Publications Michael Krauthammer

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    The association of MUC16 mutation with tumor mutation burden and its prognostic implications in cutaneous melanoma.

    Cancer Epidemiol Biomarkers Prev. 2020 Jul 01;:

    Authors: Wang X, Yu X, Krauthammer M, Hugo W, Duan C, Kanetsky PA, Teer JK, Thompson ZJ, Kalos D, Smalley KSM, Tsai KY, Sondak VK, Chen YA, Conejo-Garcia JR

    BACKGROUND: MUC16 is a mucin marker that is frequently mutated in melanoma; but whether MUC16 mutations could be useful as a surrogate biomarker for tumor mutation burden (TMB) remains unclear.
    METHODS: This study rigorously evaluates the MUC16 mutation as a clinical biomarker in cutaneous melanoma by utilizing genomic and clinical data from patient samples from The Cancer Genome Atlas (TCGA) and two independent validation cohorts. We further extended the analysis to studies with patients treated with immunotherapies.
    RESULTS: Analysis results showed that samples with MUC16 mutations had a higher TMB than the samples of wild-type, with strong statistical significance (P<0.001) in all melanoma cohorts tested. Associations between MUC16 mutations and TMB remained statistically significant after adjusting for potential confounding factors in the TCGA cohort (OR, 9.28 [95% CI, 5.18-17.39]; P<0.001), Moffitt cohort (OR, 31.95 [95% CI, 8.71-163.90]; P<0.001), and Yale cohort (OR, 8.09 [95% CI, 3.12-23.79]; P<0.01). MUC16 mutations were also found associated with overall survival in the TCGA (hazard ratio, 0.62; [95% CI, 0.45-0.85]; P<0.01) and Moffitt cohorts (hazard ratio, 0.49; [95% CI, 0.28-0.87]; P=0.014). Strikingly, MUC16 is the only top frequently mutated gene for which prognostic significance was observed. MUC16 mutations were also found valuable in predicting anti-CTLA-4 and anti-PD-1 therapy responses.
    CONCLUSIONS: MUC16 mutation appears to be a useful predictive marker of global TMB and patient survival in melanoma.
    IMPACT: This is, to the best of our knowledge, the first systematic evaluation of MUC16 mutation as a clinical biomarker and a predictive biomarker for immunotherapy in melanoma.

    PMID: 32611582 [PubMed - as supplied by publisher]

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