Building research infrastructure to advance precision medicine in colorectal cancer.

IF 3.4 Q2 ONCOLOGY
Stephanie L Schmit, Nicole C Loroña, Daniel Sobieski, Marco Matejcic, Nathalie T Nguyen, Hannah J Hoehn, Diana B Diaz, Kritika Shankar, Eric M Cockman, Esther Jean-Baptiste, Ya-Yu Tsai, R Blake Buchalter, Karina Brito, Rusche Wilson, Domenico Coppola, Clifton Fulmer, Ozlen Saglam, Alexandra F Tassielli, Francisca Beato, Ruifan Dai, Jennifer A Freedman, Kristen Purrington, Bo Hu, Daniel Mcgrail, Heather Gibson, Kun Jiang, Teresita Muñoz-Antonia, Idhaliz Flores, Edna Gordian, José A Oliveras Torres, Iona Cheng, Erin L Van Blarigan, Seth I Felder, Julian A Sanchez, Jason B Fleming, Erin M Siegel, Douglas Cress, Patricia Thompson, Mariana C Stern, Jamie K Teer, Jane C Figueiredo
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引用次数: 0

Abstract

Background: Addressing critical gaps in precision medicine initiatives in colorectal cancer (CRC) requires building larger collaborative studies.

Methods: The Latino Colorectal Cancer Consortium (LC3) is a resource that harmonizes data collected in observational studies with data from individuals who identify as Hispanic/Latino with a diagnosis of primary colorectal adenocarcinoma. Data collected includes demographics, medical history, family history, and lifestyle risk factors from patient-completed surveys. Vital status, cause of death, treatment, and clinicopathological characteristics were obtained through medical chart abstraction, pathology reports and/or linkage to state cancer registries. Blood, saliva, or normal colonic tissues were used to extract and genotype germline DNA. Tumor tissue (snap frozen or formalin-fixed paraffin-embedded) were evaluated by pathologists for diagnosis, tissue content, tumor cellularity, necrosis, immune infiltration, and additional histopathologic characteristics. A centralized database with a virtual tumor repository was created to facilitate collaborative research.

Results: As of April 2024, LC3 assembled data from 2,210 patients (diagnosed 1994 to 2023). The mean age at diagnosis was 57 (range: 19-93) years; 54.3% of participants were male, and 62.0% had been diagnosed with colon cancer. Surveys were completed by 1,722 (77.8%) participants. Ongoing multi-omics profiling on up to 600 patients include: genome-wide germline genotyping, paired tumor/normal whole exome sequencing, bulk RNA-seq, T cell receptor immunosequencing, and multiplex immunofluorescence.

Conclusions: This consortium fills an important gap in research infrastructure in CRC as well as improving precision medicine initiatives for all individuals.

建设研究基础设施,推进结直肠癌精准医疗。
背景:解决结直肠癌(CRC)精准医学倡议的关键空白需要建立更大的合作研究。方法:拉丁裔结直肠癌联盟(LC3)是一个资源,它将观察性研究中收集的数据与诊断为原发性结直肠癌的西班牙裔/拉丁裔个体的数据相协调。收集的数据包括来自患者完成的调查的人口统计、病史、家族史和生活方式风险因素。生命状态、死亡原因、治疗和临床病理特征通过医学图表提取、病理报告和/或与国家癌症登记处的联系获得。使用血液、唾液或正常结肠组织提取种系DNA并进行基因分型。病理学家评估肿瘤组织(快速冷冻或福尔马林固定石蜡包埋)的诊断,组织含量,肿瘤细胞,坏死,免疫浸润和其他组织病理学特征。建立了一个带有虚拟肿瘤存储库的集中式数据库,以促进合作研究。结果:截至2024年4月,LC3收集了2210例患者(1994年至2023年诊断)的数据。平均诊断年龄57岁(范围19-93岁);54.3%的参与者是男性,62.0%的参与者被诊断患有结肠癌。共有1722名(77.8%)参与者完成了调查。正在进行的多达600例患者的多组学分析包括:全基因组种系基因分型,配对肿瘤/正常全外显子组测序,大量rna测序,T细胞受体免疫测序和多重免疫荧光。结论:该联盟填补了CRC研究基础设施的重要空白,并改善了所有个体的精准医疗计划。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
JNCI Cancer Spectrum
JNCI Cancer Spectrum Medicine-Oncology
CiteScore
7.70
自引率
0.00%
发文量
80
审稿时长
18 weeks
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