2020
DOI: 10.1101/2020.06.29.168229
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Identifying Modules of Cooperating Cancer Drivers

Abstract: AbstractIdentifying cooperating modules of driver alterations can provide biological insights to cancer causation and would advance the development of effective personalized treatments. We present Cancer Rule-Set Optimization (CRSO) for inferring the combinations of alterations that cooperate to drive tumor formation in individual patients. Application to 19 TCGA cancer types found a mean of 11 core driver combinations per cancer, comprising 2-6 alterations p… Show more

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Cited by 3 publications
(7 citation statements)
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“…For instance, lung adenocarcinoma tumor mutations in LRP1B have been associated with chronic obstruction pul-monary disease in patients [29], and have also been suggested to be useful pre-dictors of response to immune checkpoint inhibitors [30]. Moreover, our analyses of epistatic interactions corroborates previous studies that suggest that LRP1B cooperates with TP53 to induce strong selection for high-effect driver mutations of KRAS [5]. An intermediate mutation of LRP1B might compose a valley in the cancer fitness landscape that needs to be crossed to obtain a substantial advantage in selection with a final mutation in KRAS [31].…”
Section: Discussionsupporting
confidence: 84%
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“…For instance, lung adenocarcinoma tumor mutations in LRP1B have been associated with chronic obstruction pul-monary disease in patients [29], and have also been suggested to be useful pre-dictors of response to immune checkpoint inhibitors [30]. Moreover, our analyses of epistatic interactions corroborates previous studies that suggest that LRP1B cooperates with TP53 to induce strong selection for high-effect driver mutations of KRAS [5]. An intermediate mutation of LRP1B might compose a valley in the cancer fitness landscape that needs to be crossed to obtain a substantial advantage in selection with a final mutation in KRAS [31].…”
Section: Discussionsupporting
confidence: 84%
“…Despite their lower overall effect size, LRP1B mutations in lung adenocarcinoma have been associated with chronic obstruction pulmonary disease [20], and suggested as predictors of response to immune checkpoint inhibitors [21]. Additionally, LRP1B appears to cooperate with TP53 to induce a large selection for mutant KRAS as a driver of lung adenocarcinoma [3].…”
Section: Discussionmentioning
confidence: 99%
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“…NFE2L2 is found mutated in tandem with other specific driver combinations not only in LUSC, but also in head-and-neck, bladder, and esophageal cancers. Therefore, Nrf2 pathway inhibition may interact epistatically with other driving variants to inhibit cancer growth [43]. Therapeutic options providing strong inhibition are highly desirable as NFE2L2-mutant lung cancers have historically had a poor prognosis.…”
Section: Discussionmentioning
confidence: 99%