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Tissue and Sex-Specific Performance of a Cancer Driver Based Biomarker in rasH2-Tg Mice
Kelly L Harris1, Jennifer B Faske2, Binsheng Gong3
1Division of Biochemical Toxicology, U.S. Food and Drug Administration, National Center for Toxicological Research, Jefferson, Arkansas, USA.
Environmental and Molecular Mutagenesis
|August 13, 2025
Summary
This study introduces CarcSeq, a method using next-generation sequencing to quantify cancer driver mutations (CDMs) for predicting tumor responses. The median absolute deviation (MAD) metric effectively assesses clonal expansion in mice, aiding cancer risk assessment.
Area of Science:
- Toxicology and Carcinogenesis
- Genomics and Bioinformatics
- Cancer Risk Assessment
Background:
- Predicting rodent tumor response and extrapolating to humans are critical unmet needs in cancer risk assessment.
- Quantifying cancer driver mutations (CDMs) and understanding clonal expansion are key to addressing these needs.
Purpose of the Study:
- To validate and refine the CarcSeq method for quantifying CDMs and assessing clonal expansion using the median absolute deviation (MAD) biomarker.
- To leverage sex-related differences in spontaneous lung tumorigenesis in rasH2-Tg mice to test the CarcSeq/MAD approach.
Main Methods:
- Developed CarcSeq, an error-corrected next-generation sequencing (NGS) approach integrating CDM quantitation.
- Utilized high-fidelity PCR, unique identifier tagging, pooled amplicon library construction, and single-strand consensus sequencing for error correction.
- Employed median absolute deviation (MAD) in mutant fraction as a biomarker for clonal expansion.
Main Results:
- Significantly higher MAD was observed in male rasH2-Tg mice compared to females, correlating with increased spontaneous lung tumorigenesis.
- Males exhibited more recurrent mutations and a higher proportion of potentially selectable mutations.
- Sex-specific median analysis and COSMIC-based driver classification improved MAD analysis accuracy.
Conclusions:
- The CarcSeq/MAD biomarker approach is validated for assessing clonal expansion in cancer risk assessment.
- Technical insights into best practices for evaluating clonal expansion using CDM measurements were provided.
- This method enhances the ability to predict tumor responses and improve rodent-to-human extrapolation.

