It has been proposed that hypermutability is necessary to account for the high frequency of mutations in cancer. However, historically, the mutation rate (μ) has been difficult to measure directly, and increased cell turnover or selection could provide an alternative explanation. We recently developed an assay for μ using PIG-A as a sentinel gene and estimated that its average value is 10.6 × 10 -7 mutations per cell division in B-lymphoblastoid cell lines (BLCLs) from normal donors. Here we have measured μ in human malignancies and found that it was elevated in cell lines derived from T cell acute lymphoblastic leukemia, mantle cell lymphoma, follicular lymphoma in transformed phase, and 2 plasma cell neoplasms. In contrast, μ was much lower in a marginal zone lymphoma cell line and 5 other plasma cell neoplasms. The highest μ value that we measured, 3286 × 10 -7 , is 2 orders of magnitude above the range we have observed in non-malignant human cells. We conclude that the type of genomic instability detected in this assay is a common but not universal feature of hematologic malignancies.
IntroductionA model sentinel gene to measure spontaneous somatic mutations must be non-essential for growth or viability, and the mutant phenotype must be detectable among a vastly larger population of normal cells. Since a single mutation conferring loss of function could be complemented by the wild type allele on the homologous chromosome, most autosomal genes are not suitable for this purpose. However, due to hemizygosity in males and X-inactivation in females, a single mutation is sufficient to inactivate X-linked genes. For example, among lymphocytes in normal adults, resistance to 6-thioguanine occurs as a consequence of a spontaneous inactivating mutation in HPRT (Xq26-q27.2), at a frequency (f) of ∼ 2 -10 × 10 -6 [1].Corresponding author. David J. Araten, MD, NYU Cancer Center, 7 th Floor, 160 East 34 th Street, New York, NY 10016. 212-731-5186 (office); 212-731-5540 (fax). David.Araten@nyumc.org. There are no conflicts of interest to report.Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. While f represents the proportion of mutants within a population, the mutation rate (μ) represents the probability of a new mutation per cell division. If mutations are growth-neutral, f will increase over time according to the formula Δf = μ × Δd, where d represents number of cell divisions. By analysis of f values for HPRT in human population groups of different ages and estimates for Δd in human lymphocytes in vivo, it has been proposed that the normal μ value for this gene is ∼8.4 ×...