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      Comprehensive molecular characterization of mitochondrial genomes in human cancers

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          Abstract

          Mitochondria are essential cellular organelles that play critical roles in cancer. Here, as part of the International Cancer Genome Consortium/The Cancer Genome Atlas Pan-Cancer Analysis of Whole Genomes Consortium, which aggregated whole-genome sequencing data from 2,658 cancers across 38 tumor types, we performed a multidimensional, integrated characterization of mitochondrial genomes and related RNA sequencing data. Our analysis presents the most definitive mutational landscape of mitochondrial genomes and identifies several hypermutated cases. Truncating mutations are markedly enriched in kidney, colorectal and thyroid cancers, suggesting oncogenic effects with the activation of signaling pathways. We find frequent somatic nuclear transfers of mitochondrial DNA, some of which disrupt therapeutic target genes. Mitochondrial copy number varies greatly within and across cancers and correlates with clinical variables. Co-expression analysis highlights the function of mitochondrial genes in oxidative phosphorylation, DNA repair and the cell cycle, and shows their connections with clinically actionable genes. Our study lays a foundation for translating mitochondrial biology into clinical applications.

          Abstract

          Analysis of mitochondrial genomes (mtDNA) by using whole-genome sequencing data from 2,658 cancer samples across 38 cancer types identifies hypermutated mtDNA cases, frequent somatic nuclear transfer of mtDNA and high variability of mtDNA copy number in many cancers.

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          Mitochondria and Cancer.

          Decades ago, Otto Warburg observed that cancers ferment glucose in the presence of oxygen, suggesting that defects in mitochondrial respiration may be the underlying cause of cancer. We now know that the genetic events that drive aberrant cancer cell proliferation also alter biochemical metabolism, including promoting aerobic glycolysis, but do not typically impair mitochondrial function. Mitochondria supply energy; provide building blocks for new cells; and control redox homeostasis, oncogenic signaling, innate immunity, and apoptosis. Indeed, mitochondrial biogenesis and quality control are often upregulated in cancers. While some cancers have mutations in nuclear-encoded mitochondrial tricarboxylic acid (TCA) cycle enzymes that produce oncogenic metabolites, there is negative selection for pathogenic mitochondrial genome mutations. Eliminating mtDNA limits tumorigenesis, and rare human tumors with mutant mitochondrial genomes are relatively benign. Thus, mitochondria play a central and multifunctional role in malignant tumor progression, and targeting mitochondria provides therapeutic opportunities.
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            Patterns of somatic structural variation in human cancer genomes

            A key mutational process in cancer is structural variation, in which rearrangements delete, amplify or reorder genomic segments that range in size from kilobases to whole chromosomes 1–7 . Here we develop methods to group, classify and describe somatic structural variants, using data from the Pan-Cancer Analysis of Whole Genomes (PCAWG) Consortium of the International Cancer Genome Consortium (ICGC) and The Cancer Genome Atlas (TCGA), which aggregated whole-genome sequencing data from 2,658 cancers across 38 tumour types 8 . Sixteen signatures of structural variation emerged. Deletions have a multimodal size distribution, assort unevenly across tumour types and patients, are enriched in late-replicating regions and correlate with inversions. Tandem duplications also have a multimodal size distribution, but are enriched in early-replicating regions—as are unbalanced translocations. Replication-based mechanisms of rearrangement generate varied chromosomal structures with low-level copy-number gains and frequent inverted rearrangements. One prominent structure consists of 2–7 templates copied from distinct regions of the genome strung together within one locus. Such cycles of templated insertions correlate with tandem duplications, and—in liver cancer—frequently activate the telomerase gene TERT. A wide variety of rearrangement processes are active in cancer, which generate complex configurations of the genome upon which selection can act.
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              The somatic genomic landscape of chromophobe renal cell carcinoma.

              We describe the landscape of somatic genomic alterations of 66 chromophobe renal cell carcinomas (ChRCCs) on the basis of multidimensional and comprehensive characterization, including mtDNA and whole-genome sequencing. The result is consistent that ChRCC originates from the distal nephron compared with other kidney cancers with more proximal origins. Combined mtDNA and gene expression analysis implicates changes in mitochondrial function as a component of the disease biology, while suggesting alternative roles for mtDNA mutations in cancers relying on oxidative phosphorylation. Genomic rearrangements lead to recurrent structural breakpoints within TERT promoter region, which correlates with highly elevated TERT expression and manifestation of kataegis, representing a mechanism of TERT upregulation in cancer distinct from previously observed amplifications and point mutations.
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                Author and article information

                Contributors
                kpark@skku.edu
                pc8@sanger.ac.uk
                hliang1@mdanderson.org
                Journal
                Nat Genet
                Nat. Genet
                Nature Genetics
                Nature Publishing Group US (New York )
                1061-4036
                1546-1718
                5 February 2020
                5 February 2020
                2020
                : 52
                : 3
                : 342-352
                Affiliations
                [1 ]ISNI 0000 0001 2291 4776, GRID grid.240145.6, Department of Bioinformatics and Computational Biology, , The University of Texas MD Anderson Cancer Center, ; Houston, TX USA
                [2 ]ISNI 0000 0004 0606 5382, GRID grid.10306.34, Cancer Genome Project, Wellcome Trust Sanger Institute, ; Hinxton, UK
                [3 ]ISNI 0000 0001 2292 0500, GRID grid.37172.30, Graduate School of Medical Science and Engineering, Korea Advanced Institute of Science and Technology, ; Daejeon, Korea
                [4 ]ISNI 0000 0001 2181 989X, GRID grid.264381.a, Department of Health Science and Technology, Samsung Advanced Institute for Health Science and Technology, , Sungkyunkwan University School of Medicine, ; Seoul, Korea
                [5 ]ISNI 0000 0001 2160 926X, GRID grid.39382.33, Quantitative and Computational Biosciences Graduate Program, Baylor College of Medicine, ; Houston, TX USA
                [6 ]ISNI 0000 0000 9206 2401, GRID grid.267308.8, Division of Biostatistics, , The University of Texas Health Science Center at Houston School of Public Health, ; Houston, TX USA
                [7 ]ISNI 0000 0001 2160 926X, GRID grid.39382.33, Department of Medicine and Dan L. Duncan Cancer Center Division of Biostatistics, , Baylor College of Medicine, ; Houston, TX USA
                [8 ]ISNI 0000 0001 2291 4776, GRID grid.240145.6, Department of Systems Biology, , The University of Texas MD Anderson Cancer Center, ; Houston, TX USA
                [9 ]ISNI 0000 0001 2171 9311, GRID grid.21107.35, Department of Applied Mathematics and Statistics, , Johns Hopkins University, ; Baltimore, MD USA
                [10 ]ISNI 0000 0000 9206 2401, GRID grid.267308.8, Department of Biochemistry and Molecular Biology, , The University of Texas Health Science Center at Houston McGovern Medical School, ; Houston, TX USA
                [11 ]ISNI 0000 0001 2171 7754, GRID grid.255649.9, Department of Biochemistry, , Ewha Womans University School of Medicine, ; Seoul, Korea
                [12 ]Laboratory for Cancer Genomics, RIKEN Center for Integrative Medical Sciences, Yokohama, Japan
                [13 ]ISNI 0000 0001 2181 989X, GRID grid.264381.a, Division of Hematology/Oncology, Samsung Medical Center, , Sungkyunkwan University School of Medicine, ; Seoul, Korea
                [14 ]ISNI 0000 0004 0383 8386, GRID grid.24029.3d, Cambridge University Hospitals NHS Foundation Trust, ; Cambridge, UK
                Author information
                http://orcid.org/0000-0003-4706-7897
                http://orcid.org/0000-0002-5514-4189
                http://orcid.org/0000-0002-1106-3037
                http://orcid.org/0000-0002-1171-7141
                http://orcid.org/0000-0002-6090-703X
                http://orcid.org/0000-0001-9401-6908
                http://orcid.org/0000-0002-7380-2640
                http://orcid.org/0000-0002-4846-7449
                http://orcid.org/0000-0002-3921-0510
                http://orcid.org/0000-0001-7633-286X
                Article
                557
                10.1038/s41588-019-0557-x
                7058535
                32024997
                4dbc84c1-6b55-4c4a-a376-b036c3bc601d
                © The Author(s) 2020

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.

                History
                : 21 September 2017
                : 21 November 2019
                Categories
                Analysis
                Custom metadata
                © The Author(s), under exclusive licence to Springer Nature America, Inc. 2020

                Genetics
                cancer,genomics
                Genetics
                cancer, genomics

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