RT Journal 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 JF Genome Research JO Genome Research YR 2017 FD May 02 DO 10.1101/gr.214296.116 UL http://genome.cshlp.org/content/early/2017/05/02/gr.214296.116.abstract AB 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.