1. Mutational signature in colorectal cancer caused by genotoxic pks⁺ E. coli
- Author
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Pleguezuelos-Manzano, C, Puschhof, J, Rosendahl Huber, A, van Hoeck, A, Wood, HM, Nomburg, J, Gurjao, C, Manders, F, Dalmasso, G, Stege, PB, Paganelli, FL, Geurts, MH, Beumer, J, Mizutani, T, Miao, Y, van der Linden, R, van Elst, S, Genomics England Research Consortium, Garcia, KC, Top, J, Willems, RJL, Giannakis, M, Bonnet, R, Quirke, P, Meyerson, M, Cuppen, E, van Boxtel, R, and Clevers, H
- Abstract
Various species of the intestinal microbiota have been associated with the development of colorectal cancer (CRC) but it has not been demonstrated that bacteria have a direct role in the occurrence of oncogenic mutations. Escherichia coli can carry the pathogenicity island pks, which encodes a set of enzymes that synthesize colibactin. This compound is believed to alkylate DNA on adenine residues and induces double-strand breaks in cultured cells. Here we expose human intestinal organoids to genotoxic pks+ E. coli by repeated luminal injection over five months. Whole-genome sequencing of clonal organoids before and after this exposure revealed a distinct mutational signature that was absent from organoids injected with isogenic pks-mutant bacteria. The same mutational signature was detected in a subset of 5,876 human cancer genomes from two independent cohorts, predominantly in CRC. Our study describes a distinct mutational signature in CRC and implies that the underlying mutational process results directly from past exposure to bacteria carrying the colibactin-producing pks pathogenicity island.
- Published
- 2020