title: Clinical implementation of comprehensive strategies to characterize cancer genomes: opportunities and challenges.
abstract: An increasing number of anticancer therapeutic agents target specific mutant proteins that are expressed by many different tumor types. Recent evidence suggests that the selection of patients whose tumors harbor specific genetic alterations identifies the subset of patients who are most likely to benefit from the use of such agents. As the number of genetic alterations that provide diagnostic and/or therapeutic information increases, the comprehensive characterization of cancer genomes will be necessary to understand the spectrum of distinct genomic alterations in cancer, to identify patients who are likely to respond to particular therapies, and to facilitate the selection of treatment modalities. Rapid developments in new technologies for genomic analysis now provide the means to perform comprehensive analyses of cancer genomes. In this article, we review the current state of cancer genome analysis and discuss the challenges and opportunities necessary to implement these technologies in a clinical setting.
authors.affiliation: Center for Cancer Genome Discovery, Dana-Farber Cancer Institute and Harvard Medical School, Boston, Massachusetts 02215, USA.
authors.forename: Laura E
authors.initials: LE
authors.lastname: MacConaill
authors.forename: Paul
authors.initials: P
authors.lastname: Van Hummelen
authors.forename: Matthew
authors.initials: M
authors.lastname: Meyerson
authors.forename: William C
authors.initials: WC
authors.lastname: Hahn
mesh_terms: D000970:Antineoplastic Agents / Q000627:therapeutic use*; D002986:Clinical Trials as Topic; D015894:Genome, Human; D006801:Humans; D009369:Neoplasms / Q000175:diagnosis / Q000188:drug therapy* / Q000235:genetics*; D012107:Research Design; D017422:Sequence Analysis, DNA / Q000379:methods
chemical_list: D000970:Antineoplastic Agents