Ongoing genome doubling shapes evolvability and immunity in ovarian cancer Journal Article


Authors: McPherson, A.; Vázquez-García, I.; Myers, M. A.; Al-Rawi, D. H.; Zatzman, M.; Weiner, A. C.; Freeman, S.; Mohibullah, N.; Satas, G.; Williams, M. J.; Ceglia, N.; Norkūnaitė, D.; Zhang, A. W.; Li, J.; Lim, J. L. P.; Wu, M.; Choi, S.; Havasov, E.; Grewal, D.; Shi, H.; Kim, M.; Schwarz, R. F.; Kaufmann, T.; Dinh, K. N.; Uhlitz, F.; Tran, J.; Wu, Y.; Patel, R.; Ramakrishnan, S.; Kim, D.; Clarke, J.; Green, H.; Ali, E.; DiBona, M.; Varice, N.; Kundra, R.; Broach, V.; Gardner, G. J.; Roche, K. L.; Sonoda, Y.; Zivanovic, O.; Kim, S. H.; Grisham, R. N.; Liu, Y. L.; Viale, A.; Rusk, N.; Lakhman, Y.; Ellenson, L. H.; Tavaré, S.; Aparicio, S.; Chi, D. S.; Aghajanian, C.; Abu-Rustum, N. R.; Friedman, C. F.; Zamarin, D.; Weigelt, B.; Bakhoum, S. F.; Shah, S. P.
Article Title: Ongoing genome doubling shapes evolvability and immunity in ovarian cancer
Abstract: Whole-genome doubling (WGD) is a common feature of human cancers and is linked to tumour progression, drug resistance, and metastasis1, 2, 3, 4, 5–6. Here we examine the impact of WGD on somatic evolution and immune evasion at single-cell resolution in patient tumours. Using single-cell whole-genome sequencing, we analysed 70 high-grade serous ovarian cancer samples from 41 patients (30,260 tumour genomes) and observed near-ubiquitous evidence that WGD is an ongoing mutational process. WGD was associated with increased cell–cell diversity and higher rates of chromosomal missegregation and consequent micronucleation. We developed a mutation-based WGD timing method called doubleTime to delineate specific modes by which WGD can drive tumour evolution, including early fixation followed by considerable diversification, multiple parallel WGD events on a pre-existing background of copy-number diversity, and evolutionarily late WGD in small clones and individual cells. Furthermore, using matched single-cell RNA sequencing and high-resolution immunofluorescence microscopy, we found that inflammatory signalling and cGAS-STING pathway activation result from ongoing chromosomal instability, but this is restricted to predominantly diploid tumours (WGD-low). By contrast, predominantly WGD tumours (WGD-high), despite increased missegregation, exhibited cell-cycle dysregulation, STING1 repression, and immunosuppressive phenotypic states. Together, these findings establish WGD as an ongoing mutational process that promotes evolvability and dysregulated immunity in high-grade serous ovarian cancer. © The Author(s) 2025.
Journal Title: Nature
ISSN: 0028-0836
Publisher: Nature Publishing Group  
Publication status: Online ahead of print
Date Published: 2025-07-16
Online Publication Date: 2025-07-16
Language: English
DOI: 10.1038/s41586-025-09240-3
PROVIDER: scopus
PUBMED: 40670783
PMCID: PMC12390843
DOI/URL:
Notes: The MSK Cancer Center Support Grant (P30 CA008748) is acknowledged in the PDF. Corresponding MSK author is Sohrab P. Shah -- Source: Scopus
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MSK Authors
  1. Ginger J Gardner
    273 Gardner
  2. Yuliya Lakhman
    100 Lakhman
  3. Dennis S Chi
    712 Chi
  4. Yukio Sonoda
    475 Sonoda
  5. Jennifer L Clarke
    12 Clarke
  6. Dmitriy Zamarin
    202 Zamarin
  7. Oliver Zivanovic
    293 Zivanovic
  8. Rachel Nicole Grisham
    175 Grisham
  9. Agnes Viale
    246 Viale
  10. Britta Weigelt
    643 Weigelt
  11. Samuel F Bakhoum
    82 Bakhoum
  12. Claire Frances Friedman
    121 Friedman
  13. Vance Andrew Broach
    118 Broach
  14. Ritika   Kundra
    90 Kundra
  15. Ying Liu
    108 Liu
  16. Ruchi Patel
    4 Patel
  17. Sohrab Prakash Shah
    89 Shah
  18. Diljot Singh Grewal
    9 Grewal
  19. Jun Li
    11 Li
  20. Jamie Lim
    10 Lim
  21. Nicholas Ceglia
    24 Ceglia
  22. Sarah H Kim
    45 Kim
  23. Michelle Wu
    25 Wu
  24. Lora Hedrick Ellenson
    111 Ellenson
  25. Hongyu Shi
    14 Shi
  26. Minsoo Kim
    9 Kim
  27. Nicole Rusk
    12 Rusk
  28. Melody Di Bona
    13 Di Bona
  29. Florian Soeren Uhlitz
    7 Uhlitz
  30. Adam Weiner
    8 Weiner
  31. Hunter Green
    21 Green
  32. Seongmin Choi
    2 Choi
  33. Gryte Satas
    4 Satas
  34. Matthew A. Myers
    4 Myers
  35. Nancy Varice
    8 Varice
  36. Emily Ali
    2 Ali
  37. Julie Tran
    1 Tran
  38. Yushi Wu
    1 Wu