Comprehensive analysis of targetable mutations and tumor microenvironment in urachal cancer

Abstract Urachal cancer, a rare malignancy, generally presents in the clinical setting with advanced stages of disease. Systemic treatment with chemotherapy is generally utilized in this setting. However, there remains a paucity of data on the effectiveness of immune checkpoint inhibitors or targete...

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Main Authors: David J. Benjamin, Tolulope T. Adeyelu, Andrew Elliott, Sourat Darabi, Thomas Lee, Rana R. McKay, Matthew J. Oberley, Arash Rezazadeh Kalebasty
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:npj Precision Oncology
Online Access:https://doi.org/10.1038/s41698-024-00795-4
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author David J. Benjamin
Tolulope T. Adeyelu
Andrew Elliott
Sourat Darabi
Thomas Lee
Rana R. McKay
Matthew J. Oberley
Arash Rezazadeh Kalebasty
author_facet David J. Benjamin
Tolulope T. Adeyelu
Andrew Elliott
Sourat Darabi
Thomas Lee
Rana R. McKay
Matthew J. Oberley
Arash Rezazadeh Kalebasty
author_sort David J. Benjamin
collection DOAJ
description Abstract Urachal cancer, a rare malignancy, generally presents in the clinical setting with advanced stages of disease. Systemic treatment with chemotherapy is generally utilized in this setting. However, there remains a paucity of data on the effectiveness of immune checkpoint inhibitors or targeted therapies for urachal cancer. We analyzed the genomic profile of urachal cancer in order to identify potentially targetable mutations and evaluate the tumor microenvironment. 42 urachal samples were retrospectively analyzed. Our results showed that TP53, GNAS and KRAS mutations were common in urachal cancer with increased prevalence of TP53 mutation in urachal cohorts without MAPK-alterations. The tumor microenvironment demonstrated increased NK cells in MAPK-altered urachal cancer. Finally, we show that urachal cancer shares genomic and transcriptomic similarity with colorectal cancer compared to bladder cancer. This study provides new insights into the molecular profiles of urachal tumor samples and possibility of association with colorectal cancer that might guide future clinical trial design.
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spelling doaj-art-a12f9e916b6d4cac8b800def7ce5872a2025-01-12T12:06:25ZengNature Portfolionpj Precision Oncology2397-768X2025-01-01911810.1038/s41698-024-00795-4Comprehensive analysis of targetable mutations and tumor microenvironment in urachal cancerDavid J. Benjamin0Tolulope T. Adeyelu1Andrew Elliott2Sourat Darabi3Thomas Lee4Rana R. McKay5Matthew J. Oberley6Arash Rezazadeh Kalebasty7Hoag Family Cancer InstituteCaris Life SciencesCaris Life SciencesHoag Family Cancer InstituteHoag Memorial Hospital PresbyterianUniversity of California, San Diego HealthCaris Life SciencesUniversity of California, IrvineAbstract Urachal cancer, a rare malignancy, generally presents in the clinical setting with advanced stages of disease. Systemic treatment with chemotherapy is generally utilized in this setting. However, there remains a paucity of data on the effectiveness of immune checkpoint inhibitors or targeted therapies for urachal cancer. We analyzed the genomic profile of urachal cancer in order to identify potentially targetable mutations and evaluate the tumor microenvironment. 42 urachal samples were retrospectively analyzed. Our results showed that TP53, GNAS and KRAS mutations were common in urachal cancer with increased prevalence of TP53 mutation in urachal cohorts without MAPK-alterations. The tumor microenvironment demonstrated increased NK cells in MAPK-altered urachal cancer. Finally, we show that urachal cancer shares genomic and transcriptomic similarity with colorectal cancer compared to bladder cancer. This study provides new insights into the molecular profiles of urachal tumor samples and possibility of association with colorectal cancer that might guide future clinical trial design.https://doi.org/10.1038/s41698-024-00795-4
spellingShingle David J. Benjamin
Tolulope T. Adeyelu
Andrew Elliott
Sourat Darabi
Thomas Lee
Rana R. McKay
Matthew J. Oberley
Arash Rezazadeh Kalebasty
Comprehensive analysis of targetable mutations and tumor microenvironment in urachal cancer
npj Precision Oncology
title Comprehensive analysis of targetable mutations and tumor microenvironment in urachal cancer
title_full Comprehensive analysis of targetable mutations and tumor microenvironment in urachal cancer
title_fullStr Comprehensive analysis of targetable mutations and tumor microenvironment in urachal cancer
title_full_unstemmed Comprehensive analysis of targetable mutations and tumor microenvironment in urachal cancer
title_short Comprehensive analysis of targetable mutations and tumor microenvironment in urachal cancer
title_sort comprehensive analysis of targetable mutations and tumor microenvironment in urachal cancer
url https://doi.org/10.1038/s41698-024-00795-4
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