PMID- 30914633 OWN - NLM STAT- MEDLINE DCOM- 20200203 LR - 20210109 IS - 2044-5385 (Electronic) IS - 2044-5385 (Linking) VI - 9 IP - 4 DP - 2019 Mar 26 TI - Deciphering the chronology of copy number alterations in Multiple Myeloma. PG - 39 LID - 10.1038/s41408-019-0199-3 [doi] LID - 39 AB - Multiple myeloma (MM) and its precursor condition MGUS are characterized by chromosomal aberrations. Here, we comprehensively characterize the order of occurrence of these complex genomic events underlying MM development using 500 MGUS, and MM samples. We identify hyperdiploid MM (HMM) and non-HMM as genomically distinct entities with different evolution of the copy number alterations. In HMM, gains of 9,15 or 19 are the first and clonal events observed as clonal even at MGUS stage. These events are thus early and may underlie initial transformation of normal plasma cells to MGUS cells. However, CNAs may not be adequate for progression to MM except in 15% of the patients in whom the complex subclonal deletion events are observed in MM but not MGUS. In NHMM, besides the driver translocations, clonal deletion of 13 and 1q gain are early events also observed in MGUS. We combined this information to propose a timeline for copy number alteration. FAU - Aktas Samur, Anil AU - Aktas Samur A AD - Department of Data Sciences, Dana Farber Cancer Institute, Boston, MA, 02215, USA. AD - Department of Biostatistics, Harvard T.H. Chan School of Public Health Boston, Boston, MA, 02115, USA. FAU - Minvielle, Stephane AU - Minvielle S AD - Inserm UMR892, CNRS 6299, Universite de Nantes; Centre Hospitalier Universitaire de Nantes, Unite Mixte de Genomique du Cancer, Nantes, France. FAU - Shammas, Masood AU - Shammas M AD - Department of Medical Oncology, Dana Farber Cancer Institute, Harvard Medical School, Boston, MA, 02115, USA. AD - VA Boston Healthcare System, Boston, MA, 02115, USA. FAU - Fulciniti, Mariateresa AU - Fulciniti M AD - Department of Medical Oncology, Dana Farber Cancer Institute, Harvard Medical School, Boston, MA, 02115, USA. FAU - Magrangeas, Florence AU - Magrangeas F AD - Inserm UMR892, CNRS 6299, Universite de Nantes; Centre Hospitalier Universitaire de Nantes, Unite Mixte de Genomique du Cancer, Nantes, France. FAU - Richardson, Paul G AU - Richardson PG AD - Department of Medical Oncology, Dana Farber Cancer Institute, Harvard Medical School, Boston, MA, 02115, USA. FAU - Moreau, Philippe AU - Moreau P AD - Inserm UMR892, CNRS 6299, Universite de Nantes; Centre Hospitalier Universitaire de Nantes, Unite Mixte de Genomique du Cancer, Nantes, France. FAU - Attal, Michel AU - Attal M AD - University Cancer Center of Toulouse Institut National de la Sante, Toulouse, France. FAU - Anderson, Kenneth C AU - Anderson KC AD - Department of Medical Oncology, Dana Farber Cancer Institute, Harvard Medical School, Boston, MA, 02115, USA. FAU - Parmigiani, Giovanni AU - Parmigiani G AD - Department of Data Sciences, Dana Farber Cancer Institute, Boston, MA, 02215, USA. AD - Department of Biostatistics, Harvard T.H. Chan School of Public Health Boston, Boston, MA, 02115, USA. FAU - Avet-Loiseau, Herve AU - Avet-Loiseau H AD - University Cancer Center of Toulouse Institut National de la Sante, Toulouse, France. avet-loiseau.h@chu-toulouse.fr. AD - Unite de Genomique du Myelome, IUC-Oncopole 2 Avenue Hubert Curien Cedex 1, Toulouse, 31037, France. avet-loiseau.h@chu-toulouse.fr. FAU - Munshi, Nikhil C AU - Munshi NC AD - Department of Medical Oncology, Dana Farber Cancer Institute, Harvard Medical School, Boston, MA, 02115, USA. nikhil_munshi@dfci.harvard.edu. AD - VA Boston Healthcare System, Boston, MA, 02115, USA. nikhil_munshi@dfci.harvard.edu. FAU - Samur, Mehmet Kemal AU - Samur MK AD - Department of Data Sciences, Dana Farber Cancer Institute, Boston, MA, 02215, USA. mehmet_samur@dfci.harvard.edu. AD - Department of Biostatistics, Harvard T.H. Chan School of Public Health Boston, Boston, MA, 02115, USA. mehmet_samur@dfci.harvard.edu. AD - Department of Medical Oncology, Dana Farber Cancer Institute, Harvard Medical School, Boston, MA, 02115, USA. mehmet_samur@dfci.harvard.edu. LA - eng GR - I01 BX001584/BX/BLRD VA/United States GR - P01 CA155258/CA/NCI NIH HHS/United States GR - P50 CA100707/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20190326 PL - United States TA - Blood Cancer J JT - Blood cancer journal JID - 101568469 SB - IM MH - DNA Copy Number Variations/*genetics MH - Humans MH - Multiple Myeloma/*genetics PMC - PMC6435669 COIS- The authors declare that they have no conflict of interest. EDAT- 2019/03/28 06:00 MHDA- 2020/02/06 06:00 PMCR- 2019/03/26 CRDT- 2019/03/28 06:00 PHST- 2019/01/22 00:00 [received] PHST- 2019/03/12 00:00 [accepted] PHST- 2019/03/07 00:00 [revised] PHST- 2019/03/28 06:00 [entrez] PHST- 2019/03/28 06:00 [pubmed] PHST- 2020/02/06 06:00 [medline] PHST- 2019/03/26 00:00 [pmc-release] AID - 10.1038/s41408-019-0199-3 [pii] AID - 199 [pii] AID - 10.1038/s41408-019-0199-3 [doi] PST - epublish SO - Blood Cancer J. 2019 Mar 26;9(4):39. doi: 10.1038/s41408-019-0199-3.