NTRK fusion in Japanese colorectal adenocarcinomas
Abstract NTRK fusion-positive tumors are known to be highly sensitive to TRK inhibitors, such as larotrectinib and entrectinib. Therefore, identification of patients who can potentially benefit from these inhibitors is important; however, the frequency of NTRK fusions in Japanese patients with color...
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Nature Portfolio
2021
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oai:doaj.org-article:d4b40b23678a4b69aaac2112c31e73732021-12-02T13:34:32ZNTRK fusion in Japanese colorectal adenocarcinomas10.1038/s41598-021-85075-y2045-2322https://doaj.org/article/d4b40b23678a4b69aaac2112c31e73732021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-85075-yhttps://doaj.org/toc/2045-2322Abstract NTRK fusion-positive tumors are known to be highly sensitive to TRK inhibitors, such as larotrectinib and entrectinib. Therefore, identification of patients who can potentially benefit from these inhibitors is important; however, the frequency of NTRK fusions in Japanese patients with colorectal cancer (CRC) is unknown. We performed pan-TRK staining using TMA-based immunohistochemistry (IHC) on samples from 971 consecutive Japanese CRC cases from a single institution. Positive cases were further analyzed using NanoString and subsequent targeted RNA sequencing. We found three positive cases using TRK-IHC. Furthermore, the Nanostring assay supported the presence of NTRK fusion in these cases. Subsequent targeted RNA-sequencing and RT-PCR revealed two cases with TPM3-NTRK1 and one with TPR-NTRK1. The TNM stages of these cases were stage I, stage IIA, and stage IIIB, and two showed microsatellite instability-high status. Next-generation sequencing analysis using Cancer hotspot panel revealed TP53 and SMAD4 mutations in separate cases. IHC of β-catenin did not show nuclear accumulation. We found three cases (0.31%) of CRC with NTRK1 fusion among 971 consecutive Japanese CRC cases. No potential driver alterations other than NTRK fusion were identified in these three patients.Yuya YamashiroTaisei KuriharaTakuo HayashiYoshiyuki SueharaTakashi YaoShunsuke KatoTsuyoshi SaitoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021) |
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Medicine R Science Q Yuya Yamashiro Taisei Kurihara Takuo Hayashi Yoshiyuki Suehara Takashi Yao Shunsuke Kato Tsuyoshi Saito NTRK fusion in Japanese colorectal adenocarcinomas |
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Abstract NTRK fusion-positive tumors are known to be highly sensitive to TRK inhibitors, such as larotrectinib and entrectinib. Therefore, identification of patients who can potentially benefit from these inhibitors is important; however, the frequency of NTRK fusions in Japanese patients with colorectal cancer (CRC) is unknown. We performed pan-TRK staining using TMA-based immunohistochemistry (IHC) on samples from 971 consecutive Japanese CRC cases from a single institution. Positive cases were further analyzed using NanoString and subsequent targeted RNA sequencing. We found three positive cases using TRK-IHC. Furthermore, the Nanostring assay supported the presence of NTRK fusion in these cases. Subsequent targeted RNA-sequencing and RT-PCR revealed two cases with TPM3-NTRK1 and one with TPR-NTRK1. The TNM stages of these cases were stage I, stage IIA, and stage IIIB, and two showed microsatellite instability-high status. Next-generation sequencing analysis using Cancer hotspot panel revealed TP53 and SMAD4 mutations in separate cases. IHC of β-catenin did not show nuclear accumulation. We found three cases (0.31%) of CRC with NTRK1 fusion among 971 consecutive Japanese CRC cases. No potential driver alterations other than NTRK fusion were identified in these three patients. |
format |
article |
author |
Yuya Yamashiro Taisei Kurihara Takuo Hayashi Yoshiyuki Suehara Takashi Yao Shunsuke Kato Tsuyoshi Saito |
author_facet |
Yuya Yamashiro Taisei Kurihara Takuo Hayashi Yoshiyuki Suehara Takashi Yao Shunsuke Kato Tsuyoshi Saito |
author_sort |
Yuya Yamashiro |
title |
NTRK fusion in Japanese colorectal adenocarcinomas |
title_short |
NTRK fusion in Japanese colorectal adenocarcinomas |
title_full |
NTRK fusion in Japanese colorectal adenocarcinomas |
title_fullStr |
NTRK fusion in Japanese colorectal adenocarcinomas |
title_full_unstemmed |
NTRK fusion in Japanese colorectal adenocarcinomas |
title_sort |
ntrk fusion in japanese colorectal adenocarcinomas |
publisher |
Nature Portfolio |
publishDate |
2021 |
url |
https://doaj.org/article/d4b40b23678a4b69aaac2112c31e7373 |
work_keys_str_mv |
AT yuyayamashiro ntrkfusioninjapanesecolorectaladenocarcinomas AT taiseikurihara ntrkfusioninjapanesecolorectaladenocarcinomas AT takuohayashi ntrkfusioninjapanesecolorectaladenocarcinomas AT yoshiyukisuehara ntrkfusioninjapanesecolorectaladenocarcinomas AT takashiyao ntrkfusioninjapanesecolorectaladenocarcinomas AT shunsukekato ntrkfusioninjapanesecolorectaladenocarcinomas AT tsuyoshisaito ntrkfusioninjapanesecolorectaladenocarcinomas |
_version_ |
1718392823943790592 |