@article{bab356da13484f9bb45b43151ec3ed35,
title = "Integrated Molecular Characterization of Testicular Germ Cell Tumors",
abstract = "We studied 137 primary testicular germ cell tumors (TGCTs) using high-dimensional assays of genomic, epigenomic, transcriptomic, and proteomic features. These tumors exhibited high aneuploidy and a paucity of somatic mutations. Somatic mutation of only three genes achieved significance-KIT, KRAS, and NRAS-exclusively in samples with seminoma components. Integrated analyses identified distinct molecular patterns that characterized the major recognized histologic subtypes of TGCT: seminoma, embryonal carcinoma, yolk sac tumor, and teratoma. Striking differences in global DNA methylation and microRNA expression between histology subtypes highlight a likely role of epigenomic processes in determining histologic fates in TGCTs. We also identified a subset of pure seminomas defined by KIT mutations, increased immune infiltration, globally demethylated DNA, and decreased KRAS copy number. We report potential biomarkers for risk stratification, such as miRNA specifically expressed in teratoma, and others with molecular diagnostic potential, such as CpH (CpA/CpC/CpT) methylation identifying embryonal carcinomas.",
keywords = "DNA Copy Number Variations, DNA Methylation, Gene Expression Regulation, Neoplastic, Humans, Male, MicroRNAs/metabolism, Neoplasms, Germ Cell and Embryonal/classification, Proto-Oncogene Proteins c-kit/genetics, Seminoma/metabolism, Testicular Neoplasms/classification, ras Proteins/genetics",
author = "{Cancer Genome Atlas Research Network} and Hui Shen and Juliann Shih and Hollern, {Daniel P} and Linghua Wang and Reanne Bowlby and Tickoo, {Satish K} and V{\'e}steinn Thorsson and Mungall, {Andrew J} and Yulia Newton and Hegde, {Apurva M} and Joshua Armenia and Francisco S{\'a}nchez-Vega and John Pluta and Pyle, {Louise C} and Rohit Mehra and Reuter, {Victor E} and Guilherme Godoy and Jeffrey Jones and Shelley, {Carl S} and Feldman, {Darren R} and Vidal, {Daniel O} and Davor Lessel and Tomislav Kulis and C{\'a}rcano, {Flavio M} and Leraas, {Kristen M} and Lichtenberg, {Tara M} and Denise Brooks and Cherniack, {Andrew D} and Juok Cho and Heiman, {David I} and Katayoon Kasaian and Minwei Liu and Noble, {Michael S} and Liu Xi and Hailei Zhang and Wanding Zhou and ZenKlusen, {Jean C} and Hutter, {Carolyn M} and Ina Felau and Jiashan Zhang and Nikolaus Schultz and Gad Getz and Matthew Meyerson and Stuart, {Joshua M} and Rehan Akbani and Wheeler, {David A} and Laird, {Peter W} and Nathanson, {Katherine L} and Cortessis, {Victoria K} and Hoadley, {Katherine A}",
note = "Copyright {\textcopyright} 2018 The Author(s). Published by Elsevier Inc. All rights reserved.",
year = "2018",
month = jun,
day = "12",
doi = "10.1016/j.celrep.2018.05.039",
language = "English",
volume = "23",
pages = "3392--3406",
journal = "Cell reports",
issn = "2211-1247",
publisher = "Cell Press",
number = "11",
}