2019
DOI: 10.1038/s41467-019-12594-8
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5-Fluorouracil treatment induces characteristic T>G mutations in human cancer

Abstract: 5-Fluorouracil (5-FU) is a chemotherapeutic drug commonly used for the treatment of solid cancers. It is proposed that 5-FU interferes with nucleotide synthesis and incorporates into DNA, which may have a mutational impact on both surviving tumor and healthy cells. Here, we treat intestinal organoids with 5-FU and find a highly characteristic mutational pattern that is dominated by T>G substitutions in a CTT context. Tumor whole genome sequencing data confirms that this signature is also identified in vivo … Show more

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Cited by 177 publications
(151 citation statements)
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“…S5). Indeed, all treated colorectal metastases (n=7) were biopsied after 5-fluorouracil (5-FU) chemotherapy in this cohort, which was recently shown to be associated with this mutational pattern 32,33 .…”
Section: The Landscape Of Genomic Alterations In Paired Primary Tumormentioning
confidence: 99%
“…S5). Indeed, all treated colorectal metastases (n=7) were biopsied after 5-fluorouracil (5-FU) chemotherapy in this cohort, which was recently shown to be associated with this mutational pattern 32,33 .…”
Section: The Landscape Of Genomic Alterations In Paired Primary Tumormentioning
confidence: 99%
“…The only exception to this rule is TS20-N[T>G]T (SBS17a,b), which showed a slight decrease in the outward facing minor groove, while the inwards facing showed elevated mutation rates 23 . TS20 is likely caused by incorporation of dUTP or oxo-dTTP 20 , possibly, but not necessarily, due to 5-FU treatment 31 .…”
Section: Genomic Properties Modulate Signatures With Epigenetic Statmentioning
confidence: 99%
“…Somatic mutations arising through endogenous and exogenous processes mark the genome with distinctive patterns, termed mutational signatures [1][2][3][4] . While there have been advancements in analytical aspects of deriving mutational signatures from human cancers [5][6][7] , there is an emerging need for experimental substantiation, elucidating etiologies and mechanisms underpinning these mutational patterns [8][9][10][11] . Cellular models have been used to systematically study mutagenesis arising from exogenous sources of DNA damage 8,11 .…”
Section: Introductionmentioning
confidence: 99%