Whole-Genome Sequencing Reveals Elevated Tumor Mutational Burden and Initiating Driver Mutations in African Men with Treatment-Naïve, High-Risk Prostate Cancer

• Published in: Cancer research (Chicago, Ill.) Vol. 78; no. 24; pp. 6736 - 6746
• Main Authors: Jaratlerdsiri, Weerachai, Chan, Eva K F, Gong, Tingting, Petersen, Desiree C, Kalsbeek, Anton M F, Venter, Philip A, Stricker, Phillip D, Bornman, M S Riana, Hayes, Vanessa M
• Format: Journal Article
• Language: English
• Published: United States 15-12-2018
• Subjects: Aged; Aged, 80 and over; Alleles; Black or African American; Black People; Carcinogenesis; DNA Mutational Analysis; Europe; Gene Frequency; Gene Rearrangement; Genome, Human; Germ-Line Mutation; Health Status Disparities; Humans; Male; Multigene Family; Mutation; Mutation, Missense; Neoplasm Metastasis; Phylogeny; Polymorphism, Single Nucleotide; Prostatic Neoplasms - ethnology; Prostatic Neoplasms - genetics; South Africa; White People; Whole Genome Sequencing; South Africa; Europe
• ISSN: 0008-5472; 1538-7445; 1538-7445
• DOI: 10.1158/0008-5472.CAN-18-0254

: African-American men are more likely than any other racial group to die from prostate cancer. The contribution of acquired genomic variation to this racial disparity is largely unknown, as genomic from Africa is lacking. Here, we performed the first tumor-normal paired deep whole-genome sequencing for Africa. A direct study-matched comparison between African- and European-derived, treatment-naïve, high-risk prostate tumors for 15 cases allowed for further comparative analyses of existing data. Excluding a single hypermutated tumor with 55 mutations per megabase, we observed a 1.8-fold increase in small somatic variants in African- versus European-derived tumors (
= 1.02e-04), rising to 4-fold when compared with published tumor-matched data. Furthermore, we observed an increase in oncogenic driver mutations in African tumors (
= 2.92e-03); roughly 30% of impacted genes were novel to prostate cancer, and 79% of recurrent driver mutations appeared early in tumorigenesis. Although complex genomic rearrangements were less frequent in African tumors, we describe a uniquely hyperduplicated tumor affecting 149 transposable elements. Comparable with African Americans,
fusions and
mutations were absent and
loss less frequent.
and
were frequently gained, with somatic copy-number changes more likely to occur late in tumorigenesis. In addition to traditional prostate cancer gene pathways, genes regulating calcium ion-ATPase signal transduction were disrupted in African tumors. Although preliminary, our results suggest that further validation and investigation into the potential implications for elevated tumor mutational burden and tumor-initiating mutations in clinically unfavorable prostate cancer can improve patient outcomes in Africa. SIGNIFICANCE: The first whole-genome sequencing study for high-risk prostate cancer in African men allows a simultaneous comparison of ethnic differences relative to European populations and of the influences of the environment relative to African-American men. GRAPHICAL ABSTRACT: http://cancerres.aacrjournals.org/content/canres/78/24/6736/F1.large.jpg.
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