Haploinsufficient phenotypes promote selection of PTEN and ARID1A-deficient clones in human colonShow others and affiliations
2025 (English)In: EMBO Reports, ISSN 1469-221X, E-ISSN 1469-3178, Vol. 26, no 5, p. 1269-1289Article in journal (Refereed) Published
Abstract [en]
Cancer driver mutations are defined by their high prevalence in cancers and presumed rarity in normal tissues. However, recent studies show that positive selection in normal epithelia can increase the prevalence of some cancer drivers. To determine their true cancer-driving potential, it is essential to evaluate how frequent these mutations are in normal tissues and what are their phenotypes. Here, we explore the bioavailability of somatic variants by quantifying age-related mutational burdens in normal human colonic epithelium using immunodetection in FFPE samples (N = 181 patients). Positive selection of variants of tumour suppressor genes PTEN and ARID1A associates with monoallelic gene loss as confirmed by CRISPR/Cas9 mutagenesis and changes in their downstream effectors. Comparison of the mutational burden in normal tissue and colorectal cancers allows quantification of cancer driver potency based on relative representation. Additionally, immune exclusion, a cancer hallmark feature, is observed within ARID1A-deficient clones in histologically normal tissue. The behaviour resulting from haploinsufficiency of PTEN and ARID1A demonstrates how somatic mosaicism of tumour suppressors arises and can predispose to cancer initiation.
Place, publisher, year, edition, pages
EMBO Press, 2025. Vol. 26, no 5, p. 1269-1289
Keywords [en]
Haploinsufficency, Clone Dynamics, Normal Tissue, PTEN, ARID1A
National Category
Cancer and Oncology Medical Genetics and Genomics
Identifiers
URN: urn:nbn:se:uu:diva-553350DOI: 10.1038/s44319-025-00373-0ISI: 001441284700007PubMedID: 39920335Scopus ID: 2-s2.0-85217985747OAI: oai:DiVA.org:uu-553350DiVA, id: diva2:1951871
Funder
Wellcome trust, 103805Wellcome trust, 102160/Z/13/Z2025-04-142025-04-142025-04-14Bibliographically approved