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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Autores principales: Yuya Yamashiro, Taisei Kurihara, Takuo Hayashi, Yoshiyuki Suehara, Takashi Yao, Shunsuke Kato, Tsuyoshi Saito
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/d4b40b23678a4b69aaac2112c31e7373
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Yuya Yamashiro
Taisei Kurihara
Takuo Hayashi
Yoshiyuki Suehara
Takashi Yao
Shunsuke Kato
Tsuyoshi Saito
NTRK fusion in Japanese colorectal adenocarcinomas
description 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
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