Genomic landscape and chronological reconstruction of driver events in multiple myeloma Journal Article


Authors: Maura, F.; Bolli, N.; Angelopoulos, N.; Dawson, K. J.; Leongamornlert, D.; Martincorena, I.; Mitchell, T. J.; Fullam, A.; Gonzalez, S.; Szalat, R.; Abascal, F.; Rodriguez-Martin, B.; Samur, M. K.; Glodzik, D.; Roncador, M.; Fulciniti, M.; Tai, Y. T.; Minvielle, S.; Magrangeas, F.; Moreau, P.; Corradini, P.; Anderson, K. C.; Tubio, J. M. C.; Wedge, D. C.; Gerstung, M.; Avet-Loiseau, H.; Munshi, N.; Campbell, P. J.
Article Title: Genomic landscape and chronological reconstruction of driver events in multiple myeloma
Abstract: The multiple myeloma (MM) genome is heterogeneous and evolves through preclinical and post-diagnosis phases. Here we report a catalog and hierarchy of driver lesions using sequences from 67 MM genomes serially collected from 30 patients together with public exome datasets. Bayesian clustering defines at least 7 genomic subgroups with distinct sets of co-operating events. Focusing on whole genome sequencing data, complex structural events emerge as major drivers, including chromothripsis and a novel replication-based mechanism of templated insertions, which typically occur early. Hyperdiploidy also occurs early, with individual trisomies often acquired in different chronological windows during evolution, and with a preferred order of acquisition. Conversely, positively selected point mutations, whole genome duplication and chromoplexy events occur in later disease phases. Thus, initiating driver events, drawn from a limited repertoire of structural and numerical chromosomal changes, shape preferred trajectories of evolution that are biologically relevant but heterogeneous across patients. © 2019, The Author(s).
Journal Title: Nature Communications
Volume: 10
ISSN: 2041-1723
Publisher: Nature Publishing Group  
Date Published: 2019-08-23
Start Page: 3835
Language: English
DOI: 10.1038/s41467-019-11680-1
PUBMED: 31444325
PROVIDER: scopus
PMCID: PMC6707220
DOI/URL:
Notes: Source: Scopus
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  1. Dominik Glodzik
    16 Glodzik
  2. Francesco Maura
    56 Maura