Temporal and spatial dissection of mutation spectra in esophageal adenocarcinoma samples. Temporal and spatial dissection of mutation spectra in esophageal.

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Temporal and spatial dissection of mutation spectra in esophageal adenocarcinoma samples. Temporal and spatial dissection of mutation spectra in esophageal adenocarcinoma samples. A, stacked bar plot showing the fraction of early mutations (trunk) and late mutations (branch) accounted for by each of the six mutation types in all M-seq samples and per case. The number of mutations analyzed is displayed on top of each bar. The difference between the spectra for trunk and branch mutations across all cases was assessed using a χ2 test. For specific mutation types, a Fisher exact test was used, and significant P values are shown. B, stacked bar plot showing the fraction of pre-chemotherapy mutations and post-chemotherapy mutations accounted for by each of the six mutation types in all M-seq samples and per case. The number of mutations analyzed is displayed on top of each bar. The difference between the spectra for trunk and branch mutations across all cases was assessed using a χ2 test. For specific mutation types, a Fisher exact test was used, and significant P values are shown. C>G, cytosine to guanine. C, bar plot showing platinum signature enrichment OR for pre-chemotherapy (red bars) and post-chemotherapy (green bars) mutations for M-seq samples. The platinum signature encompasses cytosine to adenine (C>A) in CpC context (25). Values for 95% confidence intervals for the Fisher exact test are indicated. D, a model of tumor progression in esophageal adenocarcinoma. Inferring the evolutionary trajectories of esophageal adenocarcinoma tumors through NAC by M-seq, early and late mutational processes and the selective pressure of platinum treatment are identified. Nirupa Murugaesu et al. Cancer Discovery 2015;5:821-831 ©2015 by American Association for Cancer Research