Disruptive and Truncating TP53 Mutations Are Associated with African-Ancestry and Worse Prognosis in Brazilian Patients with Lung Adenocarcinoma

INTRODUCTION

TP53 is the most frequently mutated gene in lung tumors, but its prognostic role in admixed populations, such as Brazilians, remains unclear. In this study, we aimed to evaluate the frequency and clinicopathological impact of TP53 mutations in non-small cell lung cancer (NSCLC) patients in Brazil.

METHODS

We analyzed 446 NSCLC patients from Barretos Cancer Hospital. TP53 mutational status was evaluated through targeted next-generation sequencing (NGS) and the variants were biologically classified as disruptive/nondisruptive and as truncating/nontruncating. We also assessed genetic ancestry using 46 ancestry-informative markers. Analysis of lung adenocarcinomas from the cBioportal dataset was performed. We further examined associations of TP53 mutations with patients' clinicopathological features.

RESULTS

TP53 mutations were detected in 64.3% (n = 287/446) of NSCLC cases, with a prevalence of 60.4% (n = 221/366) in lung adenocarcinomas. TP53 mutations were associated with brain metastasis at diagnosis, tobacco consumption, and higher African ancestry. Disruptive and truncating mutations were associated with a younger age at diagnosis. Additionally, cBioportal dataset revealed that TP53 mutations were associated with younger age and Black skin color. Patients harboring disruptive/truncating TP53 mutations had worse overall survival than nondisruptive/nontruncating and wild-type patients.

CONCLUSION

TP53 mutations are common in Brazilian lung adenocarcinomas, and their biological characterization as disruptive and truncating mutations is associated with African ancestry and shorter overall survival.

Dynamics and stabilization of the Elettra storage-ring free-electron laser

The ultimate performance of a storage-ring free-electron laser in terms of light stability and extracted power depends on the possibility of simultaneously controlling the electron-beam and laser dynamics. As a preliminary requirement, the level of longitudinal and transverse electron-beam stability must be high enough to guarantee the laser start-up and growth. This is usually obtained by means of dedicated feedback systems. Once such a requirement is satisfied, the possibility of establishing and maintaining a continuous-wave operation mode finally resides in a deep understanding of the strongly coupled laser-electrons dynamics. For this purpose, we have developed a simple theoretical model which has been proved to be able to provide insight into the evolution of the laser intensity. In this framework, we have also proposed the possibility of utilizing a derivative closed-loop feedback to create or enlarge the region of stable signal. A feedback of this type has been implemented on the Elettra storage-ring free-electron laser. The obtained results, which fully confirm our predictions, are discussed in this paper.