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Chromothripsis in Human Breast Cancer
Michiel Bolkestein1, John K L Wong2, Verena Thewes2,3
1Group Genome Instability in Tumors, DKFZ, Heidelberg, Germany.
Cancer Research
|September 25, 2020
Summary
Chromothripsis, a major genomic rearrangement event, is a significant driver in human breast cancer development. This study found it affects over 60% of metastatic breast cancers, impacting key genes and tumor evolution.
Area of Science:
- Genomics
- Cancer Biology
- Genomic Instability
Background:
- Chromothripsis is a catastrophic genomic event causing extensive rearrangements.
- It is widely considered an early event in tumor development and onset.
Purpose of the Study:
- To analyze the prevalence and impact of chromothripsis in human breast cancers.
- To investigate the role of chromothripsis in tumor evolution and identify associated genetic alterations and mutational signatures.
Main Methods:
- Whole-genome and whole-exome sequencing of 252 human breast cancer samples.
- Analysis of patient cohorts including metastatic, primary, and relapsed tumors, plus longitudinal pairs.
- Investigation of chromothripsis patterns, affected genes, and associated mutational signatures.
Main Results:
- Chromothripsis affects a substantial proportion of breast cancers, exceeding 60% in metastatic cases.
- Multiple chromosomes are frequently involved, with key genes like CCND1, ERBB2, CDK12, and BRCA1 altered.
- Recurrent fusions driven by chromothripsis were identified, linked to specific mutational signatures and signaling pathway activation.
Conclusions:
- Chromothripsis is a major driving event in human breast cancer.
- It significantly contributes to tumor evolution through recurrent gene fusions and altered mutational landscapes.
- Understanding chromothripsis provides critical insights into breast cancer pathogenesis.
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