TY - JOUR A1 - Noorani, Ayesha A1 - Bornschein, Jan A1 - Lynch, Andy G. A1 - Secrier, Maria A1 - Achilleos, Achilleas A1 - Eldridge, Matthew A1 - Bower, Lawrence A1 - Weaver, Jamie M.J. A1 - Crawte, Jason A1 - Ong, Chin-Ann A1 - Shannon, Nicholas A1 - MacRae, Shona A1 - Grehan, Nicola A1 - Nutzinger, Barbara A1 - O'Donovan, Maria A1 - Hardwick, Richard A1 - Tavaré, Simon A1 - Fitzgerald, Rebecca C. A1 - on behalf of the Oesophageal Cancer Clinical and Molecular Stratification (OCCAMS) Consortium A1 - Elliott, Rachael Fels A1 - Edwards, Paul A.W. A1 - Li, Xiaodun A1 - Chettouh, Hamza A1 - Contini, Gianmarco A1 - Gregson, Eleanor A1 - Zeki, Sebastian A1 - Smith, Laura A1 - Abdullahi, Zarah A1 - de la Rue, Rachel A1 - Miremadi, Ahmad A1 - Malhotra, Shalini A1 - Smith, Mike L. A1 - Davies, Jim A1 - Crichton, Charles A1 - Carroll, Nick A1 - Safranek, Peter A1 - Hindmarsh, Andrew A1 - Sujendran, Vijayendran A1 - Turkington, Richard A1 - Hayes, Stephen J. A1 - Ang, Yeng A1 - Preston, Shaun R. A1 - Oakes, Sarah A1 - Bagwan, Izhar A1 - Save, Vicki A1 - Skipworth, Richard J.E. A1 - Hupp, Ted R. A1 - O'Neill, J. Robert A1 - Tucker, Olga A1 - Beggs, Andrew A1 - Taniere, Philippe A1 - Underwood, Timothy J. A1 - Noble, Fergus A1 - Owsley, Jack A1 - Barr, Hugh A1 - Shepherd, Neil A1 - Old, Oliver A1 - Lagergren, Jesper A1 - Gossage, James A1 - Davies, Andrew A1 - Chang, Fuju A1 - Zylstra, Janine A1 - Sanders, Grant A1 - Berrisford, Richard A1 - Harden, Catherine A1 - Bunting, David A1 - Lewis, Mike A1 - Cheong, Ed A1 - Kumar, Bhaskar A1 - Parsons, Simon L. A1 - Soomro, Irshad A1 - Kaye, Philip A1 - Lovat, Laurence A1 - Haidry, Rehan A1 - Eneh, Victor A1 - Igali, Laszlo A1 - Scott, Michael A1 - Sothi, Shamila A1 - Suortamo, Sari A1 - Lishman, Suzy T1 - A comparative analysis of whole genome sequencing of oesophageal adenocarcinoma pre- and post-chemotherapy Y1 - 2017/05/02 JF - Genome Research JO - Genome Research DO - 10.1101/gr.214296.116 UR - http://genome.cshlp.org/content/early/2017/05/02/gr.214296.116.abstract N2 - The scientific community has avoided using tissue samples from patients that have been exposed to systemic chemotherapy to infer the genomic landscape of a given cancer. Esophageal adenocarcinoma is a heterogeneous, chemoresistant tumor for which the availability and size of pretreatment endoscopic samples are limiting. This study compares whole-genome sequencing data obtained from chemo-naive and chemo-treated samples. The quality of whole-genomic sequencing data is comparable across all samples regardless of chemotherapy status. Inclusion of samples collected post-chemotherapy increased the proportion of late-stage tumors. When comparing matched pre- and post-chemotherapy samples from 10 cases, the mutational signatures, copy number, and SNV mutational profiles reflect the expected heterogeneity in this disease. Analysis of SNVs in relation to allele-specific copy-number changes pinpoints the common ancestor to a point prior to chemotherapy. For cases in which pre- and post-chemotherapy samples do show substantial differences, the timing of the divergence is near-synchronous with endoreduplication. Comparison across a large prospective cohort (62 treatment-naive, 58 chemotherapy-treated samples) reveals no significant differences in the overall mutation rate, mutation signatures, specific recurrent point mutations, or copy-number events in respect to chemotherapy status. In conclusion, whole-genome sequencing of samples obtained following neoadjuvant chemotherapy is representative of the genomic landscape of esophageal adenocarcinoma. Excluding these samples reduces the material available for cataloging and introduces a bias toward the earlier stages of cancer. ER -