Clinical applications of next-generation sequencing in colorectal cancers

来源 :World Journal of Gastroenterology | 被引量 : 0次 | 上传用户:leneyao
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Like other solid tumors,colorectal cancer(CRC) is a genomic disorder in which various types of genomic alterations,such as point mutations,genomic rearrangements,gene fusions,or chromosomal copy number alterations,can contribute to the initiation and progression of the disease. The advent of a new DNA sequencing technology known as next-generation sequencing(NGS) has revolutionized the speed and throughput of cataloguing such cancer-related genomic alterations. Now the challenge is how to exploit this advanced technology to better understand the underlying molecular mechanism of colorectal carcinogenesis and to identify clinically relevant genetic biomarkers for diagnosis and personalized therapeutics. In this review,we will introduce NGS-based cancer genomics studies focusing on those of CRC,including a recent large-scale report from the Cancer Genome Atlas. We will mainly discuss how NGS-based exome-,whole genome- and methylome-sequencing have extended our understanding of colorectal carcinogenesis. We will also introduce the unique genomic features of CRC discovered by NGS technologies,such as the relationship with bacterial pathogens and the massive genomic rearrangements of chromothripsis. Finally,we will discuss the necessary steps prior to development of a clinical application of NGS-related findings for the advanced management of patients with CRC. Like other solid tumors, colorectal cancer (CRC) is a genomic disorder in which various types of genomic alterations, such as point mutations, genomic rearrangements, gene fusions, or chromosomal copy number alterations, can contribute to the initiation and progression of the disease. The advent of a new DNA sequencing technology known as next-generation sequencing (NGS) has revolutionized the speed and throughput of cataloguing such cancer-related genomic alterations. Now the challenge is how to exploit this advanced technology to better understand the underlying molecular mechanism of colorectal carcinogenesis and to identify clinically relevant genetic biomarkers for diagnosis and personalized therapeutics. In this review, we will introduce NGS-based cancer genomics studies focusing on those of CRC, including a recent large-scale report from the Cancer Genome Atlas. We will mainly discuss how NGS-based exome-, whole genome- and methylome-sequencing have extended our understanding of colorectal carcinogenesis. We will also introduce the unique genomic features of CRC discovered by NGS technologies, such as the relationship with bacterial pathogens and the massive genomic rearrangements of chromothripsis. Finally, we will discuss the necessary steps prior to development of a clinical application of NGS- related findings for the advanced management of patients with CRC.
其他文献
我们通过北京第三制药厂生产的米非司酮配伍米索前列醇流产加取环26例观察。现将操作方法和体会报告如下。 资料和方法 对象:全部对象均在门诊用药,年龄最大35岁。年龄最小2
现阶段,我国高速铁路逐渐趋向于网格化发展,大量穿越的高速铁路交通工程不断涌现,需加强此些工程施工期间的质量管控力度,明确铁路路基沉降规律.基于此,本文对暗挖地铁隧道下
During normal operations, response or quality variables of a process will follow a input-output relation that depend on certain key sensor variables. A soft-sen
会议
在20世纪儒学所面临的诸多危机之中,最深刻的无过于知识者们对儒家社会伦理思想尤其是孝道思想所发动的攻击。破旧以立新,求变以富强,本是处于风雨交加的那一代知识者普遍而
  短期风电功率预测对于电力系统的调度和安全稳定运行具有重要的影响。为提高预测的准确性,本文提出一种基于小波分析法与人工神经网络法组合建模的预测方法。首先应用小波
会议
Recently, a sequential adaptive learning algorithm has been developed for online constructing belief-rule-based (BRB) systems. This algorithm is based on the as
会议
摘 要:随着全球一体化进程不断加快,金融行业的发展也呈现出崭新的面貌,资本的流通不仅仅是金融化,而是向证券化所转变。相比发达国家而言,我国金融证券化的发展正处于初期阶段,但其发展速度非常快,在发展过程中存在着各种各样的问题,还需要在未来的发展道路上不断地磨合和完善。本文对金融证券化趋势以及我国金融证券化的发展作了相关论述,提出了我国金融证券化发展过程中遇到的难题,在立足我国基本国情的基础之上,从几
有人只知道果实近成熟期开始腐烂,却不知道烂果的病菌是潜伏在树体的老皮、翘皮、粗皮病瘤下越冬的,幼果期病菌开始侵入果实,为此,要采取措施,把病菌消灭在侵果前。 (一)刮
  为了解决目前微机械振动陀螺恒幅驱动中的自动增益控制的直流参考电压源对振动幅度的影响问题。本文提出了在高品质因数下,采用基于脉冲宽度调制(PWM)技术的陀螺自激驱动
目前,我国的经济发展迅速,测绘工程建设的发展也有了创新.国土空间规划工作的有序开展,对于缓解人口与环境资源之间的冲突具有十分重要的作用,是对我国国土资源进行充分开发