Global analysis of somatic structural genomic alterations and their impact on gene expression in diverse human

Babak Alaei-Mahabadi1, Joydeep Bhadury2, Joakim W Karlsson1

  • 1Department of Medical Biochemistry and Cell Biology, Institute of Biomedicine, The Sahlgrenska Academy, University of Gothenburg, SE-405 30 Gothenburg, Sweden.

Insights

Somatic structural variants (SVs) significantly impact tumor gene expression by altering copy numbers and gene fusions. These genomic changes, including promoter swapping and TERT alterations, provide new insights into cancer development.

Area of Science:

  • Genomics
  • Cancer Biology
  • Transcriptomics

Background:

  • Tumor genomes contain somatic structural variants (SVs) that can influence oncogene activation and tumor suppressor inactivation.
  • The precise impact of SVs on overall tumor transcriptional output remains incompletely understood.

Purpose of the Study:

  • To systematically map SVs across a large tumor cohort and investigate their relationship with copy number alterations (CNAs) and mRNA expression.
  • To elucidate the mechanisms by which SVs modulate gene expression in cancer.

Main Methods:

  • Whole-genome sequencing of 600 tumors across 18 cancer types.
  • Integration of SV, CNA, and mRNA expression data.
  • Analysis of structural variants, gene fusions, and their impact on gene transcription.

Main Results:

  • 34% of CNA breakpoints were structurally resolved, with tandem duplications being the primary cause of most amplifications.
  • Gene fusions frequently involved promoter swapping, measurably impacting global mRNA levels, including long noncoding RNAs.
  • Structural variants in telomere reverse transcriptase (TERT) upstream regions correlated with elevated TERT mRNA levels.
  • Identified high-confidence gene fusions, including a novel PAX8-NFE2L2 fusion in thyroid carcinoma.

Conclusions:

  • SVs play a significant role in shaping tumor genomes and transcriptomes.
  • Structural variations provide a mechanistic basis for CNAs and directly impact gene expression through various mechanisms.
  • This study offers comprehensive insights into the structural underpinnings of cancer gene expression modulation.