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Melanoma, pulmón, vejiga, y

tumores gastrointestinales tienen

los niveles más altos de TMB

a

Variación de la TMB entre diferentes tipos tumorales

a

Analyzed using an algorithm developed to extract mutational signatures from catalogs of somatic mutations in 1600 primary cancers. TMB

assessed by whole genome sequencing and whole exome sequencing. CRC = colorectal cancer; GBM = glioblastoma multiforme; mut/Mb =

mutations per megabase; TMB = tumor mutational burden. Lawrence MS, et al.

Nature

2013;499:214–218.

9

TMB varía entre

pacientes

T h y r o id

B r e a s t

M u l t ip le m y e lo m a

K id n e y c le a r c e l l

G B M

C e r v ic a l

H e a d a n d n e c k

C R C

E s o p h a g e a l

G a s t r ic

B la d d e r

L u n g s q u a m o u s

M e la n o m a

0 .0 1

0 .1

1

1 0

1 0 0

1 0 0 0

S o m a t ic m u ta tio n fr e q u e n c y (m u t/M b )

TBM mediana varía enre tipos

tumorales

Figure adapted from from Lawrence et al, 2013,

Nature