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Association of TP53 and CDKN2A Mutation Profile with Tumor Mutation Burden in Head and Neck Cancer
Journal article   Open access   Peer reviewed

Association of TP53 and CDKN2A Mutation Profile with Tumor Mutation Burden in Head and Neck Cancer

Alexander Y Deneka, Yasmine Baca, Ilya G Serebriiskii, Emmanuelle Nicolas, Mitchell I Parker, Theodore T Nguyen, Joanne Xiu, W Michael Korn, Michael J Demeure, Trisha Wise-Draper, …
Clinical cancer research, v 28(9), pp 1925-1937
02 May 2022
PMID: 35491653
url
https://doi.org/10.1158/1078-0432.ccr-21-4316View
Accepted (AM)Open Access (License Unspecified) Open
url
https://doi.org/10.1158/1078-0432.CCR-21-4316View
Published, Version of Record (VoR) Open

Abstract

Biomarkers, Tumor - genetics Carcinoma, Squamous Cell - pathology Cyclin-Dependent Kinase Inhibitor p16 - genetics Head and Neck Neoplasms - genetics Humans Mutation Papillomavirus Infections - complications Papillomavirus Infections - genetics Squamous Cell Carcinoma of Head and Neck - genetics Tumor Suppressor Protein p53 - genetics
Head and neck squamous cell carcinoma (HNSCC) is a frequently devastating cancer that affects more than a half million people annually worldwide. Although some cases arise from infection with human papillomavirus (HPV), HPV-negative HNSCC is more common, and associated with worse outcome. Advanced HPV-negative HNSCC may be treated with surgery, chemoradiation, targeted therapy, or immune checkpoint inhibition (ICI). There is considerable need for predictive biomarkers for these treatments. Defects in DNA repair capacity and loss of cell-cycle checkpoints sensitize tumors to cytotoxic therapies, and can contribute to phenotypes such as elevated tumor mutation burden (TMB), associated with response to ICI. Mutation of the tumor suppressors and checkpoint mediators TP53 and CDKN2A is common in HPV-negative HNSCC. To gain insight into the relation of the interaction of TP53 and CDKN2A mutations with TMB in HNSCC, we have analyzed genomic data from 1,669 HPV-negative HNSCC tumors with multiple criteria proposed for assessing the damaging effect of TP53 mutations. Data analysis established the TP53 and CDKN2A mutation profiles in specific anatomic subsites and suggested that specific categories of TP53 mutations are more likely to associate with CDKN2A mutation or high TMB based on tumor subsite. Intriguingly, the pattern of hotspot mutations in TP53 differed depending on the presence or absence of a cooccurring CDKN2A mutation. These data emphasize the role of tumor subsite in evaluation of mutational profiles in HNSCC, and link defects in TP53 and CDKN2A to elevated TMB levels in some tumor subgroups.

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Web of Science research areas
Oncology
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