The consensus molecular subtypes of colorectal cancer.
Details
Serval ID
serval:BIB_84C36AD6D137
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
The consensus molecular subtypes of colorectal cancer.
Journal
Nature medicine
ISSN
1546-170X (Electronic)
ISSN-L
1078-8956
Publication state
Published
Issued date
11/2015
Peer-reviewed
Oui
Volume
21
Number
11
Pages
1350-1356
Language
english
Notes
Publication types: Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Publication Status: ppublish
Abstract
Colorectal cancer (CRC) is a frequently lethal disease with heterogeneous outcomes and drug responses. To resolve inconsistencies among the reported gene expression-based CRC classifications and facilitate clinical translation, we formed an international consortium dedicated to large-scale data sharing and analytics across expert groups. We show marked interconnectivity between six independent classification systems coalescing into four consensus molecular subtypes (CMSs) with distinguishing features: CMS1 (microsatellite instability immune, 14%), hypermutated, microsatellite unstable and strong immune activation; CMS2 (canonical, 37%), epithelial, marked WNT and MYC signaling activation; CMS3 (metabolic, 13%), epithelial and evident metabolic dysregulation; and CMS4 (mesenchymal, 23%), prominent transforming growth factor-β activation, stromal invasion and angiogenesis. Samples with mixed features (13%) possibly represent a transition phenotype or intratumoral heterogeneity. We consider the CMS groups the most robust classification system currently available for CRC-with clear biological interpretability-and the basis for future clinical stratification and subtype-based targeted interventions.
Keywords
Carcinoma/classification, Carcinoma/genetics, Carcinoma/pathology, Colorectal Neoplasms/classification, Colorectal Neoplasms/genetics, Colorectal Neoplasms/pathology, Consensus, CpG Islands, DNA Copy Number Variations/genetics, DNA Methylation, Gene Expression Profiling, Gene Expression Regulation, Neoplastic, Genes, myc/genetics, Humans, Information Dissemination, Microsatellite Instability, Mutation/genetics, Neovascularization, Pathologic/genetics, Neovascularization, Pathologic/pathology, Phenotype, Proto-Oncogene Proteins/genetics, Proto-Oncogene Proteins B-raf/genetics, Proto-Oncogene Proteins p21(ras), Transforming Growth Factor beta/genetics, Wnt Signaling Pathway/genetics, ras Proteins/genetics
Pubmed
Web of science
Create date
02/06/2022 8:42
Last modification date
03/06/2022 5:37