A global assessment of cancer genomic alterations in epigenetic mechanisms
- Muhammad A Shah†1,
- Emily L Denton†1, 4,
- Cheryl H Arrowsmith1, 2,
- Mathieu Lupien2 and
- Matthieu Schapira1, 3Email author
© Shah et al.; licensee BioMed Central Ltd. 2014
Received: 12 August 2014
Accepted: 14 October 2014
Published: 4 December 2014
The notion that epigenetic mechanisms may be central to cancer initiation and progression is supported by recent next-generation sequencing efforts revealing that genes involved in chromatin-mediated signaling are recurrently mutated in cancer patients.
Here, we analyze mutational and transcriptional profiles from TCGA and the ICGC across a collection 441 chromatin factors and histones. Chromatin factors essential for rapid replication are frequently overexpressed, and those that maintain genome stability frequently mutated. We identify novel mutation hotspots such as K36M in histone H3.1, and uncover a general trend in which transcriptional profiles and somatic mutations in tumor samples favor increased transcriptionally repressive histone methylation, and defective chromatin remodeling.
This unbiased approach confirms previously published data, uncovers novel cancer-associated aberrations targeting epigenetic mechanisms, and justifies continued monitoring of chromatin-related alterations as a class, as more cancer types and distinct cancer stages are represented in cancer genomics data repositories.
KeywordsEpigenetics Pan-cancer Chromatin Mutation Amplification RNA-seq
Epigenetic control of gene expression dictates cell fate in health and disease, and dysregulation of epigenetic signals is associated with cancer [1, 2]. Two observations support pharmacological targeting of the ‘cancer epigenome’ : (1) some cancer-associated epigenetic aberrations drive cancer initiation or progression; and (2) unlike genetic information, epigenetic states are reversible. Pharmacological agents targeting with little specificity DNA methylation and histone de-acetylation have been approved for the treatment of myelodysplastic syndrome and lymphoma respectively [3, 4], and compounds targeting bromodomain-containing proteins and protein methyltransferases have recently advanced to clinical trials [5, 6]. Cancer associated overexpression, mutation, or aberrant recruitment of chromatin factors (defined here as proteins that participate in the chemical modification of DNA, histones, or control nucleosome occupancy), represent emerging opportunities for cancer therapy. For instance, inhibitors of EZH2 - a histone 3 lysine 27 (H3K27) methyltransferase that is overexpressed in a number of solid tumors and is the site of recurrent gain-of-function mutations in lymphoma - are raising considerable interest as potential anti-cancer agents, and have recently advanced to the clinic .
Chromosomal aberrations and altered expression of chromatin factors that are recurrent in specific cancer types have been reported in the literature, some extensively, and recently reviewed [2, 7–9]. Out of the recent compilation of the 58 most frequently mutated genes in cancer , we find that 16 are chromatin factors. These aberrations can lead to the deregulation of chromatin patterns controlling hundreds of target genes, as recently reviewed by Plass et al.. Pan-cancer analyses of the human genome’s mutational landscape were also recently reported [12–14]. Here, we present a pan-cancer analysis focused on proteins that shape the human epigenome based on the chromosomal and transcriptional landscape of tumor samples from cancer patients available from The Cancer Genome Atlas (TCGA)  and the International Cancer Genome Consortium (ICGC) . We took an unbiased approach and focused on cancer types with large numbers of patient samples, but excluding genomes that are extensively rearranged. This systematic and integrated approach identifies many oncogenic aberrations already recorded in the literature, but also uncovers novel alterations recurrently affecting chromatin factors in specific cancer types. Overall our results provide novel insight into the cancer epigenome revealing a tendency toward alterations predicted to result in greater transcriptional repression, decreased transcriptional activation and reduced chromatin remodeling.
Chromatin factors were divided into protein families: protein methyltransferases (PMTs), lysine demethylases (KDMs), histone acetyltranferases (HATs), histone deacetylases (HDACs), DNA methyltransferases (DNMTs), methylcytosine oxidases (TETs), bromodomain containing proteins (BRDs), Royal family of methyl-lysine readers (Kme readers), PHD finger containing proteins (PHDs), and methyl-cytosine binding proteins (MBDs). Some of the members of these protein families are not known to participate in epigenetic signaling, but we followed a target-class approach and included these genes in the analysis. Components of ATP-dependent chromatin remodeling complexes  were also added to the analysis as well as histones and their chaperones. Finally, IDH1 and IDH2, two genes that control cellular levels of 2-hydroxyglutarate (an inhibitor of lysine and DNA de-methylases) were included , for a total of 441 genes (Additional file 1: Table S1). All pre-processed, validated mutation, and RNAseq expression data affecting these genes in tumor samples were extracted from TCGA (level 3 and 4) and the ICGC (mutation data only - level 3) and grouped by cancer type (Additional file 2: Figure S1). Changes in expression levels and mutation were measured relative to matched normal samples from the same patient. Cancer genomes with unusually high mutation rates (and therefore more passenger mutations) were excluded from the analysis (see Methods section for details). Only cohorts with more than 100 patients passing this filter were considered in order to calculate mutation frequencies. Frequencies of change in gene expression were calculated from cohorts of more than 30 patients. Chromosomal translocations are not included in our analysis. These are directly accessible from literature-based resources such as the Mitelman or COSMIC databases, but we made a deliberate choice here of avoiding data that has been extracted from the literature.
Uneven deregulation of epigenetic target classes in cancer
Most frequently mutated or over/under-expressed chromatin factors in cancer
Rank (out of 20,544)
Rank (out of 20,544)
Our analysis also reveals previously unreported observations. The PRDM sub-group of PMTs is overwhelmingly repressed across multiple cancer types, suggesting tumor suppressor activity, but PRDM12 is among the most overexpressed genes in prostate adenocarcinoma (log2 tumor versus matched control >1 in 66% patients). We also note that PRDM12 is overexpressed in 21 out of 22 colon adenocarcinoma patients (this patient cohort is not presented in our analysis because its size does not meet our criteria for statistical significance (cohort size <30 patients), but this exceptional ratio of 95% is still worth mentioning). The arginine methyltransferase PRMT8 is overexpressed in 68% of thyroid carcinoma (Additional file 2: Figure S1A). Another PMT, MLL2, and the HAT EP300 are found mutated in 18% and 7.8% of head and neck tumors, respectively (Table 1). Interestingly, L3MBTL4, a methyl-lysine reader, is one of the most repressed chromatin factors across all cancer types examined.
Finally, we note that histones and their chaperones are dramatically overexpressed in cancer (Figure 1). This probably reflects strong dependence on histones in a highly replicative cellular environment, such as a tumor. The number of histones frequently overexpressed in cancer could also be accentuated by the fact that histones are clustered within restricted genomic areas that may be co-regulated. Among enzymes, protein methyltransferases are the most frequently overexpressed across the cancer patient cohorts examined (Additional file 3: Figure S2).
Together, these results show that chromatin factors are more frequently mutated in cancer than random genes, but their expression profile is less variable.
H3K4 and H3K36 methylation are preferentially targeted by mutations
We also identified mutation hotspots that, to our knowledge, have not been previously reported (Figure 2A,B). For instance, genes coding for the histone variant H3.1, are mutated in 17 out of 270 head and neck squamous cell carcinoma samples (HNSC), and four of these mutations replace a lysine with methionine at position 36 (twice in HIST1H3C, once in HIST1H3E and once in HIST1H3I) suggesting that H3K36M is an oncogenic mutation that drives tumor initiation or progression in a fraction of HNSC patients. Interestingly, an H3K27M mutation is observed in 80% of diffuse intrinsic pontine gliomas and 22% of non-brain stem gliomas . The H3K27 methylating PRC2 complex is recruited and trapped by the H3K27M peptide, resulting in an overall decreased methylation of H3K27 at ectopic sites . The authors demonstrated that H3K36M and H3K9M transgenes also decreased overall amounts of H3K36me2,3 and H3K9me2,3, respectively. This suggests that the H3K36M mutation recurrently observed in HNSC patients may result in reduced levels of methylation at H3K36. We also found a H3K36M mutation in a colorectal cancer sample, suggesting that this mechanism may extend to other cancer types. Though statistically significant, we note that the H3K36M mutation rate of 24% out of the 6.2% HNSC samples carrying a mutation at H3.1 remains low. As a comparison, over 40% of cutaneous melanoma samples carry a mutation in BRAF, 90% of which are at the hotspot V600E .
Another histone, H2B is mutated in seven out of 377 glioblastoma multiform patients, resulting in a G53D mutant in three cases (in HIST1H2BE, HIST1H2BL and HIST1H2BF) (Figure 2A,B). This mutation places an acidic residue in the minor groove of the DNA wrapped around the histone octamer (Additional file 4: Figure S3), which should destabilize nucleosomal H2B, and possibly nucleosome fluctuation or chromatin architecture.The PWWP domain is a methyl-lysine reading module that generally binds di- or tri-methylated H3K36. We find that WHSC1, an H3K36 di-methylase that harbors two PWWP domains, is mutated in eight HNSC samples. In four cases, this produces a frameshift insertion at position G944 of the C-terminal PWWP domain (Figure 2B). This results in deletion of the C-terminal helix of the WHSC1 PWWP domain, expected to cap the methyl-lysine binding aromatic cage, and may also cause truncation of the methyltransferase domain of WHSC1, located on a downstream exon. In both cases, alteration of H3K36me2 mediated signaling is expected. We find that the H3K36M mutation and WHSC1 frameshifts are mutually exclusive in HNSC tumor samples. Both aberrations are expected to affect H3K36me2 signaling and may represent alternate pathways to the same molecular endpoint.
While mutation hotspots are expected to reveal oncogenes, tumor suppressors are generally targeted by mutations that are more distributed over the gene in cancer. The tumor-suppressor pattern is predominant in chromatin factors (Figure 2A). We find that the H3K36 trimethylase SETD2 and dimethylase NSD1 are among the top 25 most mutated chromatin factors in kidney, head and neck, and lung carcinoma (Table 1). The H3K4 methyltransferases MLL2 and MLL3 are also among the most mutated, with no apparent mutation hotspot, in lung, head and neck, and breast cancers and are therefore tumor suppressor candidates in these tumors. In total, six of the most mutated genes in various cancer types methylate H3K4 or H3K36 (Additional file 2: Figure S1A, Table 1).Mutations that are not located at a hotspot appear to be more evenly distributed on target genes, but mapping some of these mutations onto protein structures can reveal ingenious residue targeting. For instance, MLL3 missense mutations are found in eight out of 36 colorectal cancer patients from an ICGC study. Mapping these mutations on the domain architecture of the protein shows that three are located on the N-terminal triple-PHD finger of the protein (Figure 2C - Top). An apo structure of PHD1,2 of MLL3 was solved (PDB code 2YSM), as well as a structure of the tandem PHD domain of DPF3, a close homolog (40% sequence identify), in complex with a histone peptide (PDB code 2KWJ). Superimposing the two structures allows positioning of the histone peptide relative to the MLL3 PHD fingers. Importantly, we observe that D328 makes critical electrostatic interactions with both H3K4 and H3K9 in the DPF3 complex, and is conserved in MLL3 (corresponding residue: D400 - Figure 2C - Bottom). Intriguingly, D400N is one of the three mutations affecting the triple PHD finger of MLL3 in colorectal cancer, and, based on these structural observations, should significantly affect histone binding. A second mutation is C347G. This cysteine is one of the four residues coordinating the Zn atom that holds the first PHD finger together (Figure 2C). The C347G mutation will irremediably affect the structure of this domain, expected to participate in substrate binding. Somatic mutations affecting MLL3 in colorectal cancer seem therefore to target with high precision residues involved in recruiting the enzyme to appropriately marked loci.
Selective targeting of H3K4 and H3K36 methylation by oncogenic mutations was also observed in other studies that are not yet available from TCGA; for instance, mutations in SETD2 and genes affecting H3K36 methylation are recurrent in high-grade gliomas . Together, these results show that H3K36 and H3K4 mediated signaling is highly targeted in cancer via hotspot mutations of oncogenes and random mutation of tumor suppressors.
Chromatin factors are involved in a brain tumor-specific gene mutation network
The mutational landscape of adult and pediatric brain cancer has been extensively analyzed (we did not have access to pediatric data in this work) [32, 33]. Interestingly, it was found that mutations in IDH1, ATRX, or TP53 were recurrent only in glioma-CpG island methylator phenotype-positive tumors (a phenotype probably attributable to the competitive inhibition of TET demethylases, following accumulation of 2-hydroxyglutarate caused by IDH1 mutation), while mutations in EGFR and PTEN were only observed in other tumor subtypes, which is in agreement with the pattern that we observe . An important mutation that is missed in our exome-centric analysis is an upregulating mutation in the promoter of the telomerase reverse transcriptase (TERT), observed in 58% to 84% of primary glioblastomas, suggesting that telomere lengthening plays an important role in tumor growth . Interestingly, ATRX is required for accumulation at telomeres , and ATRX mutations promote telomere lengthening and cellular proliferation . Similarly TP53 deficiency favors telomere lengthening . This suggests complementary pressures towards an oncogenic pathway depending on telomere lengthening by mutations co-occurring at ATRX, TP53 and (hypothetically) IDH1 in adult brain tumors where the PTEN/EGFR surface signaling axis is not altered.
Other intriguing observations include a mutual exclusion in lower grade glioma between ATRX and CIC, a transcriptional repressor that may play a role in development of the central nervous system , and mutual exclusion in uterine corpus endometrial carcinoma between mutations at TP53 and SWI/SNF remodeling complex protein ARID1A (Additional file 5: Table S2). This is in agreement with a role in maintenance of DNA integrity for both TP53 and the SWI/SNF complex.
Alteration of chromatin factors involved in replication and genome stability
Another histone chaperone that is significantly overexpressed - actually the most frequently overexpressed chromatin factor in cancer - is HJURP, a chaperone of the histone H3 variant CENP-A, which facilitates aneuploidy and genome instability, another hallmark of cancer  (Additional file 2: Figure S1B; Table 1). Expression level of HJURP was previously reported to correlate with glioblastoma cell survival, and was found to be a predictive biomarker for sensitivity to radiotherapy in breast cancer [44, 45].
The DNA repair machinery is an important factor in genome instability, and we find that it is repeatedly targeted through alteration of epigenetic mechanisms in cancer. SETD2 is among the most mutated chromatin factors in kidney renal clear cell and lung adeno carcinomas (Table 1). SETD2 trimethylates H3K36, a mark that regulates DNA mismatch repair through recruitment of the PWWP domain of MSH6 . Additionally, SETD2 was recently shown to act as a guardian of transcriptome integrity by preventing intragenic transcription initiation . The PMT SETMAR includes both methyltransferase and transposase domains, and both domains are essential for double-strand break repair . We find that SETMAR is recurrently underexpressed in tumor samples, including in 54% of HNSC and 78% of kidney renal clear cell carcinoma patients (Additional file 2: Figure S1). ATRX, ARID1A, PBRM1, and SMARCA4 are also among the most frequently mutated chromatin factors in cancer (Table 1; Figure 4), and are all components of the chromatin remodeling complex SWI/SNF, which has been shown to facilitate double-strand break repair . Additionally, ATRX is responsible for the incorporation H3.3 at telomeres, and its mutation can cause alternative telomere lengthening, associated with increased genomic instability .
These observations strongly suggest that genetic or transcriptional aberrations targeting chromatin factors in cancer favor replication and contribute to genome instability. We note a potential synergy between these targeted events and other mechanisms that also link epigenetic mechanisms to alteration of DNA maintenance in cancer. These include hypermethylation at DNA promoter regions of genes involved in DNA repair, or direct control of regional mutation rates through chromatin organization [1, 50].
Gene amplification rarely drive transcriptional alterations of chromatin factors
Cancer genomes generally have large numbers of ‘passenger’ mutations and a small number of driver genetic events. Additionally, cancer-associated overexpression does not necessarily imply disease-relevance. However, when overexpression is caused by a chromosomal aberration, disease-relevance is more likely [51, 52]. To identify candidate drivers affecting epigenetic mechanisms, we looked for correlations between copy number gains and overexpression of chromatin factors in cancer samples compared with matched normal samples [51, 52].
Together, these results show that overall copy number variation do not appear to drive transcriptional de-regulation of most chromatin factors and are therefore likely to be passenger events in cancer. Nevertheless, in rare cases, recurrent gene amplifications do appear to drive overexpression of a given chromatin factor in tumor samples. Genetic or pharmacologic targeting of these genes will be necessary to further investigate their role in tumor initiation and progression.
Recent landmark next-generation sequencing campaigns of large cancer patient cohorts repeatedly revealed recurrent alterations of genes involved in epigenetic mechanisms [20, 23, 24, 59–61]. The data associated with most of these and other unbiased cancer genomic projects were deposited in TCGA and the ICGC repositories, and made publicly accessible to the scientific community [14, 16]. Here, we took a systematic approach to analyze this aggregated data across a list of 441 genes involved in chromatin-mediated signaling.
Intriguingly, we find that enzymes that deposit histone marks associated with gene activation, such as the H3K4 trimethylases MLL1-4 and SETD1A/B, or the H3K36 trimethylase SETD2 are more often repressed and mutated in cancer (Figure 6C). On the other hand, enzymes that deposit repressive histone marks, such as the H3K9 trimethylases SETDB1 or SUV39H1/2, and the H3K27 trimethylase EZH2 are overexpressed in most cancer types studied. The trend is not as clear for demethylase, but we note that KDM5B, which removes the activating mark H3K4me3, is significantly overexpressed in five of the eight cancer types studied and never repressed, while the H3K27me3 demethylases KDM6A/B are repressed in most cancer types (Figure 6C). Alterations in genes regulating histone methylation appear therefore to be biased towards silencing histone marks. The functional relevance of this observation is unclear. We note that alterations of genes regulating DNA methylation do not follow a similar trend (Figure 6C), and that transcription levels are not repressed in tumor samples when averaging across the whole genome (Additional file 6: Figure S4). In this regard, it is unlikely that a general trend in the control of transcription applies across all tumors, considering the divergence in molecular mechanisms driving different cancer subtypes.
Currently approved epigenetic drugs are DNMT and HDAC inhibitors against myelodysplastic syndrome, acute myeloid leukemia, and lymphoma. With the exceptions of DNMT3B, which is significantly overexpressed in most cancer types studied here, and DNMT3A which is highly mutated in LAML, we do not see notable mutation rates or cancer-associated changes in expression level for DNMTs and HDACs (Additional file 2: Figure S1). We also note that the mode of action of these first generation drugs remains unclear and their toxicity profile mediocre. Some of the emerging epigenetic drugs, such as bromodomain, protein methyltransferase, or IDH1 inhibitors, are targeting patient group with clear oncogenic chromosomal aberrations such as gene fusions at BRD4 and MLL1, or mutations at IDH1[6, 63, 64]. Translocations are not included in our analysis, but IDH1 mutations are high on our chromatin factor mutation landscape (Additional file 2: Figure S1A). Other peaks, such as ATRX mutations in lower grade glioma or ARID1A mutations in endometrial cancer and stomach adenocarcinoma may represent other points of entry for therapeutic intervention.
The refined complexity of chromatin as a signaling platform, and its dysregulation in cancer, can only be dissected through systematic identification and functional characterization of all chromatin factors, in specific tissue types, and at specific stages of cancer progression. Here, we apply a reductionist approach to identify general trends associated with protein families or chromatin complexes that are primary determinants of the cancer epigenome. This analysis is restricted by the limited but rapidly growing number of cancer types that are represented at TCGA and the ICGC repositories. It is also limited by restrictions that we imposed to focus on statistically significant patient cohorts and on non-hypermutated genomes (see Methods section for details). It has been proposed that most epigenetic-associated mutations are observed in hematological, in pediatric, or in rare and aggressive variants of solid tumors . It was also noted that, contrary to the general pattern identified here, H3K4me3 and H3K36me3 marks are upregulated during epithelial to mesenchymal transition, an important step in cancer progression . As the volume of cancer genomics data grows, future analysis similar to the one presented here should capture with more accuracy epigenetic transformations underlying distinct types and stages of cancer.
All raw data analyzed can be accessed and downloaded via the Broad TCGA GDAC Firehose (http://gdac.broadinstitute.org/) or the ICGC data portal (http://dcc.icgc.org/). Somatic mutation, copy number variation, RNASeq gene expression, and DNA methylation data downloaded via TCGA’s Firehose was extracted from the ‘stddata Run’ and is pre-processed. This means the data have been mapped to genes, genomic locations, and a variety of auxiliary data has been added (ex. Amino acid change for mutation data). This type of pre-processed data is referred to as ‘Level 3’ data using TCGA’s nomenclature. Only pre-processed somatic mutation data (version 12) referred to as ‘Simple Mutation’ were downloaded from the ICGC data portal. Further analyzed data, known as Level 4’ , are extracted for somatic mutation and copy number data from the ‘analyses run’. Level 4 data are produced by taking level 3 data and running an algorithm that further isolates statistically significant alterations. For mutation data the algorithm used is MutSigCV , while GISTIC 2.0  is used for copy number data.
In most cases, nomenclature and abbreviations of cancer types used at TCGA and the ICGC were preserved. These are TCGA: BRCA: invasive breast carcinoma, COAD: colon adenocarcinoma, COADREAD: colon and rectum adenocarcinoma, GBM: glioblastoma multiforme, LUAD: lung adenocarcionma, LAML: acute myeloid leukemia, HNSC: head and neck squamous cell carcinoma, KIRC: kidney renal clear cell carcinoma, KIRP: kidney renal papillary cell carcinoma, LGG: lower grade glioma, LUSC: lung squamous cell carcinoma, OV: ovarian serous cystadenocarcinoma, SKCM: skin cutaneous melanoma, STAD: stomach adenocarcinoma, THCA: thyroid carcinoma, LIHC: liver hepatocellular carcinoma, PRAD: prostate adenocarcinoma, and UCEC: uterine corpus endometrioid carcinoma (The Cancer Genome Atlas Network). For ICGC: breast carcinoma, breast cancer, colorectal cancer, glioblastoma multiforme, lung adenocarcinoma, myeloproliferative disorders, chronic lymphocytic leukemia, liver cancer, pediatric brain tumors, and pancreatic cancer. Mutation data downloaded from the TCGA were excluded from the ICGC downloads. In a few cases, distinct patient cohorts from TCGA and the ICGC were affected by similar cancer types. These were merged as follows: breast cancer, breast carcinoma cohorts from ICGC and BRCA cohort from TCGA, colorectal cancer, COADREAD and READ cohorts from TCGA, glioblastoma multiforme cohort from ICGC and GBM cohort from TCGA, lung adenocarcinoma cohort from ICGC and LUAD cohort from TCGA.
Somatic mutations relative to the reference human genome (hg18 for COAD/READ, LAML and OV; hg19 for all other cancer types) are extracted from sequencing data using complex algorithms (which are not discussed here since this pre-processing step is conducted at TCGA and the ICGC) and linked to anonymized patient ID, affected gene/transcript, chromosomal position, and nucleotide/amino acid change. For each patient, the overall number of genes mutated within the tumor sample genome is stored and used to filter out cancer genomes with unusually high number of mutations. This cutoff differs across cancer types based on their mutation level. In order to determine this cutoff, for each cancer type cohort analyzed, the number of mutated genes was plotted across all patients and a value equivalent to the mean +3*standard deviation of the normal distribution was used to set the cutoff (Additional file 7: Figure S5). Any tumor with more mutated genes than the cutoff set for that cancer type was excluded from the analysis when analyzing mutations hotspots and mutation co-occurrence/mutual exclusion, that is, when comparing each individual patient. In other analyses, where the readout is the frequency of mutation, we rely on MutSigCV, which accounts for background mutation rates, gene length, and other source of noise (q value ≤0.1) . No normal distribution, but a continuum of highly mutated genomes were found for lung squamous cell carcinoma and skin cutaneous melanoma, and these two patient cohorts were therefore excluded from our recurrent mutation analysis. Since the frequency of mutation of a single gene is low, cohorts that were less than 100 patients were excluded. Additionally, mutation frequencies that were derived from less than three mutations, and mutations at poly-Q regions were excluded from further analysis to reduce noise levels. The mutation frequencies that we observed for our 1,000 random genes across diverse cancer types differs from that previously published . We attribute this apparent discrepancy due to the fact that level 3 mutation data that we obtain from TCGA and the ICGC are pre-processed to eliminate false-positives. This is in agreement with previous work showing that some cancer types are particularly enriched in false mutation calling. For instance, pre-processing can reduce the number of frequently mutated genes in lung cancer from 450 to 11 .
Using 2 × 2 contingency tables we produced fisher P values, odds ratios, and 95% confidence intervals for each possible pairing of genes present in Additional file 1: Table S1. Two-sided Fisher’s exact test was used to produce P values and only those that were ≤0.05 were considered significant. Odds ratios and confidence intervals were produced as previously reported . Odds ratios >1 were considered to imply mutation co-occurrence, while odds ratios <1 implied mutation mutual exclusion. Gene pairs with a confidence interval containing 0 was considered statistically insignificant.
Frequencies were calculated for each gene and cancer type as the percentage of patients with a log2 fold change greater than 1 for overexpression or lower than -1 for underexpression.
Average frequencies in over-/underexpression and mutation across protein families
Average frequencies in over-/underexpression and mutation across protein families (Figure 1) were generated for each cancer type by summing frequencies shown in Figure 1 (after changing the Log2 cutoff from 1 to 2 to focus on transcriptional changes of higher amplitude) and dividing by the total number of genes present within the indicated protein family.
Copy number variation
GISTIC values are used to evaluate copy number variations relative to the reference genome (hg18 for COAD/READ, LAML and OV; hg19 for all other cancer types) . GISTIC values of 1 and 2 indicate moderate and high copy number gains, respectively, while values of -1 and -2 indicate hetero- and homozygous deletions, respectively. All GISTIC copy number data are directly downloaded from TCGA’s Firehose interface (level 4 data). Anonymous patient ID provided by TCGA was used to determine patients where both GISTIC copy number and matched-control RNASeq gene expression data were available. Corresponding patient cohorts with fewer than 15 patients were excluded. These data were used to find correlations between copy number variation and gene expression levels in tumor samples. For interested readers, we made correlations for all cancer types available on the Chromohub website .
Identification of mutation hotspots
Mutation hotspots were defined as aminoacids affected by a minimum of three mutations representing at least 20% of non-silent mutations for that gene in a given cancer type. Highly mutated genomes were ignored, as previously specified.
The SGC is a registered charity (number 1097737) that receives funds from AbbVie, Bayer, Boehringer Ingelheim, Canada Foundation for Innovation, Genome Canada through the Ontario Genomics Institute (OGI-055), GlaxoSmithKline, Janssen, Lilly Canada, the Novartis Research Foundation, the Ontario Ministry of Economic Development and Innovation, Pfizer, Takeda, and the Wellcome Trust (092809/Z/10/Z).
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