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. 2019 Nov 21;12(6):275–282. doi: 10.14740/gr1187

Table 3. TCGA Subtypes.

Subtypes EBV-positive MSI GS CIN
Frequency 8.8% 21.7% 19.7% 49.8%
Demographic Male patients (81%) Old age (median 72 years) Young age (median 59 years) No special
Histology Diffuse histology Intestinal histology
Main location Fundus or body (62%) Gastro-esophageal junction/cardia (65%)
Molecular alterations EBV-CpG island methylator phenotype (CIMP) Gastric-CIMP CDH1, RHOA mutation TP53 mutation
PD-L1/2, JAK2 overexpression Hypermutation in TP53, PIK3CA, ERBB3, ARID1A CLDN18-ARHGAP fusion RTK-RAS activation
Mutation in PIK3CA, ARID1A, BCOR MLH1 silencing Cell adhesion, angiogenesis pathways enriched Mutations of SMAD4 and APC
CDKN2A silencing Mitotic pathways activation Rare TP53 mutations
Immune cell signaling Commune changes in the genes of CMHI
Rare TP53 mutations
Potential targets PIK3CA, JAK2, PD-L1/PD-L2 PIK3CA, ERBB2/3, EGFR, PD-L1, MLH1 silencing RHOA, CLDN18 RTKs, EGFR, VEGFA, CCNE1, CCND1, CDK6
Treatment reaction No respond to adjuvant chemotherapy

ARID1A: AT-rich interactive domain-containing protein 1A; BCOR: B-cell lymphoma 6 corepressor; CIN: chromosomal instability; GS: genomically stable; GC: gastric cancer; CIMP: CpG island methylator phenotype; DNMT3b: DNA methyltransferase 3b; EBV: Epstein-Barr virus; EGFR: epithelial growth factor receptor; ERBB2: Erb-B2 receptor tyrosine kinase 2; JAK2: Janus-associated kinase 2; LMP2A: latent membrane protein 2A; LELC: lymphoepithelioma-like carcinoma; MSI: microsatellite instability; PI3K: phosphatidylinositol-3-kinase; RHOA: Ras homolog family member A; TCGA: The Cancer Genome Atlas; PD-L1/2: programmed death ligand-1/2; CDK6: cell division protein kinase 6.