Single-cell genomics reveals the genetic and molecular bases for escape from mutational epistasis in myeloid neoplasms Journal Article


Authors: Taylor, J.; Mi, X.; North, K.; Binder, M.; Penson, A.; Lasho, T.; Knorr, K.; Haddadin, M.; Liu, B.; Pangallo, J.; Benbarche, S.; Wiseman, D.; Tefferi, A.; Halene, S.; Liang, Y.; Patnaik, M. M.; Bradley, R. K.; Abdel-Wahab, O.
Article Title: Single-cell genomics reveals the genetic and molecular bases for escape from mutational epistasis in myeloid neoplasms
Abstract: Large-scale sequencing studies of hematologic malignancies have revealed notable epistasis among high-frequency mutations. One of the most striking examples of epistasis occurs for mutations in RNA splicing factors. These lesions are among the most common alterations in myeloid neoplasms and generally occur in a mutually exclusive manner, a finding attributed to their synthetic lethal interactions and/or convergent effects. Curiously, however, patients with multiple-concomitant splicing factor mutations have been observed, challenging our understanding of one of the most common examples of epistasis in hematologic malignancies. In this study, we performed bulk and single-cell analyses of patients with myeloid malignancy who were harboring ≥2 splicing factor mutations, to understand the frequency and basis for the coexistence of these mutations. Although mutations in splicing factors were strongly mutually exclusive across 4231 patients (q < .001), 0.85% harbored 2 concomitant bona fide splicing factor mutations, ∼50% of which were present in the same individual cells. However, the distribution of mutations in patients with double mutations deviated from that in those with single mutations, with selection against the most common alleles, SF3B1K700E and SRSF2P95H/L/R, and selection for less common alleles, such as SF3B1 non-K700E mutations, rare amino acid substitutions at SRSF2P95, and combined U2AF1S34/Q157 mutations. SF3B1 and SRSF2 alleles enriched in those with double-mutations had reduced effects on RNA splicing and/or binding compared with the most common alleles. Moreover, dual U2AF1 mutations occurred in cis with preservation of the wild-type allele. These data highlight allele-specific differences as critical in regulating the molecular effects of splicing factor mutations as well as their cooccurrences/exclusivities with one another. © 2020 by The American Society of Hematology.
Journal Title: Blood
Volume: 136
Issue: 13
ISSN: 0006-4971
Publisher: American Society of Hematology  
Date Published: 2020-09-24
Start Page: 1477
End Page: 1486
Language: English
DOI: 10.1182/blood.2020006868
PUBMED: 32640014
PROVIDER: scopus
PMCID: PMC7515689
DOI/URL:
Notes: Article -- Export Date: 2 November 2020 -- Source: Scopus
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MSK Authors
  1. Alexander Vincent Penson
    54 Penson
  2. Justin   Taylor
    51 Taylor
  3. Bo Liu
    24 Liu
  4. Katherine Knorr
    9 Knorr
  5. Xiaoli Mi
    16 Mi