2022
DOI: 10.1038/s41586-022-05253-4
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Genomic signature of Fanconi anaemia DNA repair pathway deficiency in cancer

Abstract: DK provided samples and clinical information. TW assisted with animal studies. OF performed PacBio sequencing. SS, MB, and KB performed single cell and Visium sequencing. TS provided pathology expertise. RV provided biostatistical expertise. AS and PC supervised the study. AS and SC obtained funding. AW and AS wrote the manuscript with input from other authors.Competing interests: Rocket Pharmaceuticals provided research funding and partial salary support to A.S. for an unrelated project. P.J.C. is a founder, … Show more

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Cited by 42 publications
(34 citation statements)
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“…Foldback inversions have been detected in a variety of human cancers, including pancreatic, ovarian, breast, and squamous cell carcinomas (SCC), and are associated with poor prognosis 62,63,64,65,66,67,68 . The mechanism by which these foldback inversions form is unknown and could involve the foldback priming mechanism described here, particularly in tumors with mutations in MRE11, RAD50 or NBS1.…”
Section: Discussionmentioning
confidence: 99%
“…Foldback inversions have been detected in a variety of human cancers, including pancreatic, ovarian, breast, and squamous cell carcinomas (SCC), and are associated with poor prognosis 62,63,64,65,66,67,68 . The mechanism by which these foldback inversions form is unknown and could involve the foldback priming mechanism described here, particularly in tumors with mutations in MRE11, RAD50 or NBS1.…”
Section: Discussionmentioning
confidence: 99%
“…We propose that biallelic RAD51C mutations and defects in DNA damage response result in a 'hypermutator phenotype' with the accumulation of postzygotic de novo mutations. Recently reported mutational spectrum of squamous cell carcinoma from individuals with FA showed a collection of somatic SV, with exposure to tobacco and alcohol mutagens overwhelming the ability of a defective DNA repair pathway (Webster et al 2022). The absence of major SV in our patient could be due to the more stringent selection pressure that occurs during embryonic development compared to selection for cancer cells.…”
Section: Discussionmentioning
confidence: 99%
“…FA is a model syndrome of genome instability and is caused by a deficiency in DNA interstrand crosslink repair resulting in chromosome breakage. Cancer derived from FA present of high numbers of structural variants [198]. FA is caused by biallelic mutations in at least 12 different genes, some of which form a nuclear core complex that involves the ubiquitination of the central FANCD2 protein.…”
Section: Impairment Of Dna Damage Repair Pathwaysmentioning
confidence: 99%
“…Biallelic mutations in BRCA2 and FANCD2 can lead to a severe FA-like phenotype. The FA genes and FANC2 are involved in DNA repair functions that are associated with the resolution of DNA crosslinks and stalled replication forks [199]. Although genetic instability caused by mutations in the FANC genes can be detrimental for most FA patients, around 20% appear to benefit from it, as it increases the chance of somatic reversion of their constitutional mutations.…”
Section: Impairment Of Dna Damage Repair Pathwaysmentioning
confidence: 99%