2024
DOI: 10.1038/s43018-023-00711-y
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Aneuploidy and complex genomic rearrangements in cancer evolution

Toby M. Baker,
Sara Waise,
Maxime Tarabichi
et al.

Abstract: Mutational processes that alter large genomic regions occur frequently in developing tumors. They range from simple copy number gains and losses to the shattering and reassembly of entire chromosomes. These catastrophic events, such as chromothripsis, chromoplexy and the formation of extrachromosomal DNA, affect the expression of many genes and therefore have a substantial impact on the fitness of the cells in which they arise. In this Review, we cover large genomic alterations, the mechanisms that cause them,… Show more

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Cited by 16 publications
(5 citation statements)
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“…Somatic LOH affecting large genomic regions can lead to changes in gene expression through various mechanisms including loss of functional alleles, haploinsufficiency, disruption of regulatory elements, and alterations in epigenetic modifications during tumor progression [ 83 ]. These changes can have significant implications for anti-cancer immune responses if they confer a selective advantage for immune evasion.…”
Section: Discussionmentioning
confidence: 99%
“…Somatic LOH affecting large genomic regions can lead to changes in gene expression through various mechanisms including loss of functional alleles, haploinsufficiency, disruption of regulatory elements, and alterations in epigenetic modifications during tumor progression [ 83 ]. These changes can have significant implications for anti-cancer immune responses if they confer a selective advantage for immune evasion.…”
Section: Discussionmentioning
confidence: 99%
“… 60 , 62 , 63 ecDNA, a unique form of CNAs, consists of double-stranded circular chromatids, and may serve as a robust driver of tumor genome evolution due to the absence of centromeric sequences and uneven distribution in daughter cells during mitosis. 64 Notably, ecDNA has been detected early in the progression from high-grade dysplasia in Barrett’s esophagus to esophageal adenocarcinoma (EAC). 64 , 65 Their copy number and structural complexity increased along the tumor evolutionary trajectory.…”
Section: Molecular Drivers Of Tumorigenesismentioning
confidence: 99%
“… 64 Notably, ecDNA has been detected early in the progression from high-grade dysplasia in Barrett’s esophagus to esophageal adenocarcinoma (EAC). 64 , 65 Their copy number and structural complexity increased along the tumor evolutionary trajectory. Patients who progressed to EAC exhibited higher levels of ecDNA compared to those who did not.…”
Section: Molecular Drivers Of Tumorigenesismentioning
confidence: 99%
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“…, 2023 ). Improper mitotic spindle assembly leads to errors in chromosome segregation, which in turn fuels cellular transformation ( Sansregret and Swanton, 2017 ; Ben-David and Amon, 2020 ; Baker et al. , 2024 ).…”
Section: Introductionmentioning
confidence: 99%