Fixation and Spread of Somatic Mutations in Adult Human Colonic Epithelium.

Fixation and Spread of Somatic Mutations in Adult Human Colonic Epithelium.
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DOI:
10.1016/j.stem.2018.04.020
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发表时间:
2018-06-01
期刊:
影响因子:
23.9
通讯作者:
Winton DJ
Winton DJ
中科院分区:
医学1区
文献类型:
--
作者:
Nicholson AM;Olpe C;Hoyle A;Thorsen AS;Rus T;Colombé M;Brunton-Sim R;Kemp R;Marks K;Quirke P;Malhotra S;Ten Hoopen R;Ibrahim A;Lindskog C;Myers MB;Parsons B;Tavaré S;Wilkinson M;Morrissey E;Winton DJ

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We investigated the means and timing by which mutations become fixed in the human colonic epithelium by visualizing somatic clones and mathematical inference. Fixation requires two sequential steps. First, one of approximately seven active stem cells residing within each colonic crypt has to be mutated. Second, the mutated stem cell has to replace neighbors to populate the entire crypt in a process that takes several years. Subsequent clonal expansion due to crypt fission is infrequent for neutral mutations (around 0.7% of all crypts undergo fission in a single year). Pro-oncogenic mutations subvert both stem cell replacement to accelerate fixation and clonal expansion by crypt fission to achieve high mutant allele frequencies with age. The benchmarking of these behaviors allows the advantage associated with different gene-specific mutations to be compared irrespective of the cellular mechanisms by which they are conferred. Colonic stem cell dynamics predict lifetime mutant allele frequencies Mutant clone fixation in colonic crypts takes years due to slow stem cell turnover Crypt fission enables lateral expansion of mutant clones Biases in both fixation and expansion increase age-related pro-oncogenic burden Winton and colleagues describe stem cell dynamics in normal human colon to identify the efficiency of clone fixation within the epithelium and the rate of subsequent lateral expansion. Against these benchmarks biased stem cell behaviors advantaged in both fixation and expansion can be quantified to predict the age-related burden of pro-oncogenic mutation.
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