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Updated: May 15, 2025

A Robust Discovery Platform for the Identification of Novel Mediators of Melanoma Metastasis
Published on: March 8, 2022
Reannotation of cancer mutations based on expressed RNA transcripts reveals functional non-coding mutations in
Daniele Pepe1, Xander Janssens1, Kalina Timcheva1
1Department of Oncology, KU Leuven, Leuven, Belgium; Leuven Cancer Institute (LKI), Leuven, Belgium.
Abstract:
The role of synonymous mutations in cancer pathogenesis is currently underexplored. We developed a method to detect significant clusters of synonymous and missense mutations in public cancer genomics data. In melanoma, we show that 22% (11/50) of these mutation clusters are misannotated as coding mutations because the reference transcripts used for their annotation are not expressed. Instead, these mutations are actually non-coding. This, for instance, applies to the mutation clusters targeting known cancer genes kinetochore localized astrin (SPAG5) binding protein (KNSTRN) and BCL2-like 12 (BCL2L12), each affecting 4%-5% of melanoma tumors. For the latter, we show that these mutations are functional non-coding mutations that target the shared promoter region of interferon regulatory factor 3 (IRF3) and BCL2L12. This results in downregulation of IRF3, BCL2L12, and tumor protein p53 (TP53) expression in a CRISPR-Cas9 primary melanocyte model and in melanoma tumors. In individuals with melanoma, these mutations were also associated with a worse response to immunotherapy. Finally, we propose a simple automated method to more accurately annotate cancer mutations based on expressed transcripts. This work shows the importance of integrating DNA- and RNA-sequencing data to properly annotate mutations and identifies a number of previously overlooked and wrongly annotated functional non-coding mutations in melanoma.
Insights
Synonymous mutations in cancer are often misannotated. This study reveals functional non-coding mutations in melanoma, impacting gene expression and immunotherapy response, and proposes improved annotation methods.
Area of Science:
- Genomics
- Cancer Biology
- Molecular Oncology
Background:
- The role of synonymous mutations in cancer development is not well understood.
- Accurate mutation annotation is crucial for understanding cancer pathogenesis.
- Current annotation methods may misclassify non-coding mutations as coding.
Purpose of the Study:
- To develop a method for detecting synonymous and missense mutation clusters in cancer genomics data.
- To identify and characterize misannotated mutations in melanoma.
- To investigate the functional impact and clinical relevance of these mutations.
Main Methods:
- Development of a computational method to detect mutation clusters.
- Analysis of public cancer genomics (DNA) and transcriptomics (RNA) data.
- Functional validation using CRISPR-Cas9 in primary melanocyte models.
- Correlation analysis with clinical data on immunotherapy response.
Main Results:
- 22% of mutation clusters in melanoma were misannotated as coding due to unexpressed reference transcripts.
- Identified functional non-coding mutations targeting the promoter of IRF3 and BCL2L12, leading to downregulation of IRF3, BCL2L12, and TP53.
- These mutations were associated with a poorer response to immunotherapy in melanoma patients.
Conclusions:
- Synonymous mutations can be functional non-coding mutations, impacting cancer gene expression and clinical outcomes.
- Integrating DNA and RNA sequencing data is essential for accurate mutation annotation.
- A novel method for automated mutation annotation based on expressed transcripts is proposed.
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