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author:

Zhong, Ling (Zhong, Ling.) [1] | Lin, Ying (Lin, Ying.) [2] | Li, Chunxiao (Li, Chunxiao.) [3] | Qian, Haili (Qian, Haili.) [4] | Shen, Minghong (Shen, Minghong.) [5]

Indexed by:

SCIE

Abstract:

Objective: To evaluate the mutation rates of homologous recombination repair (HRR) genes and the impact of these mutations on the clinical characteristics of metastatic endometrial cancer (EC). Methods: Somatic DNA from 895 patients with metastatic EC in the Memorial Sloan Kettering-Metastatic Events and Tropisms cohort was assessed for mutations in 10 HRR genes (BRCA1, BRCA2, ATM, BARD1, BRIP1, PALB2, RAD51C, RAD51D, CHEK2, and CDK12). The correlation between the mutation status of HRR genes and the clinical characteristics of patients with metastatic EC was evaluated. Results: Somatic mutations in HRR genes were detected in 106 (11.8%) patients with metastatic EC. Compared with nonmutation carriers, a greater proportion of carriers had endometrioid carcinoma (76.4% vs. 50.3%, p<0.001). Regarding the TCGA classification, the proportions of the POLE-ultramutated (POLEmut) and mismatch repair-deficient (dMMR) subtypes were significantly greater among mutation carriers than noncarriers (20.8% vs. 0.4%, p<0.001; 34.9% vs. 11.9%, p<0.001, respectively). The carriers had a significantly lower frequency of TP53 mutations than noncarriers (25.5% vs. 54.1%, p<0.001). Fewer mutation carriers than noncarriers had intra-abdominal and lung metastases (41.5% vs. 54.2%, p=0.014; 19.8% vs. 30.3%, p=0.026, respectively). The mutation status of HRR genes did not significantly affect the overall survival of patients with metastatic EC. Conclusion: Somatic HRR mutations are detected in 11.8% of metastatic EC. Compared with noncarriers, HRR mutation carriers in metastatic EC have higher proportions of endometrioid carcinoma, POLEmut, and dMMR subtypes, and unique metastatic patterns. However, the prognoses are similar regardless of HRR status.

Keyword:

Classification Endometrial Neoplasms Mutation Therapy

Community:

  • [ 1 ] [Zhong, Ling]Fujian Med Univ, Fuzhou Univ, Fujian Prov Hosp, Dept Gynecol,Affiliated Prov Hosp,Shengli Clin Med, 134 Dongjie, Fuzhou 350001, Peoples R China
  • [ 2 ] [Shen, Minghong]Fujian Med Univ, Fuzhou Univ, Fujian Prov Hosp, Dept Gynecol,Affiliated Prov Hosp,Shengli Clin Med, 134 Dongjie, Fuzhou 350001, Peoples R China
  • [ 3 ] [Zhong, Ling]Fujian Med Univ, Sch Basic Med Sci, Fuzhou, Peoples R China
  • [ 4 ] [Lin, Ying]Fuzhou Univ, Fujian Med Univ, Fujian Prov Hosp, Dept Pathol,Affiliated Prov Hosp,Shengli Clin Med, Fuzhou, Peoples R China
  • [ 5 ] [Li, Chunxiao]Chinese Acad Med Sci & Peking Union Med Coll, Canc Hosp, State Key Lab Mol Oncol, Natl Canc Ctr,Natl Clin Res Ctr Canc, 17 Panjiayuan Nanli, Beijing 100021, Peoples R China
  • [ 6 ] [Qian, Haili]Chinese Acad Med Sci & Peking Union Med Coll, Canc Hosp, State Key Lab Mol Oncol, Natl Canc Ctr,Natl Clin Res Ctr Canc, 17 Panjiayuan Nanli, Beijing 100021, Peoples R China
  • [ 7 ] [Shen, Minghong]Fujian Prov Hosp, Obstet Gynecol & Child Hlth Care, Med Ctr, Fuzhou, Peoples R China

Reprint 's Address:

  • [Shen, Minghong]Fujian Med Univ, Fuzhou Univ, Fujian Prov Hosp, Dept Gynecol,Affiliated Prov Hosp,Shengli Clin Med, 134 Dongjie, Fuzhou 350001, Peoples R China;;[Qian, Haili]Chinese Acad Med Sci & Peking Union Med Coll, Canc Hosp, State Key Lab Mol Oncol, Natl Canc Ctr,Natl Clin Res Ctr Canc, 17 Panjiayuan Nanli, Beijing 100021, Peoples R China

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Source :

JOURNAL OF GYNECOLOGIC ONCOLOGY

ISSN: 2005-0380

Year: 2025

Issue: 4

Volume: 36

3 . 4 0 0

JCR@2023

Cited Count:

WoS CC Cited Count:

SCOPUS Cited Count:

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 0

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