Revealing the Drivers Underlying Distinct Evolutionary Trajectories in Lung Adenocarcinoma.

ABSTRACT: Elucidating the evolution of cancers allows us to understand their key events, and the order in which they occur. To chart and interpret these evolutionary trajectories, we leverage whole-genome sequencing of lung tumours, including those from the largest cohort to date of lung cancers in subjects who have never smoked. Through ordering frequent genomic alterations, we discover three distinct evolutionary paths taken by lung adenocarcinomas; two dominated by tumours from people who have never smoked (NS-LUAD), and one followed by the vast majority of those who have smoked (S-LUAD). However, one in six NS-LUAD follow the smoking-dominant trajectory. These tumours, surprisingly, have fewer somatic alterations than the other NS-LUAD, and have shorter latency. They are strongly enriched for

SUBMITTER: Wirth C 

PROVIDER: S-EPMC12776081 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature