Therapeutic and prognostic insights from the analysis of cancer mutational signatures

被引:49
作者
Brady, Samuel W. [1 ]
Gout, Alexander M. [1 ]
Zhang, Jinghui [1 ]
机构
[1] St Jude Childrens Res Hosp, Dept Computat Sci, Memphis, TN 38105 USA
关键词
MISMATCH REPAIR DEFICIENCY; CHILDHOOD-CANCER; MICROSATELLITE INSTABILITY; ACQUIRED-RESISTANCE; CHEMOTHERAPY; MECHANISMS; SURVIVORS; GENOME; RISK; ADENOCARCINOMA;
D O I
10.1016/j.tig.2021.08.007
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
The somatic mutations in each cancer genome are caused by multiple mutational processes, each of which leaves a characteristic imprint (or 'signature'), potentially caused by specific etiologies or exposures. Deconvolution of these signatures offers a glimpse into the evolutionary history of individual tumors. Recent work has shown that mutational signatures may also yield therapeutic and prognostic insights, including the identification of cell-intrinsic signatures as biomarkers of drug response and prognosis. For example, mutational signatures indicating homologous recombination deficiency are associated with poly(ADP)ribose polymerase (PARP) inhibitor sensitivity, whereas APOBEC-associated signatures are associated with ataxia telangiectasia and Rada-related kinase (ATR) inhibitor sensitivity. Furthermore, therapy-induced mutational signatures implicated in cancer progression have also been uncovered, including the identification of thiopurine-induced TP53 mutations in leukemia. In this review, we explore the various ways mutational signatures can reveal new therapeutic and prognostic insights, thus extending their traditional role in identifying disease etiology.
引用
收藏
页码:194 / 208
页数:15
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