Rearrangement-mediated cis-regulatory alterations in advanced patient tumors reveal interactions with therapy

Cell Rep. 2021 Nov 16;37(7):110023. doi: 10.1016/j.celrep.2021.110023.

Abstract

The global impact of somatic structural variants (SVs) on gene regulation in advanced tumors with complex treatment histories has been mostly uncharacterized. Here, using whole-genome and RNA sequencing from 570 recurrent or metastatic tumors, we report the altered expression of hundreds of genes in association with nearby SV breakpoints, including oncogenes and G-protein-coupled receptor-related genes such as PLEKHG2. A significant fraction of genes with SV-expression associations correlate with worse patient survival in primary and advanced cancers, including SRD5A1. In many instances, SV-expression associations involve retrotransposons being translocated near genes. High overall SV burden is associated with treatment with DNA alkylating agents or taxanes and altered expression of metabolism-associated genes. SV-expression associations within tumors from topoisomerase I inhibitor-treated patients include chromatin-related genes. Within anthracycline-treated tumors, SV breakpoints near chromosome 1p genes include PDE4B. Patient treatment and history can help understand the widespread SV-mediated cis-regulatory alterations found in cancer.

Keywords: POG570; cancer; genomic rearrangement; metastasis; pan-cancer; recurrence; structural variants; structural variation; therapy; whole genome sequencing.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Chromosome Aberrations
  • DNA Copy Number Variations / genetics
  • Databases, Genetic
  • Exome Sequencing / methods
  • Gene Expression Regulation, Neoplastic / genetics*
  • Gene Rearrangement / genetics
  • Genome, Human
  • Genomic Structural Variation / genetics*
  • Genomics
  • Humans
  • Neoplasm Recurrence, Local / genetics*
  • Oncogenes
  • Sequence Analysis, RNA / methods
  • Translocation, Genetic / genetics
  • Whole Genome Sequencing / methods