20Cancer genomes with mutations in the exonuclease domain of Polymerase Epsilon 21 (POLE) present with an extraordinarily high somatic mutation burden. In vitro studies 22 have shown that distinct POLE mutants exhibit different polymerase activity and yet, 23 how these POLE mutants generate mutations across cancer genomes and influence 24 driver events remains poorly understood. Here we analyzed 7,345 colorectal cancer 25 samples, including nine whole genome sequenced samples harboring POLE mutations. 26 Our analysis identified differential mutation spectra across the mutants including 27 methylation-independent enrichment of C>T mutations in POLE V411L. In contrast, 28 analysis of other genomic regions showed similar mutation profiles across the 29 different POLE mutants. Notably, we found that POLE mutants with the TP53 R213* 30 mutation, caused by a TT[C>T]GA substitution, have significantly higher relative 31 frequency of this mutational context compared with samples without this mutation.
32This finding demonstrates that variations in underlying mutation spectra can increase 33 the likelihood of specific driver mutation formation.
34
Introduction
35POLE encodes the catalytic subunit of DNA Polymerase Epsilon, which is responsible 36 for DNA fidelity during the process of eukaryotic nuclear genome replication (Jansen 37 et al., 2016). Functional POLE mutations have been identified in less than 1% of all 38 cancer genomes but these genomes are characterized by exceptionally high tumor 39 mutation burden (Campbell et al., 2017). Somatic mutations of POLE exonuclease 40 domain are frequently enriched in brain, uterine and colorectal cancer, and patients 41 with POLE dysfunction usually have significantly better prognosis and require less 42 intensive treatment (Cancer Genome Atlas Research et al., 2013).
43The POLE mutational process shapes the cancer genome into a unique mutational 44 signature with high proportions of C>A mutations at TCT contexts, C>T mutations at 45 TCG contexts and T>G mutations at TTT contexts, which is known as COSMIC 46 signature 10 (Alexandrov et al., 2013a). Several driver mutations have been identified 47 in the POLE exonuclease domain (codons 268-471) (Church et al., 2013), the most 48 frequent being P286R and V411L (Campbell et al., 2017). Residue P286 is located in 49 the DNA binding pocket which is adjacent to the exonuclease active site. A change of 50 this amino acid has been predicted to affect the structure of the DNA binding pocket 51 and cause polymerase hyperactivity (Xing et al., 2019). By contrast, residue V411 lies 52 a distance away from the binding site and does not interact with the DNA sequence 53 directly (Briggs and Tomlinson, 2013). Data showing the mutation spectrum of 54 individual POLE mutants supports differences in the way mutants generate somatic 55 mutations (Shinbrot et al., 2014) but these differences have not yet been quantified. 56 Mutations are distributed unevenly across the cancer genome and mutation rates 57 across genomic regions are hi...