Respiratory complex and tissue lineage drive recurrent mutations in tumour mtDNA.

Respiratory complex and tissue lineage drive recurrent mutations in tumour mtDNA.
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DOI:
10.1038/s42255-021-00378-8
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发表时间:
2021-04
期刊:
影响因子:
20.8
通讯作者:
Reznik, Ed
Reznik, Ed
中科院分区:
医学1区
文献类型:
--
作者:
Gorelick, Alexander N.;Kim, Minsoo;Chatila, Walid K.;La, Konnor;Hakimi, A. Ari;Berger, Michael F.;Taylor, Barry S.;Gammage, Payam A.;Reznik, Ed

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线粒体DNA(mtDNA)编码氧化磷酸化(OXPHOS)所需的蛋白质亚基和翻译机制。在本研究中,我们使用重新利用的全外显子组测序数据证明,肿瘤中致病性mtDNA突变的发生率与最常见的癌症驱动基因中的突变率相当。我们确定OXPHOS复合物作为关键的决定因素,塑造跨肿瘤谱系的体细胞mtDNA突变模式。功能丧失突变以升高的速率特别是在复合物I中积累,并且通常出现在特定的均聚热点处。相反,复合体V耗尽所有非同义突变,表明ATP合成和线粒体膜电位耗散的损害是在负选择下。常见的截短突变和罕见的错义等位基因都与泛谱系转录程序相关,即使在mtDNA突变相对罕见的癌症类型中也是如此。线粒体DNA的致病性突变与结直肠癌患者总体生存率的显著增加相关,表明基因型和表型之间存在明确的功能关系。因此,线粒体基因组在许多癌症中经常和功能性地被破坏,对患者分层、预后和治疗开发具有重要意义。
Mitochondrial DNA (mtDNA) encodes protein subunits and translational machinery required for oxidative phosphorylation (OXPHOS). Using repurposed whole-exome sequencing data, in the present study we demonstrate that pathogenic mtDNA mutations arise in tumours at a rate comparable to those in the most common cancer driver genes. We identify OXPHOS complexes as critical determinants shaping somatic mtDNA mutation patterns across tumour lineages. Loss-of-function mutations accumulate at an elevated rate specifically in complex I and often arise at specific homopolymeric hotspots. In contrast, complex V is depleted of all non-synonymous mutations, suggesting that impairment of ATP synthesis and mitochondrial membrane potential dissipation are under negative selection. Common truncating mutations and rarer missense alleles are both associated with a pan-lineage transcriptional programme, even in cancer types where mtDNA mutations are comparatively rare. Pathogenic mutations of mtDNA are associated with substantial increases in overall survival of colorectal cancer patients, demonstrating a clear functional relationship between genotype and phenotype. The mitochondrial genome is therefore frequently and functionally disrupted across many cancers, with major implications for patient stratification, prognosis and therapeutic development.
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