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Predictive Biomarkers and Personalized Medicine

Profiles of Genomic Instability in High-Grade Serous Ovarian Cancer Predict Treatment Outcome

Zhigang C. Wang, Nicolai Juul Birkbak, Aedín C. Culhane, Ronny Drapkin, Aquila Fatima, Ruiyang Tian, Matthew Schwede, Kathryn Alsop, Kathryn E. Daniels, Huiying Piao, Joyce Liu, Dariush Etemadmoghadam, Alexander Miron, Helga B. Salvesen, Gillian Mitchell, Anna DeFazio, John Quackenbush, Ross S. Berkowitz, J. Dirk Iglehart, David D.L. Bowtell, for the Australian Ovarian Cancer Study Group and Ursula A. Matulonis
Zhigang C. Wang
Departments of 1Cancer Biology, 2Biostatistics and Computational Biology, and 3Medical Oncology, Dana-Farber Cancer Institute; 4Department of Pathology and 5Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts; 6Center for Biological Sequence Analysis, Technical University of Denmark, Lyngby, Denmark; 7Cancer Genomics Program, Departments of 8Biochemistry and 9Pathology, and 10Familial Cancer Centre, Peter MacCallum Cancer Centre and the University of Melbourne, Parkville, Melbourne, Victoria; 11Department of Gynaecological Oncology and Westmead Institute for Cancer Research, University of Sydney at Westmead Millennium Institute, Westmead Hospital, Westmead, New South Wales, Australia; 12Department of Obstetrics and Gynecology, Haukeland University Hospital; and 13Department of Clinical Medicine, University of Bergen, Bergen, Norway
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Nicolai Juul Birkbak
Departments of 1Cancer Biology, 2Biostatistics and Computational Biology, and 3Medical Oncology, Dana-Farber Cancer Institute; 4Department of Pathology and 5Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts; 6Center for Biological Sequence Analysis, Technical University of Denmark, Lyngby, Denmark; 7Cancer Genomics Program, Departments of 8Biochemistry and 9Pathology, and 10Familial Cancer Centre, Peter MacCallum Cancer Centre and the University of Melbourne, Parkville, Melbourne, Victoria; 11Department of Gynaecological Oncology and Westmead Institute for Cancer Research, University of Sydney at Westmead Millennium Institute, Westmead Hospital, Westmead, New South Wales, Australia; 12Department of Obstetrics and Gynecology, Haukeland University Hospital; and 13Department of Clinical Medicine, University of Bergen, Bergen, Norway
Departments of 1Cancer Biology, 2Biostatistics and Computational Biology, and 3Medical Oncology, Dana-Farber Cancer Institute; 4Department of Pathology and 5Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts; 6Center for Biological Sequence Analysis, Technical University of Denmark, Lyngby, Denmark; 7Cancer Genomics Program, Departments of 8Biochemistry and 9Pathology, and 10Familial Cancer Centre, Peter MacCallum Cancer Centre and the University of Melbourne, Parkville, Melbourne, Victoria; 11Department of Gynaecological Oncology and Westmead Institute for Cancer Research, University of Sydney at Westmead Millennium Institute, Westmead Hospital, Westmead, New South Wales, Australia; 12Department of Obstetrics and Gynecology, Haukeland University Hospital; and 13Department of Clinical Medicine, University of Bergen, Bergen, Norway
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Aedín C. Culhane
Departments of 1Cancer Biology, 2Biostatistics and Computational Biology, and 3Medical Oncology, Dana-Farber Cancer Institute; 4Department of Pathology and 5Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts; 6Center for Biological Sequence Analysis, Technical University of Denmark, Lyngby, Denmark; 7Cancer Genomics Program, Departments of 8Biochemistry and 9Pathology, and 10Familial Cancer Centre, Peter MacCallum Cancer Centre and the University of Melbourne, Parkville, Melbourne, Victoria; 11Department of Gynaecological Oncology and Westmead Institute for Cancer Research, University of Sydney at Westmead Millennium Institute, Westmead Hospital, Westmead, New South Wales, Australia; 12Department of Obstetrics and Gynecology, Haukeland University Hospital; and 13Department of Clinical Medicine, University of Bergen, Bergen, Norway
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Ronny Drapkin
Departments of 1Cancer Biology, 2Biostatistics and Computational Biology, and 3Medical Oncology, Dana-Farber Cancer Institute; 4Department of Pathology and 5Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts; 6Center for Biological Sequence Analysis, Technical University of Denmark, Lyngby, Denmark; 7Cancer Genomics Program, Departments of 8Biochemistry and 9Pathology, and 10Familial Cancer Centre, Peter MacCallum Cancer Centre and the University of Melbourne, Parkville, Melbourne, Victoria; 11Department of Gynaecological Oncology and Westmead Institute for Cancer Research, University of Sydney at Westmead Millennium Institute, Westmead Hospital, Westmead, New South Wales, Australia; 12Department of Obstetrics and Gynecology, Haukeland University Hospital; and 13Department of Clinical Medicine, University of Bergen, Bergen, Norway
Departments of 1Cancer Biology, 2Biostatistics and Computational Biology, and 3Medical Oncology, Dana-Farber Cancer Institute; 4Department of Pathology and 5Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts; 6Center for Biological Sequence Analysis, Technical University of Denmark, Lyngby, Denmark; 7Cancer Genomics Program, Departments of 8Biochemistry and 9Pathology, and 10Familial Cancer Centre, Peter MacCallum Cancer Centre and the University of Melbourne, Parkville, Melbourne, Victoria; 11Department of Gynaecological Oncology and Westmead Institute for Cancer Research, University of Sydney at Westmead Millennium Institute, Westmead Hospital, Westmead, New South Wales, Australia; 12Department of Obstetrics and Gynecology, Haukeland University Hospital; and 13Department of Clinical Medicine, University of Bergen, Bergen, Norway
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Aquila Fatima
Departments of 1Cancer Biology, 2Biostatistics and Computational Biology, and 3Medical Oncology, Dana-Farber Cancer Institute; 4Department of Pathology and 5Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts; 6Center for Biological Sequence Analysis, Technical University of Denmark, Lyngby, Denmark; 7Cancer Genomics Program, Departments of 8Biochemistry and 9Pathology, and 10Familial Cancer Centre, Peter MacCallum Cancer Centre and the University of Melbourne, Parkville, Melbourne, Victoria; 11Department of Gynaecological Oncology and Westmead Institute for Cancer Research, University of Sydney at Westmead Millennium Institute, Westmead Hospital, Westmead, New South Wales, Australia; 12Department of Obstetrics and Gynecology, Haukeland University Hospital; and 13Department of Clinical Medicine, University of Bergen, Bergen, Norway
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Ruiyang Tian
Departments of 1Cancer Biology, 2Biostatistics and Computational Biology, and 3Medical Oncology, Dana-Farber Cancer Institute; 4Department of Pathology and 5Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts; 6Center for Biological Sequence Analysis, Technical University of Denmark, Lyngby, Denmark; 7Cancer Genomics Program, Departments of 8Biochemistry and 9Pathology, and 10Familial Cancer Centre, Peter MacCallum Cancer Centre and the University of Melbourne, Parkville, Melbourne, Victoria; 11Department of Gynaecological Oncology and Westmead Institute for Cancer Research, University of Sydney at Westmead Millennium Institute, Westmead Hospital, Westmead, New South Wales, Australia; 12Department of Obstetrics and Gynecology, Haukeland University Hospital; and 13Department of Clinical Medicine, University of Bergen, Bergen, Norway
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Matthew Schwede
Departments of 1Cancer Biology, 2Biostatistics and Computational Biology, and 3Medical Oncology, Dana-Farber Cancer Institute; 4Department of Pathology and 5Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts; 6Center for Biological Sequence Analysis, Technical University of Denmark, Lyngby, Denmark; 7Cancer Genomics Program, Departments of 8Biochemistry and 9Pathology, and 10Familial Cancer Centre, Peter MacCallum Cancer Centre and the University of Melbourne, Parkville, Melbourne, Victoria; 11Department of Gynaecological Oncology and Westmead Institute for Cancer Research, University of Sydney at Westmead Millennium Institute, Westmead Hospital, Westmead, New South Wales, Australia; 12Department of Obstetrics and Gynecology, Haukeland University Hospital; and 13Department of Clinical Medicine, University of Bergen, Bergen, Norway
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Kathryn Alsop
Departments of 1Cancer Biology, 2Biostatistics and Computational Biology, and 3Medical Oncology, Dana-Farber Cancer Institute; 4Department of Pathology and 5Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts; 6Center for Biological Sequence Analysis, Technical University of Denmark, Lyngby, Denmark; 7Cancer Genomics Program, Departments of 8Biochemistry and 9Pathology, and 10Familial Cancer Centre, Peter MacCallum Cancer Centre and the University of Melbourne, Parkville, Melbourne, Victoria; 11Department of Gynaecological Oncology and Westmead Institute for Cancer Research, University of Sydney at Westmead Millennium Institute, Westmead Hospital, Westmead, New South Wales, Australia; 12Department of Obstetrics and Gynecology, Haukeland University Hospital; and 13Department of Clinical Medicine, University of Bergen, Bergen, Norway
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Kathryn E. Daniels
Departments of 1Cancer Biology, 2Biostatistics and Computational Biology, and 3Medical Oncology, Dana-Farber Cancer Institute; 4Department of Pathology and 5Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts; 6Center for Biological Sequence Analysis, Technical University of Denmark, Lyngby, Denmark; 7Cancer Genomics Program, Departments of 8Biochemistry and 9Pathology, and 10Familial Cancer Centre, Peter MacCallum Cancer Centre and the University of Melbourne, Parkville, Melbourne, Victoria; 11Department of Gynaecological Oncology and Westmead Institute for Cancer Research, University of Sydney at Westmead Millennium Institute, Westmead Hospital, Westmead, New South Wales, Australia; 12Department of Obstetrics and Gynecology, Haukeland University Hospital; and 13Department of Clinical Medicine, University of Bergen, Bergen, Norway
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Huiying Piao
Departments of 1Cancer Biology, 2Biostatistics and Computational Biology, and 3Medical Oncology, Dana-Farber Cancer Institute; 4Department of Pathology and 5Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts; 6Center for Biological Sequence Analysis, Technical University of Denmark, Lyngby, Denmark; 7Cancer Genomics Program, Departments of 8Biochemistry and 9Pathology, and 10Familial Cancer Centre, Peter MacCallum Cancer Centre and the University of Melbourne, Parkville, Melbourne, Victoria; 11Department of Gynaecological Oncology and Westmead Institute for Cancer Research, University of Sydney at Westmead Millennium Institute, Westmead Hospital, Westmead, New South Wales, Australia; 12Department of Obstetrics and Gynecology, Haukeland University Hospital; and 13Department of Clinical Medicine, University of Bergen, Bergen, Norway
Departments of 1Cancer Biology, 2Biostatistics and Computational Biology, and 3Medical Oncology, Dana-Farber Cancer Institute; 4Department of Pathology and 5Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts; 6Center for Biological Sequence Analysis, Technical University of Denmark, Lyngby, Denmark; 7Cancer Genomics Program, Departments of 8Biochemistry and 9Pathology, and 10Familial Cancer Centre, Peter MacCallum Cancer Centre and the University of Melbourne, Parkville, Melbourne, Victoria; 11Department of Gynaecological Oncology and Westmead Institute for Cancer Research, University of Sydney at Westmead Millennium Institute, Westmead Hospital, Westmead, New South Wales, Australia; 12Department of Obstetrics and Gynecology, Haukeland University Hospital; and 13Department of Clinical Medicine, University of Bergen, Bergen, Norway
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Joyce Liu
Departments of 1Cancer Biology, 2Biostatistics and Computational Biology, and 3Medical Oncology, Dana-Farber Cancer Institute; 4Department of Pathology and 5Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts; 6Center for Biological Sequence Analysis, Technical University of Denmark, Lyngby, Denmark; 7Cancer Genomics Program, Departments of 8Biochemistry and 9Pathology, and 10Familial Cancer Centre, Peter MacCallum Cancer Centre and the University of Melbourne, Parkville, Melbourne, Victoria; 11Department of Gynaecological Oncology and Westmead Institute for Cancer Research, University of Sydney at Westmead Millennium Institute, Westmead Hospital, Westmead, New South Wales, Australia; 12Department of Obstetrics and Gynecology, Haukeland University Hospital; and 13Department of Clinical Medicine, University of Bergen, Bergen, Norway
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Dariush Etemadmoghadam
Departments of 1Cancer Biology, 2Biostatistics and Computational Biology, and 3Medical Oncology, Dana-Farber Cancer Institute; 4Department of Pathology and 5Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts; 6Center for Biological Sequence Analysis, Technical University of Denmark, Lyngby, Denmark; 7Cancer Genomics Program, Departments of 8Biochemistry and 9Pathology, and 10Familial Cancer Centre, Peter MacCallum Cancer Centre and the University of Melbourne, Parkville, Melbourne, Victoria; 11Department of Gynaecological Oncology and Westmead Institute for Cancer Research, University of Sydney at Westmead Millennium Institute, Westmead Hospital, Westmead, New South Wales, Australia; 12Department of Obstetrics and Gynecology, Haukeland University Hospital; and 13Department of Clinical Medicine, University of Bergen, Bergen, Norway
Departments of 1Cancer Biology, 2Biostatistics and Computational Biology, and 3Medical Oncology, Dana-Farber Cancer Institute; 4Department of Pathology and 5Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts; 6Center for Biological Sequence Analysis, Technical University of Denmark, Lyngby, Denmark; 7Cancer Genomics Program, Departments of 8Biochemistry and 9Pathology, and 10Familial Cancer Centre, Peter MacCallum Cancer Centre and the University of Melbourne, Parkville, Melbourne, Victoria; 11Department of Gynaecological Oncology and Westmead Institute for Cancer Research, University of Sydney at Westmead Millennium Institute, Westmead Hospital, Westmead, New South Wales, Australia; 12Department of Obstetrics and Gynecology, Haukeland University Hospital; and 13Department of Clinical Medicine, University of Bergen, Bergen, Norway
Departments of 1Cancer Biology, 2Biostatistics and Computational Biology, and 3Medical Oncology, Dana-Farber Cancer Institute; 4Department of Pathology and 5Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts; 6Center for Biological Sequence Analysis, Technical University of Denmark, Lyngby, Denmark; 7Cancer Genomics Program, Departments of 8Biochemistry and 9Pathology, and 10Familial Cancer Centre, Peter MacCallum Cancer Centre and the University of Melbourne, Parkville, Melbourne, Victoria; 11Department of Gynaecological Oncology and Westmead Institute for Cancer Research, University of Sydney at Westmead Millennium Institute, Westmead Hospital, Westmead, New South Wales, Australia; 12Department of Obstetrics and Gynecology, Haukeland University Hospital; and 13Department of Clinical Medicine, University of Bergen, Bergen, Norway
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Alexander Miron
Departments of 1Cancer Biology, 2Biostatistics and Computational Biology, and 3Medical Oncology, Dana-Farber Cancer Institute; 4Department of Pathology and 5Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts; 6Center for Biological Sequence Analysis, Technical University of Denmark, Lyngby, Denmark; 7Cancer Genomics Program, Departments of 8Biochemistry and 9Pathology, and 10Familial Cancer Centre, Peter MacCallum Cancer Centre and the University of Melbourne, Parkville, Melbourne, Victoria; 11Department of Gynaecological Oncology and Westmead Institute for Cancer Research, University of Sydney at Westmead Millennium Institute, Westmead Hospital, Westmead, New South Wales, Australia; 12Department of Obstetrics and Gynecology, Haukeland University Hospital; and 13Department of Clinical Medicine, University of Bergen, Bergen, Norway
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Helga B. Salvesen
Departments of 1Cancer Biology, 2Biostatistics and Computational Biology, and 3Medical Oncology, Dana-Farber Cancer Institute; 4Department of Pathology and 5Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts; 6Center for Biological Sequence Analysis, Technical University of Denmark, Lyngby, Denmark; 7Cancer Genomics Program, Departments of 8Biochemistry and 9Pathology, and 10Familial Cancer Centre, Peter MacCallum Cancer Centre and the University of Melbourne, Parkville, Melbourne, Victoria; 11Department of Gynaecological Oncology and Westmead Institute for Cancer Research, University of Sydney at Westmead Millennium Institute, Westmead Hospital, Westmead, New South Wales, Australia; 12Department of Obstetrics and Gynecology, Haukeland University Hospital; and 13Department of Clinical Medicine, University of Bergen, Bergen, Norway
Departments of 1Cancer Biology, 2Biostatistics and Computational Biology, and 3Medical Oncology, Dana-Farber Cancer Institute; 4Department of Pathology and 5Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts; 6Center for Biological Sequence Analysis, Technical University of Denmark, Lyngby, Denmark; 7Cancer Genomics Program, Departments of 8Biochemistry and 9Pathology, and 10Familial Cancer Centre, Peter MacCallum Cancer Centre and the University of Melbourne, Parkville, Melbourne, Victoria; 11Department of Gynaecological Oncology and Westmead Institute for Cancer Research, University of Sydney at Westmead Millennium Institute, Westmead Hospital, Westmead, New South Wales, Australia; 12Department of Obstetrics and Gynecology, Haukeland University Hospital; and 13Department of Clinical Medicine, University of Bergen, Bergen, Norway
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Gillian Mitchell
Departments of 1Cancer Biology, 2Biostatistics and Computational Biology, and 3Medical Oncology, Dana-Farber Cancer Institute; 4Department of Pathology and 5Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts; 6Center for Biological Sequence Analysis, Technical University of Denmark, Lyngby, Denmark; 7Cancer Genomics Program, Departments of 8Biochemistry and 9Pathology, and 10Familial Cancer Centre, Peter MacCallum Cancer Centre and the University of Melbourne, Parkville, Melbourne, Victoria; 11Department of Gynaecological Oncology and Westmead Institute for Cancer Research, University of Sydney at Westmead Millennium Institute, Westmead Hospital, Westmead, New South Wales, Australia; 12Department of Obstetrics and Gynecology, Haukeland University Hospital; and 13Department of Clinical Medicine, University of Bergen, Bergen, Norway
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Anna DeFazio
Departments of 1Cancer Biology, 2Biostatistics and Computational Biology, and 3Medical Oncology, Dana-Farber Cancer Institute; 4Department of Pathology and 5Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts; 6Center for Biological Sequence Analysis, Technical University of Denmark, Lyngby, Denmark; 7Cancer Genomics Program, Departments of 8Biochemistry and 9Pathology, and 10Familial Cancer Centre, Peter MacCallum Cancer Centre and the University of Melbourne, Parkville, Melbourne, Victoria; 11Department of Gynaecological Oncology and Westmead Institute for Cancer Research, University of Sydney at Westmead Millennium Institute, Westmead Hospital, Westmead, New South Wales, Australia; 12Department of Obstetrics and Gynecology, Haukeland University Hospital; and 13Department of Clinical Medicine, University of Bergen, Bergen, Norway
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John Quackenbush
Departments of 1Cancer Biology, 2Biostatistics and Computational Biology, and 3Medical Oncology, Dana-Farber Cancer Institute; 4Department of Pathology and 5Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts; 6Center for Biological Sequence Analysis, Technical University of Denmark, Lyngby, Denmark; 7Cancer Genomics Program, Departments of 8Biochemistry and 9Pathology, and 10Familial Cancer Centre, Peter MacCallum Cancer Centre and the University of Melbourne, Parkville, Melbourne, Victoria; 11Department of Gynaecological Oncology and Westmead Institute for Cancer Research, University of Sydney at Westmead Millennium Institute, Westmead Hospital, Westmead, New South Wales, Australia; 12Department of Obstetrics and Gynecology, Haukeland University Hospital; and 13Department of Clinical Medicine, University of Bergen, Bergen, Norway
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Ross S. Berkowitz
Departments of 1Cancer Biology, 2Biostatistics and Computational Biology, and 3Medical Oncology, Dana-Farber Cancer Institute; 4Department of Pathology and 5Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts; 6Center for Biological Sequence Analysis, Technical University of Denmark, Lyngby, Denmark; 7Cancer Genomics Program, Departments of 8Biochemistry and 9Pathology, and 10Familial Cancer Centre, Peter MacCallum Cancer Centre and the University of Melbourne, Parkville, Melbourne, Victoria; 11Department of Gynaecological Oncology and Westmead Institute for Cancer Research, University of Sydney at Westmead Millennium Institute, Westmead Hospital, Westmead, New South Wales, Australia; 12Department of Obstetrics and Gynecology, Haukeland University Hospital; and 13Department of Clinical Medicine, University of Bergen, Bergen, Norway
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J. Dirk Iglehart
Departments of 1Cancer Biology, 2Biostatistics and Computational Biology, and 3Medical Oncology, Dana-Farber Cancer Institute; 4Department of Pathology and 5Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts; 6Center for Biological Sequence Analysis, Technical University of Denmark, Lyngby, Denmark; 7Cancer Genomics Program, Departments of 8Biochemistry and 9Pathology, and 10Familial Cancer Centre, Peter MacCallum Cancer Centre and the University of Melbourne, Parkville, Melbourne, Victoria; 11Department of Gynaecological Oncology and Westmead Institute for Cancer Research, University of Sydney at Westmead Millennium Institute, Westmead Hospital, Westmead, New South Wales, Australia; 12Department of Obstetrics and Gynecology, Haukeland University Hospital; and 13Department of Clinical Medicine, University of Bergen, Bergen, Norway
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David D.L. Bowtell
Departments of 1Cancer Biology, 2Biostatistics and Computational Biology, and 3Medical Oncology, Dana-Farber Cancer Institute; 4Department of Pathology and 5Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts; 6Center for Biological Sequence Analysis, Technical University of Denmark, Lyngby, Denmark; 7Cancer Genomics Program, Departments of 8Biochemistry and 9Pathology, and 10Familial Cancer Centre, Peter MacCallum Cancer Centre and the University of Melbourne, Parkville, Melbourne, Victoria; 11Department of Gynaecological Oncology and Westmead Institute for Cancer Research, University of Sydney at Westmead Millennium Institute, Westmead Hospital, Westmead, New South Wales, Australia; 12Department of Obstetrics and Gynecology, Haukeland University Hospital; and 13Department of Clinical Medicine, University of Bergen, Bergen, Norway
Departments of 1Cancer Biology, 2Biostatistics and Computational Biology, and 3Medical Oncology, Dana-Farber Cancer Institute; 4Department of Pathology and 5Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts; 6Center for Biological Sequence Analysis, Technical University of Denmark, Lyngby, Denmark; 7Cancer Genomics Program, Departments of 8Biochemistry and 9Pathology, and 10Familial Cancer Centre, Peter MacCallum Cancer Centre and the University of Melbourne, Parkville, Melbourne, Victoria; 11Department of Gynaecological Oncology and Westmead Institute for Cancer Research, University of Sydney at Westmead Millennium Institute, Westmead Hospital, Westmead, New South Wales, Australia; 12Department of Obstetrics and Gynecology, Haukeland University Hospital; and 13Department of Clinical Medicine, University of Bergen, Bergen, Norway
Departments of 1Cancer Biology, 2Biostatistics and Computational Biology, and 3Medical Oncology, Dana-Farber Cancer Institute; 4Department of Pathology and 5Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts; 6Center for Biological Sequence Analysis, Technical University of Denmark, Lyngby, Denmark; 7Cancer Genomics Program, Departments of 8Biochemistry and 9Pathology, and 10Familial Cancer Centre, Peter MacCallum Cancer Centre and the University of Melbourne, Parkville, Melbourne, Victoria; 11Department of Gynaecological Oncology and Westmead Institute for Cancer Research, University of Sydney at Westmead Millennium Institute, Westmead Hospital, Westmead, New South Wales, Australia; 12Department of Obstetrics and Gynecology, Haukeland University Hospital; and 13Department of Clinical Medicine, University of Bergen, Bergen, Norway
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Departments of 1Cancer Biology, 2Biostatistics and Computational Biology, and 3Medical Oncology, Dana-Farber Cancer Institute; 4Department of Pathology and 5Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts; 6Center for Biological Sequence Analysis, Technical University of Denmark, Lyngby, Denmark; 7Cancer Genomics Program, Departments of 8Biochemistry and 9Pathology, and 10Familial Cancer Centre, Peter MacCallum Cancer Centre and the University of Melbourne, Parkville, Melbourne, Victoria; 11Department of Gynaecological Oncology and Westmead Institute for Cancer Research, University of Sydney at Westmead Millennium Institute, Westmead Hospital, Westmead, New South Wales, Australia; 12Department of Obstetrics and Gynecology, Haukeland University Hospital; and 13Department of Clinical Medicine, University of Bergen, Bergen, Norway
Ursula A. Matulonis
Departments of 1Cancer Biology, 2Biostatistics and Computational Biology, and 3Medical Oncology, Dana-Farber Cancer Institute; 4Department of Pathology and 5Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts; 6Center for Biological Sequence Analysis, Technical University of Denmark, Lyngby, Denmark; 7Cancer Genomics Program, Departments of 8Biochemistry and 9Pathology, and 10Familial Cancer Centre, Peter MacCallum Cancer Centre and the University of Melbourne, Parkville, Melbourne, Victoria; 11Department of Gynaecological Oncology and Westmead Institute for Cancer Research, University of Sydney at Westmead Millennium Institute, Westmead Hospital, Westmead, New South Wales, Australia; 12Department of Obstetrics and Gynecology, Haukeland University Hospital; and 13Department of Clinical Medicine, University of Bergen, Bergen, Norway
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DOI: 10.1158/1078-0432.CCR-12-0857 Published October 2012
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    Figure 1.

    LOH-based hierarchical clustering of HGSC. A, LOH-based clustering of 47 ovarian cancers. The clustering dendrogram is depicted at the top, and each column represents the genome-wide status of heterozygosity; yellow, region of retained heterozygosity; blue, region of LOH. Chromosome location is indicated on the vertical axis. B, box plots depicting fraction of LOH (FLOH) for HGSC in cluster Lo and cluster HiA and HiB from A. The horizontal line within the box is the median value of FLOH. C, box plots showing number of chromosomal segments containing allelic imbalance (AI) per cancer genome.

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    Figure 2.

    Genome-wide prevalence of LOH in HGSC. Chromosome location is on the horizontal axis. Horizontal red lines represent a threshold P value ≤ 0.05 by genome-wide permutation. A, genome-wide prevalence of LOH. B, frequency of genome-wide copy number gain and loss. Frequency of absolute copy gain ≥3 (red) and copy loss ≤1.4 (blue) for each SNP is shown on the vertical axis. The light vertical lines separate the short and long arms.

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    Figure 3.

    BRCA1 promoter methylation, FLOH and BRCA1 transcript levels in HGSC. A, frequency of BRCA1 promoter methylation in HGSC. P value was obtained by using 2-way contingency analysis and Chi square. B, BRCA1 promoter methylation and FLOH in HGSC. FLOH was compared between cases with BRCA1 promoter methylation (B1M) and cases without BRCA1 methylation (B1UM). C, BRCA1 promoter methylation and BRCA1 mRNA levels. P value is determined by Mann–Whitney U tests.

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    Figure 4.

    Genomic profiles of HGSC in AOCS and TCGA SNP array datasets. A, hierarchical clustering and visualization based on LOH patterns in the AOCS dataset. B, hierarchical clustering in the TCGA dataset.

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    Figure 5.

    FLOH and rate of resistance to platinum-based chemotherapy in subclusters of HGSC from three independent cohorts. A and B, chemotherapy resistance and mean FLOH in tumors from subclusters Lo, HiA, and HiB for patients with stage III disease and residual disease ≤1 cm after optimal debulking, pooled from the 3 cohorts. C and D, results from all patients including those with stages II and IV cancer and residual disease >1 cm. P values are derived from Chi square analysis using 2-way contingency tables in A and C, and from t test in B and D. *, **, and *** represent P values <0.05, <0.001, and <0.00001, respectively.

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    Figure 6.

    Progression-free survival (PFS) after surgery and chemotherapy. Kaplan–Meier analysis was done in patients with stage III disease and 1 cm or less residual cancer after surgery; all patients received platinum and taxane combination chemotherapy. A, the AOCS cohort; B, the Boston cohort. Patients were divided into quartiles of FLOH (from low to high) in their tumors. P values are calculated by log-rank test. Patients who were progression-free at the time of last follow-up were censored (+).

Additional Files

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  • Supplementary Data

    Files in this Data Supplement:

    • Supplementary Figures 1 - 9 - PDF file, 366K, Supplementary Figures 1-9: 1. LOH patterns on different array platforms, 2. Allelic imbalance in LOH clusters, 3. LOH clustering breast cancer, 4. LOH and copy number prevalence in breast cancer, 5. Chemotherapy resistance and FLOH in three cohorts, 6. Chemotherapy resistance and FLOH with or without BRCA mutations, 7. PFS regardless of stage and residual disease, 8. PFS with or without BRCA mutations, 9. BRCA1 expression and FLOH.
    • Supplementary Tables 4 - 8 - PDF file, 80K, Supplementary Tables 4-8: 4. LOH patterns in three cohorts, 5A&B. FLOH and chemotherapy resistance in three cohorts, 6. BRCA mutations in the AOCS, 7. Univariate and multivariate analysis of platinum resistantce, 8. PFS in LOH subclusters and patients with BRCA mutations.
    • Supplementary Tables 1 - 3 - XLS file, 509K, supplementary Tables 1-3: 1. Information from the Boston cohort, 2. Information from AOCS cohort, 3. Information from TCGA.
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Clinical Cancer Research: 18 (20)
October 2012
Volume 18, Issue 20
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Profiles of Genomic Instability in High-Grade Serous Ovarian Cancer Predict Treatment Outcome
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Profiles of Genomic Instability in High-Grade Serous Ovarian Cancer Predict Treatment Outcome
Zhigang C. Wang, Nicolai Juul Birkbak, Aedín C. Culhane, Ronny Drapkin, Aquila Fatima, Ruiyang Tian, Matthew Schwede, Kathryn Alsop, Kathryn E. Daniels, Huiying Piao, Joyce Liu, Dariush Etemadmoghadam, Alexander Miron, Helga B. Salvesen, Gillian Mitchell, Anna DeFazio, John Quackenbush, Ross S. Berkowitz, J. Dirk Iglehart, David D.L. Bowtell, for the Australian Ovarian Cancer Study Group and Ursula A. Matulonis
Clin Cancer Res October 15 2012 (18) (20) 5806-5815; DOI: 10.1158/1078-0432.CCR-12-0857

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Profiles of Genomic Instability in High-Grade Serous Ovarian Cancer Predict Treatment Outcome
Zhigang C. Wang, Nicolai Juul Birkbak, Aedín C. Culhane, Ronny Drapkin, Aquila Fatima, Ruiyang Tian, Matthew Schwede, Kathryn Alsop, Kathryn E. Daniels, Huiying Piao, Joyce Liu, Dariush Etemadmoghadam, Alexander Miron, Helga B. Salvesen, Gillian Mitchell, Anna DeFazio, John Quackenbush, Ross S. Berkowitz, J. Dirk Iglehart, David D.L. Bowtell, for the Australian Ovarian Cancer Study Group and Ursula A. Matulonis
Clin Cancer Res October 15 2012 (18) (20) 5806-5815; DOI: 10.1158/1078-0432.CCR-12-0857
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