Abstract

Cancer is an evolutionary process in which cells acquire new transformative, proliferative and metastatic capabilities. A full understanding of cancer requires learning the dynamics of the cancer evolutionary process. We present here a large-scale analysis of the dynamics of this evolutionary process within tumors, with a focus on breast cancer. We show that the cancer evolutionary process differs greatly from organismal (germline) evolution. Organismal evolution is dominated by purifying selection (that removes mutations that are harmful to fitness). In contrast, in the cancer evolutionary process the dominance of purifying selection is much reduced, allowing for a much easier detection of the signals of positive selection (adaptation). We further show that, as a group, genes that are globally expressed across human tissues show a very strong signal of positive selection within tumors. Indeed, known cancer genes are enriched for global expression patterns. Yet, positive selection is prevalent even on globally expressed genes that have not yet been associated with cancer, suggesting that globally expressed genes are enriched for yet undiscovered cancer related functions. We find that the increased positive selection on globally expressed genes within tumors is not due to their expression in the tissue relevant to the cancer. Rather, such increased adaptation is likely due to globally expressed genes being enriched in important housekeeping and essential functions. Thus, our results suggest that tumor adaptation is most often mediated through somatic changes to those genes that are important for the most basic cellular functions. Together, our analysis reveals the uniqueness of the cancer evolutionary process and the particular importance of globally expressed genes in driving cancer initiation and progression.

Highlights

  • Cancer initiation and progression are short-term evolutionary processes that occur within our bodies

  • Within tumors, positive selection strongly affects somatic mutations occurring within genes that are expressed globally, across all human tissues

  • We show that genes that are already known to be involved in cancer tend to more often be globally expressed across tissues. Even when such known cancer genes are removed from consideration, there is significantly more positive selection on the remaining globally expressed genes, suggesting that they are enriched for yet undiscovered cancer related functions

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Summary

Introduction

Cancer initiation and progression are short-term evolutionary processes that occur within our bodies (reviewed in [1,2,3,4,5]). A full understanding of cancer requires learning the dynamics of this evolutionary process. All evolutionary processes depend on the existence of genetic variation. In cancer this variation is generated by somatic mutation. The ultimate fate of somatic mutations is affected by natural selection, which acts in two ways: First, it reduces the likelihood that deleterious mutations will persist (purifying selection). It increases the likelihood that functionally advantageous mutations will persist (positive selection). The subset of mutations that persist to the point that we can observe them through DNA sequencing are referred to as substitutions

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