A Molecular Taxonomy for Urothelial Carcinoma.

Research output: Contribution to journalArticle


title = "A Molecular Taxonomy for Urothelial Carcinoma.",
abstract = "PURPOSE: Even though urothelial cancer is the fourth most common tumor type among males, progress in treatment has been scarce. A problem in day-to-day clinical practice is that precise assessment of individual tumors is still fairly uncertain; consequently efforts have been undertaken to complement tumor evaluation with molecular biomarkers. An extension of this approach would be to base tumor classification primarily on molecular features. Here, we present a molecular taxonomy for urothelial carcinoma based on integrated genomics. EXPERIMENTAL DESIGN: We use gene expression profiles from 308 tumor cases to define five major urothelial carcinoma subtypes: urobasal A, genomically unstable, urobasal B, squamous cell carcinoma like, and an infiltrated class of tumors. Tumor subtypes were validated in three independent publically available data sets. The expression of 11 key genes was validated at the protein level by immunohistochemistry. RESULTS: The subtypes show distinct clinical outcomes and differ with respect to expression of cell-cycle genes, receptor tyrosine kinases particularly FGFR3, ERBB2, and EGFR, cytokeratins, and cell adhesion genes, as well as with respect to FGFR3, PIK3CA, and TP53 mutation frequency. The molecular subtypes cut across pathologic classification, and class-defining gene signatures show coordinated expression irrespective of pathologic stage and grade, suggesting the molecular phenotypes as intrinsic properties of the tumors. Available data indicate that susceptibility to specific drugs is more likely to be associated with the molecular stratification than with pathologic classification. CONCLUSIONS: We anticipate that the molecular taxonomy will be useful in future clinical investigations. Clin Cancer Res; 1-10. {\circledC}2012 AACR.",
author = "Gottfrid Sj{\"o}dahl and Martin Lauss and Kristina L{\"o}vgren and Gunilla Chebil and Sigurdur Gudjonsson and Srinivas Veerla and {Hultman Patschan}, Oliver and Mattias Aine and M{\aa}rten Fern{\"o} and Markus Ringn{\'e}r and Wiking M{\aa}nsson and Fredrik Liedberg and David Lindgren and Mattias H{\"o}glund",
note = "Department affilation moved from v1000583 (Molecular Tumour Biology) to v1000562 (Department of Translational Medicine) on 2016-01-18 14:41:47.",
year = "2012",
doi = "10.1158/1078-0432.CCR-12-0077-T",
language = "English",
volume = "18",
pages = "3377--3386",
journal = "Clinical Cancer Research",
issn = "1078-0432",
publisher = "American Association for Cancer Research",
number = "12",