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Molecular Characterization of Polyomavirus-Positive and Negative Merkel Cell Carcinoma
by
Perry, Curtis J.
, Vaidya, Poorva
, Darabi, Sourat
, Gao, Ling
, Lou, Emil
, Prakash, Varsha
, Wu, Sharon
, Park, Soo J.
, Brownell, Isaac
, Bryant, Dave
, Guo, Theresa
, Abdulla, Farah
in
Antibodies
/ Biomarkers
/ Cancer
/ Carcinoma
/ Care and treatment
/ DNA methylation
/ Executives
/ Genes
/ Genomes
/ Genomics
/ Health aspects
/ Immune checkpoint inhibitors
/ Infiltration
/ Ipilimumab
/ Killer cells
/ Life sciences
/ MAP kinase
/ Medical prognosis
/ Metastases
/ Mutation
/ Natural killer cells
/ p53 Protein
/ Patients
/ RNA
/ Therapeutic targets
/ Transcriptomes
/ Tumor microenvironment
/ Tumor proteins
/ Tumorigenesis
/ Tumors
/ Viruses
/ Whole genome sequencing
2025
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Molecular Characterization of Polyomavirus-Positive and Negative Merkel Cell Carcinoma
by
Perry, Curtis J.
, Vaidya, Poorva
, Darabi, Sourat
, Gao, Ling
, Lou, Emil
, Prakash, Varsha
, Wu, Sharon
, Park, Soo J.
, Brownell, Isaac
, Bryant, Dave
, Guo, Theresa
, Abdulla, Farah
in
Antibodies
/ Biomarkers
/ Cancer
/ Carcinoma
/ Care and treatment
/ DNA methylation
/ Executives
/ Genes
/ Genomes
/ Genomics
/ Health aspects
/ Immune checkpoint inhibitors
/ Infiltration
/ Ipilimumab
/ Killer cells
/ Life sciences
/ MAP kinase
/ Medical prognosis
/ Metastases
/ Mutation
/ Natural killer cells
/ p53 Protein
/ Patients
/ RNA
/ Therapeutic targets
/ Transcriptomes
/ Tumor microenvironment
/ Tumor proteins
/ Tumorigenesis
/ Tumors
/ Viruses
/ Whole genome sequencing
2025
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Molecular Characterization of Polyomavirus-Positive and Negative Merkel Cell Carcinoma
by
Perry, Curtis J.
, Vaidya, Poorva
, Darabi, Sourat
, Gao, Ling
, Lou, Emil
, Prakash, Varsha
, Wu, Sharon
, Park, Soo J.
, Brownell, Isaac
, Bryant, Dave
, Guo, Theresa
, Abdulla, Farah
in
Antibodies
/ Biomarkers
/ Cancer
/ Carcinoma
/ Care and treatment
/ DNA methylation
/ Executives
/ Genes
/ Genomes
/ Genomics
/ Health aspects
/ Immune checkpoint inhibitors
/ Infiltration
/ Ipilimumab
/ Killer cells
/ Life sciences
/ MAP kinase
/ Medical prognosis
/ Metastases
/ Mutation
/ Natural killer cells
/ p53 Protein
/ Patients
/ RNA
/ Therapeutic targets
/ Transcriptomes
/ Tumor microenvironment
/ Tumor proteins
/ Tumorigenesis
/ Tumors
/ Viruses
/ Whole genome sequencing
2025
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Molecular Characterization of Polyomavirus-Positive and Negative Merkel Cell Carcinoma
Journal Article
Molecular Characterization of Polyomavirus-Positive and Negative Merkel Cell Carcinoma
2025
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Overview
Background/Objectives: Immune checkpoint inhibitors (ICIs) are frontline treatment for advanced Merkel Cell Carcinoma (MCC), regardless of viral status. Frontline ICIs provide durable benefit to only half of patients, highlighting a need for alternative therapies. In this study, the objective is to leverage whole exome sequencing (WES) and transcriptome sequencing (WTS) to distinguish genomic alterations associated with ICI response. Investigate differential genomic alterations between virus-positive (VP) and virus-negative (VN)-MCC to identify novel therapeutic targets. Methods: A total of 95 MCC cases underwent WES and WTS. Utilizing computational pipelines applied to WES, we identified viral status and tumor mutational burden (TMB). RNA-seq data was used to characterize the immune microenvironment. Results: Of 95 MCC cases, 57 (60%) were VP-MCC and 38 (40%) were VN-MCC. Median TMB was higher in VN-MCC (27.5 vs. 1 Muts/Mb). Mutations in TP53, RB1, NOTCH1, KMTD2, KMT2C, and PIK3CA were primarily found in VN-MCC. MAPK Pathway Activity Score, NK cell infiltration, and the immune checkpoint gene CD276 in VN-MCC tumors were upregulated. No overall survival (OS) difference was identified between VP and VN-MCC, even after ICIs. Conclusions: MCC oncogenesis and treatment response transcend viral status. While mutational analysis confirms previous findings, assessment of the transcriptome and tumor microenvironment suggests alternate therapeutic targets.
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