Tumor evolution. High burden and pervasive positive selection of somatic mutations in normal human skin.

Tumor evolution. High burden and pervasive positive selection of somatic mutations in normal human skin.
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DOI:
10.1126/science.aaa6806
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发表时间:
2015-05-22
期刊:
Science (New York, N.Y.)
影响因子:
--
通讯作者:
Campbell PJ
Campbell PJ
中科院分区:
其他
文献类型:
--
作者:
Martincorena I;Roshan A;Gerstung M;Ellis P;Van Loo P;McLaren S;Wedge DC;Fullam A;Alexandrov LB;Tubio JM;Stebbings L;Menzies A;Widaa S;Stratton MR;Jones PH;Campbell PJ

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How somatic mutations accumulate in normal cells is central to understanding cancer development, but is poorly understood. We performed ultra-deep sequencing of 74 cancer genes in small (0.8-4.7mm2) biopsies of normal skin. Across 234 biopsies of sun-exposed eyelid epidermis from four individuals, the burden of somatic mutations averaged 2-6 mutations/megabase/cell, similar to many cancers, and exhibited characteristic signatures of ultraviolet light exposure. Remarkably, multiple cancer genes are under strong positive selection even in physiologically normal skin, including most of the key drivers of cutaneous squamous cell carcinomas. Positively selected ‘driver’ mutations were found in 18-32% of normal skin cells at a density of ~140/cm2. We observed variability in the driver landscape among individuals and variability in sizes of clonal expansions across genes. Thus, aged, sun-exposed skin is a patchwork of thousands of evolving clones, with over a quarter of cells carrying cancer-causing mutations while maintaining the physiological functions of epidermis.
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