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Updated: Nov 15, 2025

Next Generation Sequencing for the Detection of Actionable Mutations in Solid and Liquid Tumors
Published on: September 20, 2016
Determining mutational burden and signature using RNA-seq from tumor-only samples.
Erik Jessen1, Yuanhang Liu2, Jaime Davila2
1Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA. jessen.erik@mayo.edu.
This study introduces a novel RNA sequencing method to detect cancer mutational signatures and burdens using only tumor samples. This approach accurately classifies underlying DNA damage mechanisms, offering a cost-effective alternative to traditional DNA sequencing.
Area of Science:
- Genomics
- Cancer Research
- Bioinformatics
Background:
- Traditional cancer mutational analysis requires paired tumor-normal DNA sequencing, which is not always clinically feasible.
- Investigating tumor RNA sequencing as an alternative can reduce costs and provide gene expression and fusion data.
Purpose of the Study:
- To develop and validate methods for determining mutational burden and signatures from tumor RNA sequencing data.
- To assess the efficacy of RNA-seq in classifying cancer's molecular causes, specifically microsatellite instability (MSI) and DNA polymerase epsilon (POLɛ) defects.
Main Methods:
- Devised supervised and unsupervised learning methods to identify mutational signatures from tumor RNA-seq data.
- Applied methods to TCGA uterine corpus endometrial carcinoma (UCEC) and colorectal cancer (COAD) datasets.
- Developed procedures to filter out germline variants from RNA-seq data.
Main Results:
- RNA-derived mutational burdens significantly associated with MSI and POLɛ status.
- Over 80% of variants explained by COSMIC mutational signatures 5, 6, and 10 (aging, MSI-H, POLɛ).
- Achieved high recall and specificity in classifying MSI and POLɛ status in UCEC, with improved classification in COAD using learned signatures.
Conclusions:
- Presents a novel RNA-seq based method for detecting mutational signatures and burdens.
- Effective germline variant removal enables accurate classification of DNA damage deficiency mechanisms.
- This approach offers a viable, cost-effective alternative for cancer molecular subtyping.
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