Universal Patterns Of Selection In Cancer And Somatic Tissues

Abstract

Cancer develops as a result of somatic mutation and clonal selection, but quantitative measures of selection in cancer evolution are lacking. We applied methods from evolutionary genomics to 7,664 human cancers across 29 tumor types. Unlike species evolution, positive selection outweighs negative selection during cancer development. On average, 10/tumor in endometrial and colorectal cancers. Half of driver substitutions occur in yet-to-be-discovered cancer genes. With increasing mutation burden, numbers of driver mutations increase, but not linearly. We identify novel cancer genes and show that genes vary extensively in what proportion of mutations are drivers versus passengers.\n\nHIGHLIGHTSO_LIUnlike the germline, somatic cells evolve predominantly by positive selection\nC_LIO_LINearly all ([~]99%) coding mutations are tolerated and escape negative selection\nC_LIO_LIFirst exome-wide estimates of the total number of driver coding mutations per tumor\nC_LIO_LI1-10 coding driver mutations per tumor; half occurring outside known cancer genes\nC_LI