Authors: | Rustad, E. H.; Yellapantula, V.; Leongamornlert, D.; Bolli, N.; Ledergor, G.; Nadeu, F.; Angelopoulos, N.; Dawson, K. J.; Mitchell, T. J.; Osborne, R. J.; Ziccheddu, B.; Carniti, C.; Montefusco, V.; Corradini, P.; Anderson, K. C.; Moreau, P.; Papaemmanuil, E.; Alexandrov, L. B.; Puente, X. S.; Campo, E.; Siebert, R.; Avet-Loiseau, H.; Landgren, O.; Munshi, N.; Campbell, P. J.; Maura, F. |
Article Title: | Timing the initiation of multiple myeloma |
Abstract: | The evolution and progression of multiple myeloma and its precursors over time is poorly understood. Here, we investigate the landscape and timing of mutational processes shaping multiple myeloma evolution in a large cohort of 89 whole genomes and 973 exomes. We identify eight processes, including a mutational signature caused by exposure to melphalan. Reconstructing the chronological activity of each mutational signature, we estimate that the initial transformation of a germinal center B-cell usually occurred during the first 2nd-3rd decades of life. We define four main patterns of activation-induced deaminase (AID) and apolipoprotein B mRNA editing catalytic polypeptide-like (APOBEC) mutagenesis over time, including a subset of patients with evidence of prolonged AID activity during the pre-malignant phase, indicating antigen-responsiveness and germinal center reentry. Our findings provide a framework to study the etiology of multiple myeloma and explore strategies for prevention and early detection. © 2020, The Author(s). |
Keywords: | cancer chemotherapy; controlled study; human tissue; unclassified drug; gene mutation; major clinical study; sequence analysis; mutation; cancer recurrence; cancer growth; phenotype; multiple myeloma; gene expression; protein; genetic variability; evolution; melphalan; autologous stem cell transplantation; genetic transcription; peptide; mutational analysis; time; age; b lymphocyte; carcinogenesis; germinal center; activation induced cytidine deaminase; immunoglobulin heavy chain; antigen; cell transformation; heterozygosity; genome; plasma; catalyst; transformation; cell; etiology; clinical trial (topic); copy number variation; exposure; nucleic acid base substitution; mutagenicity; complementarity determining region; human; article; whole genome sequencing; whole exome sequencing; apolipoprotein b mrna editing enzyme catalytic polypeptide like; molecular clock; single cell rna seq; apolipoprotein b mrna editing enzyme catalytic subunit 3a; apolipoprotein b mrna editing enzyme catalytic subunit 3b; transcription factor mafa; transcription factor mafb |
Journal Title: | Nature Communications |
Volume: | 11 |
ISSN: | 2041-1723 |
Publisher: | Nature Publishing Group |
Date Published: | 2020-04-21 |
Start Page: | 1917 |
Language: | English |
DOI: | 10.1038/s41467-020-15740-9 |
PUBMED: | 32317634 |
PROVIDER: | scopus |
PMCID: | PMC7174344 |
DOI/URL: | |
Notes: | Article -- Export Date: 1 June 2020 -- Source: Scopus |