In a cancer genome, the noncoding sequence contains the vast majority of
somatic mutations. While very few are expected to be cancer drivers, those
affecting regulatory elements have the potential to have downstream effects
on gene regulation that may contribute to cancer progression. To prioritize
regulatory mutations, we screened somatic mutations in the Pan-Cancer
Analysis of Whole Genomes cohort of 2,515 cancer genomes on individual bases
to assess their potential regulatory roles in their respective cancer types.
We found a highly significant enrichment of regulatory mutations associated
with the deamination signature overlapping a CpG site in the CCAAT/Enhancer
Binding Protein β recognition sites in many cancer types. Overall, 5,749
mutated regulatory elements were identified in 1,844 tumor samples from 39
cohorts containing 11,962 candidate regulatory mutations. Our analysis
indicated 20 or more regulatory mutations in 5.5% of the samples, and an
overall average of six per tumor. Several recurrent elements were
identified, and major cancer-related pathways were significantly enriched
for genes nearby the mutated regulatory elements. Our results provide a
detailed view of the role of regulatory elements in cancer genomes.