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Cancer genetics - the case of
hepatocellular carcinoma
Daniel Ho
Department of Pathology
HKU
Central dogma of biology
•Copy number alterations
•Mutations
•Structural variations
•Expressional alterations
•Epigenetic alerations
•Gain/loss of function
•Degradation
https://www.ncbi.nlm.nih.gov/Class/MLACourse/Modules/MolBioReview/central_dogma.html
Somatic vs germline alterations
https://www.ncbi.nlm.nih.gov/books/NBK21894/
What are oncogenes and proto-oncogenes?
•Oncogenes have the potential to cause tumor formation
•Proto-oncogenes are normal genes by default but acquire malignant
functions when mutated or upregulated
•Typically dominant
https://en.wikipedia.org/wiki/Oncogene
What are fusion genes?
Philadelphia chromosome
•Consequence of chromosomal translocation
•Parts of chr 9 and 22 exchanged
•Formation of BCR-ABL fusion gene by joining BCR (22q11) and ABL (9q34)
•Commonly found in leukemia
Detection by FISH
What are tumor suppressor genes?
•Gatekeeper for abnormal cellular events
•Knudson two-hit hypothesis
•Typically recessive
•Dominant negative or haploinsufficiency
http://uvmgg.wikia.com/wiki/Tumor_suppressor
Cancer – inactive tumor suppressor
and active oncogene
http://cisncancer.org/research/what_we_know/advances/oncogenes.html
What are copy number alterations?
Microarray
NGS
Copy number alterations in HCC
Recurrently amplified and deleted genes in HCC
Shibata, T. & Aburatani, H. (2014) Exploration of liver cancer genomes
Nat. Rev. Gastroenterol. Hepatol. doi:10.1038/nrgastro.2014.6
What are mutations?
http://evolution.berkeley.edu/evolibrary/article/evo_20
http://www.vce.bioninja.com.au/aos-3-heredity/molecular-genetics/mutations.html
What are structural variaions?
http://www.vce.bioninja.com.au/aos-3-heredity/molecular-genetics/mutations.html
Genomic alterations in HCC
Totoki, et al. Nature Genetics. 2014
Genomic alterations in HCC
Schulze, et al. Nature Genetics. 2015
Druggable mutations in HCC
Ho, Chan, et al. Gut. doi:10.1136/gutjnl-2016-312734
Druggable mutations in HCC
Ho, Chan, et al. Gut. doi:10.1136/gutjnl-2016-312734
Druggable mutations in HCC
Ho, Chan, et al. Gut. doi:10.1136/gutjnl-2016-312734
Druggable mutations in HCC
Ho, Chan, et al. Gut. doi:10.1136/gutjnl-2016-312734
Druggable mutations in HCC
Ho, Chan, et al. Gut. doi:10.1136/gutjnl-2016-312734
Viral integration in cancers
Chen, et al. Cancers. 2014.
HBV viral integration in HCC
Sung, et al. Nature Genetics. 2012
HBV viral integration in HCC
Chiu, Wong , et al. Journal of Hepatology. 2016 64, 1256-1264. DOI: (10.1016/j.jhep.2016.02.005)
HBV viral integration in HCC
Chiu, Wong , et al. Journal of Hepatology. 2016 64, 1256-1264. DOI: (10.1016/j.jhep.2016.02.005)
HBV viral integration in HCC
Chiu, Wong , et al. Journal of Hepatology. 2016 64, 1256-1264. DOI: (10.1016/j.jhep.2016.02.005)
Strategy for viral integration detection
Human
Chimeric genomic fragment
(Soft-clipped reads)
HBV
Human
Workflow of Virus-Clip
Ho, et al. Oncotarget. 2015
Performance comparison of Virus-Clip with other existing tools
Ho, et al. Oncotarget. 2015
Detecting transcriptomic alterations by
differential gene expression analysis
Ho, et al. Front Med. 2015
Molecular pathogenesis of HCC
Multi-step accumulation of oncogenic alterations at multiple levels
Ho, et al. Liver Cancer. 2016
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