“…Extensive exploration of the aetiology of kataegis revealed a significant positive correlation between kataegis and two distinct mutational signatures both attributed to the APOBEC enzyme-family Alexandrov et al, 2020;Bergstrom, Luebeck, et al, 2022;Burns et al, 2013;Taylor et al, 2013b). Subsequently, multiple studies confirmed the importance of the APOBEC enzymes in cancer, showing that APOBEC is a major cause of mutagenesis, both seen in clusters, dispersed throughout the cancer genome and in extrachromosomal DNA (Bergstrom et al, 2021;Bergstrom, Luebeck, et al, 2022;Langenbucher et al, 2021;Maciejowski et al, n.d.;Taylor et al, 2013a). Previous studies have shown that kataegis occurs within known cancer genes including TP53, EGFR and BRAF which are associated with overall survival (Bergstrom, Luebeck, et al, 2022).…”