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Updated: Dec 19, 2025

Mapping the Structure-Function Relationships of Disordered Oncogenic Transcription Factors Using Transcriptomic Analysis
Published on: June 27, 2020
Landscape and function of multiple mutations within individual oncogenes.
Yuki Saito1,2, Junji Koya1, Mitsugu Araki3
1Division of Molecular Oncology, National Cancer Center Research Institute, Tokyo, Japan.
Multiple driver mutations (MMs) in the same oncogene are common in cancer, affecting 9% of samples. These MMs enhance oncogenicity and drug sensitivity, revealing a key mechanism in cancer evolution.
Area of Science:
- Genomics
- Cancer Biology
- Oncology
Background:
- Sporadic reports indicate multiple driver mutations (MMs) in single oncogenes.
- The prevalence and significance of MMs in cancer remain largely unknown.
Purpose of the Study:
- To conduct a comprehensive pan-cancer analysis to define the landscape and relevance of MMs.
- To investigate the mutational patterns and functional impact of MMs.
Main Methods:
- Pan-cancer analysis of 60,954 cancer samples.
- Identification of oncogenes with significantly frequent MMs.
- Comparative analysis of mutational patterns and functional effects of single vs. multiple mutations.
Main Results:
- Identified 14 pan-cancer and 6 cancer-type-specific oncogenes with frequent MMs.
- MMs occur in cis and exhibit distinct mutational profiles (type, position, substitution) compared to single mutations.
- MMs involve combinations of functionally weak, infrequent mutations conferring enhanced oncogenicity.
- Cells with MMs in PIK3CA and NOTCH1 show increased dependency, signaling, and drug sensitivity.
Conclusions:
- Oncogenic MMs are a common driver event in cancer.
- MMs provide a mechanism for clonal selection of rare, suboptimal mutations.
- Understanding MMs is crucial for cancer driver event identification and therapeutic strategies.
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