2018
DOI: 10.1038/s41588-018-0165-1
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Genome doubling shapes the evolution and prognosis of advanced cancers

Abstract: Ploidy abnormalities are a hallmark of cancer, but their impact on the evolution and outcomes of cancers is unknown. Here, we identified whole-genome doubling (WGD) in the tumors of nearly 30% of 9,692 prospectively sequenced advanced cancer patients. WGD varied by tumor lineage and molecular subtype, and arose early in carcinogenesis after an antecedent transforming driver mutation. While associated with TP53 mutations, 46% of all WGD arose in TP53-wild-type tumors and in such cases was associated with an E2F… Show more

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Cited by 449 publications
(595 citation statements)
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“…One solution is to exclude regions containing CNAs and build phylogenies from SNVs in diploid, or copy-neutral, regions. However, ≈90% of solid tumors are highly aneuploid 26 , containing extensive CNAs, and ≈30% of solid tumors have whole-genome duplications 27 . Identifying collections of SNVs with no possibility of overlapping CNAs during evolution of such tumors may be challenging.…”
Section: Missionmentioning
confidence: 99%
“…One solution is to exclude regions containing CNAs and build phylogenies from SNVs in diploid, or copy-neutral, regions. However, ≈90% of solid tumors are highly aneuploid 26 , containing extensive CNAs, and ≈30% of solid tumors have whole-genome duplications 27 . Identifying collections of SNVs with no possibility of overlapping CNAs during evolution of such tumors may be challenging.…”
Section: Missionmentioning
confidence: 99%
“…[39][40][41] Whole genome sequencing of cancer showed that whole genome doubling (WGD) was an early event in over 40% of breast cancers and occurred significantly more frequently in TP53 mutated compared to TP53 wild type tumors. 42 Thus, in our HMEC models, p53 inactivation did not result in structural rearrangements, but favored genetic plasticity and laid the ground for genetic anomalies that occurred upon oncogene expression. Noticeably, shp53-CCNE1 and shp53-WNT1 became aneuploid and showed a significant increase in rearrangement levels after soft agar cloning.…”
Section: Discussionmentioning
confidence: 83%
“…Tetraploidy is considered as a prelude to large scale chromosomal aberrations in cancer . Whole genome sequencing of cancer showed that whole genome doubling (WGD) was an early event in over 40% of breast cancers and occurred significantly more frequently in TP53 mutated compared to TP53 wild type tumors . Thus, in our HMEC models, p53 inactivation did not result in structural rearrangements, but favored genetic plasticity and laid the ground for genetic anomalies that occurred upon oncogene expression.…”
Section: Discussionmentioning
confidence: 88%
“…This suggests that cytokinesis failure is not the only mechanistic explanation for extra centrosome accumulation, or that there are yet unidentified centrosome reduction mechanisms at play. Moreover, even if not statistically significant, low CNI seems to be associated with WGD and hence with worse clinical prognosis 40 .…”
Section: The Cni Does Not Correlate With Proliferation Mitotic Indexmentioning
confidence: 97%
“…WGD-positive (near tetraploid) tumors contain a ploidy of 3.31 on average, while ploidy is closer to ~1.99 (near diploid) for WGD-negative tumors 41 . Centrosome amplification and WGD are hallmarks that have been associated, as both can be produced via the same mechanisms such as cytokinesis failure 40 . We therefore examined if CNI correlated with ploidy in our tumor cohort.…”
Section: The Cni Does Not Correlate With Proliferation Mitotic Indexmentioning
confidence: 99%