PMID- 25083769 OWN - NLM STAT- MEDLINE DCOM- 20150423 LR - 20211021 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 9 IP - 8 DP - 2014 TI - Identification of ALK gene alterations in urothelial carcinoma. PG - e103325 LID - 10.1371/journal.pone.0103325 [doi] LID - e103325 AB - BACKGROUND: Anaplastic lymphoma kinase (ALK) genomic alterations have emerged as a potent predictor of benefit from treatment with ALK inhibitors in several cancers. Currently, there is no information about ALK gene alterations in urothelial carcinoma (UC) and its correlation with clinical or pathologic features and outcome. METHODS: Samples from patients with advanced UC and correlative clinical data were collected. Genomic imbalances were investigated by array comparative genomic hybridization (aCGH). ALK gene status was evaluated by fluorescence in situ hybridization (FISH). ALK expression was assessed by immunohistochemistry (IHC) and high-throughput mutation analysis with Oncomap 3 platform. Next generation sequencing was performed using Illumina Genome Analyzer IIx, and Illumina HiSeq 2000 in the FISH positive case. RESULTS: 70 of 96 patients had tissue available for all the tests performed. Arm level copy number gains at chromosome 2 were identified in 17 (24%) patients. Minor copy number alterations (CNAs) in the proximity of ALK locus were found in 3 patients by aCGH. By FISH analysis, one of these samples had a deletion of the 5'ALK. Whole genome next generation sequencing was inconclusive to confirm the deletion at the level of the ALK gene at the coverage level used. We did not observe an association between ALK CNA and overall survival, ECOG PS, or development of visceral disease. CONCLUSIONS: ALK genomic alterations are rare and probably without prognostic implications in UC. The potential for testing ALK inhibitors in UC merits further investigation but might be restricted to the identification of an enriched population. FAU - Bellmunt, Joaquim AU - Bellmunt J AD - Bladder Cancer Center, Dana-Farber Cancer Institute/Harvard Medical School, Boston, Massachusetts, United States of America; Hospital del Mar Research Institute-IMIM, Barcelona, Spain. FAU - Selvarajah, Shamini AU - Selvarajah S AD - Bladder Cancer Center, Dana-Farber Cancer Institute/Harvard Medical School, Boston, Massachusetts, United States of America. FAU - Rodig, Scott AU - Rodig S AD - Bladder Cancer Center, Dana-Farber Cancer Institute/Harvard Medical School, Boston, Massachusetts, United States of America. FAU - Salido, Marta AU - Salido M AD - Department of Pathology, Hospital del Mar Research Institute-IMIM, Barcelona, Spain. FAU - de Muga, Silvia AU - de Muga S AD - Department of Pathology, Hospital del Mar Research Institute-IMIM, Barcelona, Spain. FAU - Costa, Irmgard AU - Costa I AD - Hospital Parc Tauli, Sabadell, Spain. FAU - Bellosillo, Beatriz AU - Bellosillo B AD - Department of Pathology, Hospital del Mar Research Institute-IMIM, Barcelona, Spain. FAU - Werner, Lillian AU - Werner L AD - Biostatistics and Computational Biology, Harvard Medical School, Dana-Farber Cancer Institute, Boston, Massachusetts, United States of America. FAU - Mullane, Stephanie AU - Mullane S AD - Bladder Cancer Center, Dana-Farber Cancer Institute/Harvard Medical School, Boston, Massachusetts, United States of America. FAU - Fay, Andre P AU - Fay AP AD - Bladder Cancer Center, Dana-Farber Cancer Institute/Harvard Medical School, Boston, Massachusetts, United States of America. FAU - O'Brien, Robert AU - O'Brien R AD - Bladder Cancer Center, Dana-Farber Cancer Institute/Harvard Medical School, Boston, Massachusetts, United States of America. FAU - Barretina, Jordi AU - Barretina J AD - Broad Institute, Cambridge, Massachusetts, United States of America. FAU - Minoche, Andre E AU - Minoche AE AD - Max Planck Institute for Molecular Genetics, Berlin, Germany; Centre for Genomic Regulation (CRG), Barcelona, Spain; Universitat Pompeu Fabra, Barcelona, Spain. FAU - Signoretti, Sabina AU - Signoretti S AD - Bladder Cancer Center, Dana-Farber Cancer Institute/Harvard Medical School, Boston, Massachusetts, United States of America. FAU - Montagut, Clara AU - Montagut C AD - Hospital del Mar Research Institute-IMIM, Barcelona, Spain. FAU - Himmelbauer, Heinz AU - Himmelbauer H AD - Centre for Genomic Regulation (CRG), Barcelona, Spain; Universitat Pompeu Fabra, Barcelona, Spain. FAU - Berman, David M AU - Berman DM AD - Department of Pathology, Johns Hopkins University, Baltimore, Maryland, United States of America. FAU - Kantoff, Philip AU - Kantoff P AD - Bladder Cancer Center, Dana-Farber Cancer Institute/Harvard Medical School, Boston, Massachusetts, United States of America. FAU - Choueiri, Toni K AU - Choueiri TK AD - Bladder Cancer Center, Dana-Farber Cancer Institute/Harvard Medical School, Boston, Massachusetts, United States of America. FAU - Rosenberg, Jonathan E AU - Rosenberg JE AD - Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, New York, United States of America. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140801 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - EC 2.7.10.1 (ALK protein, human) RN - EC 2.7.10.1 (Anaplastic Lymphoma Kinase) RN - EC 2.7.10.1 (Receptor Protein-Tyrosine Kinases) SB - IM MH - Aged MH - Anaplastic Lymphoma Kinase MH - Carcinoma/*genetics/metabolism/mortality/pathology MH - Chromosome Aberrations MH - Comparative Genomic Hybridization MH - DNA Copy Number Variations MH - Female MH - Gene Deletion MH - *Genetic Variation MH - High-Throughput Nucleotide Sequencing MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Male MH - Middle Aged MH - Mutation MH - Neoplasm Staging MH - Prognosis MH - Receptor Protein-Tyrosine Kinases/*genetics/metabolism MH - Urologic Neoplasms/*genetics/metabolism/mortality/pathology PMC - PMC4118868 COIS- Competing Interests: Toni K. Choueiri: Consultancy: Pfizer, Novartis; Advisory board: Pfizer, Novartis, Aveo, GlaxoSmithKline, Exelixis; Research: Pfizer; No Speakers bureau. All remaining authors have declared no conflicts of interest for this work. This does not alter the authors' adherence to PLOS ONE policies on sharing data and materials. EDAT- 2014/08/02 06:00 MHDA- 2015/04/24 06:00 PMCR- 2014/08/01 CRDT- 2014/08/02 06:00 PHST- 2014/04/15 00:00 [received] PHST- 2014/06/26 00:00 [accepted] PHST- 2014/08/02 06:00 [entrez] PHST- 2014/08/02 06:00 [pubmed] PHST- 2015/04/24 06:00 [medline] PHST- 2014/08/01 00:00 [pmc-release] AID - PONE-D-14-16177 [pii] AID - 10.1371/journal.pone.0103325 [doi] PST - epublish SO - PLoS One. 2014 Aug 1;9(8):e103325. doi: 10.1371/journal.pone.0103325. eCollection 2014.