Glioblastoma adaptation traced through decline of an IDH1 clonal driver and macro-evolution of a double-minute chromosome

Favero, F. ; McGranahan, N. ; Salm, M. ; Birkbak, N. J. ; Sanborn, J. Z. ; Benz, S. C. ; Becq, J. ; Peden, J. F. ; Kingsbury, Z. ; Grocok, R. J. ; Humphray, S. ; Bentley, D. ; Spencer-Dene, B. ; Gutteridge, A. ; Brada, M. ; Roger, S. ; Dietrich, P.-Y ; Forshew, T. ; Gerlinger, M. ; Rowan, A. ; Stamp, G. ; Eklund, A. C. ; Szallasi, Z. ; Swanton, C.

In: Annals of Oncology, 2015, vol. 26, no. 5, p. 880-887

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    Summary
    In a glioblastoma tumour with multi-region sequencing before and after recurrence, we find an IDH1 mutation that is clonal in the primary but lost at recurrence. We also describe the evolution of a double-minute chromosome encoding regulators of the PI3K signalling axis that dominates at recurrence, emphasizing the challenges of an evolving and dynamic oncogenic landscape for precision medicine