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Rearrangement processes and structural variations show evidence of selection in oesophageal adenocarcinomas

  • Oesophageal Cancer Clinical and Molecular Stratification (OCCAMS) Consortium
  • University of Cambridge
  • University of Birmingham
  • University Hospitals Birmingham NHS Foundation Trust
  • European Molecular Biology Laboratory
  • The Christie NHS Foundation Trust
  • Columbia University
  • Cambridge University Hospitals NHS Foundation Trust
  • University of Oxford
  • Northern Care Alliance NHS Group
  • University of Manchester
  • Wrightington, Wigan and Leigh NHS Trust
  • Royal Surrey County Hospital NHS Foundation Trust
  • University of Edinburgh
  • King's College London
  • University Hospital Southampton NHS Foundation Trust
  • University of Southampton
  • University Hospitals Plymouth NHS Trust
  • Guy's and St Thomas' NHS Foundation Trust
  • Karolinska Institutet
  • Norfolk and Norwich University Hospitals NHS Foundation Trust
  • Nottingham University Hospitals NHS Trust
  • University College London
  • Wythenshawe Hospital
  • University Hospitals
  • Imperial College London
  • University of Nottingham
  • Queen's University Belfast
  • University of Dundee
  • Portsmouth Hospitals University NHS Trust

Research output: Contribution to journalArticlepeer-review

Abstract

Oesophageal adenocarcinoma (OAC) provides an ideal case study to characterize large-scale rearrangements. Using whole genome short-read sequencing of 383 cases, for which 214 had matched whole transcriptomes, we observed structural variations (SV) with a predominance of deletions, tandem duplications and inter-chromosome junctions that could be identified as LINE-1 mobile element (ME) insertions. Complex clusters of rearrangements resembling breakage-fusion-bridge cycles or extrachromosomal circular DNA accounted for 22% of complex SVs affecting known oncogenes. Counting SV events affecting known driver genes substantially increased the recurrence rates of these drivers. After excluding fragile sites, we identified 51 candidate new drivers in genomic regions disrupted by SVs, including ETV5, KAT6B and CLTC. RUNX1 was the most recurrently altered gene (24%), with many deletions inactivating the RUNT domain but preserved the reading frame, suggesting an altered protein product. These findings underscore the importance of identification of SV events in OAC with implications for targeted therapies.

Original languageEnglish
Article number335
JournalCommunications Biology
Volume5
Issue number1
DOIs
Publication statusPublished - Dec 2022
Externally publishedYes

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • General Biochemistry,Genetics and Molecular Biology
  • General Agricultural and Biological Sciences

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