A comprehensive catalog of cancer driver mutations is essential for understanding tumorigenesis and developing therapies. Exome-sequencing studies have mapped many protein-coding drivers, yet few non-coding drivers are known because genome-wide discovery is challenging. We developed a driver discovery method, ActiveDriverWGS, and analyzed 120,788 cis-regulatory modules (CRMs) across 1,844 whole tumor genomes from the ICGC-TCGA PCAWG project. We found 30 CRMs with enriched SNVs and indels (FDR < 0.05). These frequently mutated regulatory elements (FMREs) were ubiquitously active in human tissues, showed long-range chromatin interactions and mRNA abundance associations with target genes, and were enriched in motif-rewiring mutations and structural variants. Genomic deletion of one FMRE in human cells caused proliferative deficiencies and transcriptional deregulation of cancer genes CCNB1IP1, CDH1, and CDKN2B, validating observations in FMRE-mutated tumors. Pathway analysis revealed further sub-significant FMREs at cancer genes and processes, indicating an unexplored landscape of infrequent driver mutations in the non-coding genome.
Journal article
2020-03-19T00:00:00+00:00
77
1307 - 1321.e10
ActiveDriverWGS, PCAWG, cancer genomics, driver mutations, epigenetics, gene regulation, non-coding genome, pan-cancer, whole-genome sequencing, Biomarkers, Tumor, Cell Proliferation, Chromatin, Computational Biology, DNA Mutational Analysis, Gene Regulatory Networks, Genome, Human, HEK293 Cells, Humans, Mutation, Neoplasms, Regulatory Sequences, Nucleic Acid