Pan-cancer transcriptomic analysis reveals a tissue-specific loss of identity

Understanding changes in cell identity in cancer and ageing is of great importance. In this work, we analyzed how gene expression changes in human tissues are associated with tissue specificity during cancer and ageing using transcriptome data from TCGA and GTEx. We found a loss of cell identity during ageing in around 40% of tissues. In cancer, we observed a pattern of downregulation of genes specific to the tissue of origin of the tumor for most cancer types. Moreover, we observed an activation of genes not usually expressed in a tissue as well as an upregulation of genes specific to other tissues in cancer. These patterns in cancer were associated with patient survival. The age of the patient, however, does not influence these patterns. Thus, we identified a moderate but statistically significant pattern of loss of cell identity in ageing, and a clear pattern in cancer, where during tumorigenesis, cells express genes specific to other organs while suppressing the expression of genes from their original tissue. The loss of cellular identity observed in cancer is associated with prognosis and is not influenced by age, suggesting that it is a crucial stage in carcinogenesis.