common cancers. Cross-cancer type associations, such as an enrichment of MYC amplification with AFR ancestry in lung, breast, and prostate cancers, and depletion of BRAF alterations are observed in colorectal and pancreatic cancers. There are differences in actionable alterations, such as depletion of KRAS G12C and EGFR L858R, and enrichment of ROS1 fusion with AFR ancestry in lung cancers. Interestingly, in lung cancer, KRAS mutations are less common in both smokers and non-smokers with AFR ancestry, whereas the association of TP53 mutations with AFR ancestry is only seen in smokers, suggesting an ancestry-environment interaction that modifies driver rates. Our study highlights the need to increase representation of patients with AFR ancestry in drug development and biomarker discovery.
KW - African ancestry
KW - driver alteration
KW - next-generation sequencing
KW - precision oncology
KW - real-world data
UR - http://www.scopus.com/inward/record.url?scp=85176094145&partnerID=8YFLogxK
U2 - 10.1016/j.ccell.2023.10.003
DO - 10.1016/j.ccell.2023.10.003
M3 - Article
C2 - 37890492
AN - SCOPUS:85176094145
SN - 1535-6108
VL - 41
SP - 1963-1971.e3
JO - Cancer Cell
JF - Cancer Cell
IS - 11
ER -