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Updated: Apr 23, 2026

Author Spotlight: Transmitochondrial Cybrid Generation Using Cancer Cell Lines
Published on: March 17, 2023
Origins and functional consequences of somatic mitochondrial DNA mutations in human cancer
Young Seok Ju1, Ludmil B Alexandrov1, Moritz Gerstung1
1Cancer Genome Project, Wellcome Trust Sanger Institute, Hinxton, United Kingdom.
Abstract:
Recent sequencing studies have extensively explored the somatic alterations present in the nuclear genomes of cancers. Although mitochondria control energy metabolism and apoptosis, the origins and impact of cancer-associated mutations in mtDNA are unclear. In this study, we analyzed somatic alterations in mtDNA from 1675 tumors. We identified 1907 somatic substitutions, which exhibited dramatic replicative strand bias, predominantly C > T and A > G on the mitochondrial heavy strand. This strand-asymmetric signature differs from those found in nuclear cancer genomes but matches the inferred germline process shaping primate mtDNA sequence content. A number of mtDNA mutations showed considerable heterogeneity across tumor types. Missense mutations were selectively neutral and often gradually drifted towards homoplasmy over time. In contrast, mutations resulting in protein truncation undergo negative selection and were almost exclusively heteroplasmic. Our findings indicate that the endogenous mutational mechanism has far greater impact than any other external mutagens in mitochondria and is fundamentally linked to mtDNA replication.
Insights
Cancer-associated mutations in mitochondrial DNA (mtDNA) show a distinct strand bias, differing from nuclear DNA mutations. These findings highlight the significant impact of endogenous mutational processes in mitochondria.
Area of Science:
- Genomics
- Cancer Biology
- Mitochondrial Biology
Background:
- Somatic alterations in nuclear genomes of cancers are well-studied.
- The origins and impact of mutations in mitochondrial DNA (mtDNA) during cancer development remain unclear.
- Mitochondria play crucial roles in cellular energy metabolism and apoptosis.
Purpose of the Study:
- To analyze somatic alterations in mtDNA across a large cohort of tumors.
- To characterize the mutational signatures and selective pressures acting on mtDNA in cancer.
- To understand the relationship between mtDNA mutations and cancer progression.
Main Methods:
- Analysis of somatic mtDNA alterations from 1675 tumors.
- Identification and characterization of somatic substitutions.
- Assessment of mutational signatures, strand bias, and selective pressures (neutral vs. negative selection).
Main Results:
- Identified 1907 somatic mtDNA substitutions with a strong replicative strand bias (C > T, A > G on heavy strand).
- Observed a strand-asymmetric mutational signature distinct from nuclear cancer genomes but similar to primate germline mtDNA.
- Found heterogeneity in mtDNA mutations across tumor types, with missense mutations being selectively neutral and truncating mutations under negative selection.
Conclusions:
- The endogenous mutational mechanism has a greater impact on mtDNA than external mutagens.
- mtDNA replication is fundamentally linked to the observed mutational patterns.
- mtDNA mutations exhibit distinct evolutionary trajectories based on their functional impact (neutral drift vs. negative selection).
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