Speaker Biography

Yuyan Wang

Peking Union Medical College, China

Title: Benefits and harms of low-dose CT screening in China: A decision analysis

Yuyan Wang


During tumor progression, transformed cells accumulate mutations and gain malignancy. By now, it is unclear how easily this
process can be undertaken and if it can be considered the main bottleneck in tumorigenesis. To measure the probability of
glioma progression, we used a well-characterized murine model of gliomagenesis, induced by overexpressing PDGF-B in embryonic
Neural Progenitor Cells (NPC), mimicking a possible first hit of tumorigenesis. In order to univocally tag each PDGF-transduced cell,
we added a degenerated barcode sequence to the PDGF-B transducing vector and we produced high complexity libraries of barcoded
retroviruses that had been injected in mouse embryos. After the development of gliomas, tumor masses were analyzed by NGS and
compared to embryonic brains few days post infection. By using in-house developed software, we successfully retrieved barcodes
from tumor masses and reconstructed the clonal composition of several independent tumors in different progression stages. Our
data shows that even though low grade, partially progressed tumor masses are clonally heterogeneous and composed by about one
thousand independent clones each, they are the result of a strong selection because the number of oncogene-transduced cells is more
than 10 times higher. Still, high grade and fully progressed gliomas are characterized by a very low clonal complexity and often are
composed by a single clone, suggesting another great bottleneck in glioma progression divides these two stages. More strikingly, fully
progressed tumors derived from in vivo transplant the same pool of thousands different transduced NPCs are composed by the same
clones, suggesting that a predetermined cell state is required to gain malignancy.