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Characterizing genetic intra-tumor heterogeneity across 2,658 human cancer genomes.


ABSTRACT: Intra-tumor heterogeneity (ITH) is a mechanism of therapeutic resistance and therefore an important clinical challenge. However, the extent, origin, and drivers of ITH across cancer types are poorly understood. To address this, we extensively characterize ITH across whole-genome sequences of 2,658 cancer samples spanning 38 cancer types. Nearly all informative samples (95.1%) contain evidence of distinct subclonal expansions with frequent branching relationships between subclones. We observe positive selection of subclonal driver mutations across most cancer types and identify cancer type-specific subclonal patterns of driver gene mutations, fusions, structural variants, and copy number alterations as well as dynamic changes in mutational processes between subclonal expansions. Our results underline the importance of ITH and its drivers in tumor evolution and provide a pan-cancer resource of comprehensively annotated subclonal events from whole-genome sequencing data.

SUBMITTER: Dentro SC 

PROVIDER: S-EPMC8054914 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature

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Characterizing genetic intra-tumor heterogeneity across 2,658 human cancer genomes.

Dentro Stefan C SC   Leshchiner Ignaty I   Haase Kerstin K   Tarabichi Maxime M   Wintersinger Jeff J   Deshwar Amit G AG   Yu Kaixian K   Rubanova Yulia Y   Macintyre Geoff G   Demeulemeester Jonas J   Vázquez-García Ignacio I   Kleinheinz Kortine K   Livitz Dimitri G DG   Malikic Salem S   Donmez Nilgun N   Sengupta Subhajit S   Anur Pavana P   Jolly Clemency C   Cmero Marek M   Rosebrock Daniel D   Schumacher Steven E SE   Fan Yu Y   Fittall Matthew M   Drews Ruben M RM   Yao Xiaotong X   Watkins Thomas B K TBK   Lee Juhee J   Schlesner Matthias M   Zhu Hongtu H   Adams David J DJ   McGranahan Nicholas N   Swanton Charles C   Getz Gad G   Boutros Paul C PC   Imielinski Marcin M   Beroukhim Rameen R   Sahinalp S Cenk SC   Ji Yuan Y   Peifer Martin M   Martincorena Inigo I   Markowetz Florian F   Mustonen Ville V   Yuan Ke K   Gerstung Moritz M   Spellman Paul T PT   Wang Wenyi W   Morris Quaid D QD   Wedge David C DC   Van Loo Peter P  

Cell 20210407 8


Intra-tumor heterogeneity (ITH) is a mechanism of therapeutic resistance and therefore an important clinical challenge. However, the extent, origin, and drivers of ITH across cancer types are poorly understood. To address this, we extensively characterize ITH across whole-genome sequences of 2,658 cancer samples spanning 38 cancer types. Nearly all informative samples (95.1%) contain evidence of distinct subclonal expansions with frequent branching relationships between subclones. We observe pos  ...[more]

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