1. The interplay of mutagenesis and ecDNA shapes urothelial cancer evolution.
- Author
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Nguyen DD, Hooper WF, Liu W, Chu TR, Geiger H, Shelton JM, Shah M, Goldstein ZR, Winterkorn L, Helland A, Sigouros M, Manohar J, Moyer J, Al Assaad M, Semaan A, Cohen S, Madorsky Rowdo F, Wilkes D, Osman M, Singh RR, Sboner A, Valentine HL, Abbosh P, Tagawa ST, Nanus DM, Nauseef JT, Sternberg CN, Molina AM, Scherr D, Inghirami G, Mosquera JM, Elemento O, Robine N, and Faltas BM
- Subjects
- Humans, APOBEC Deaminases genetics, APOBEC Deaminases metabolism, Urothelium pathology, Urologic Neoplasms genetics, Urologic Neoplasms pathology, DNA, Circular genetics, Evolution, Molecular, Drug Resistance, Neoplasm genetics, Whole Genome Sequencing, Urinary Bladder Neoplasms genetics, Urinary Bladder Neoplasms pathology, DNA Copy Number Variations genetics, Mutagenesis genetics, Mutation, Phylogeny, Cyclin D1 genetics, Cyclin D1 metabolism
- Abstract
Advanced urothelial cancer is a frequently lethal disease characterized by marked genetic heterogeneity
1 . In this study, we investigated the evolution of genomic signatures caused by endogenous and external mutagenic processes and their interplay with complex structural variants (SVs). We superimposed mutational signatures and phylogenetic analyses of matched serial tumours from patients with urothelial cancer to define the evolutionary dynamics of these processes. We show that APOBEC3-induced mutations are clonal and early, whereas chemotherapy induces mutational bursts of hundreds of late subclonal mutations. Using a genome graph computational tool2 , we observed frequent high copy-number circular amplicons characteristic of extrachromosomal DNA (ecDNA)-forming SVs. We characterized the distinct temporal patterns of APOBEC3-induced and chemotherapy-induced mutations within ecDNA-forming SVs, gaining new insights into the timing of these mutagenic processes relative to ecDNA biogenesis. We discovered that most CCND1 amplifications in urothelial cancer arise within circular ecDNA-forming SVs. ecDNA-forming SVs persisted and increased in complexity, incorporating additional DNA segments and contributing to the evolution of treatment resistance. Oxford Nanopore Technologies long-read whole-genome sequencing followed by de novo assembly mapped out CCND1 ecDNA structure. Experimental modelling of CCND1 ecDNA confirmed its role as a driver of treatment resistance. Our findings define fundamental mechanisms that drive urothelial cancer evolution and have important therapeutic implications., (© 2024. The Author(s).)- Published
- 2024
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