Mobile Element Insertions and Associated Structural Variants in Longitudinal Breast Cancer Samples
AbstractWhile mobile elements are largely inactive in healthy somatic tissues, increased activity has been found in cancer tissues, with significant variation among different cancer types. In addition to insertion events, mobile elements have also been found to mediate many structural variation events in the genome. Here, to better understand the timing and impact of mobile element insertions and mobile element-mediated structural variants in cancer, we examined their activity in longitudinal samples of four metastatic breast cancer patients. With whole-genome sequencing data from multiple timepoints through tumor treatment and progression, we used mobile element detection software followed by visual confirmation of the insertions. From this analysis we identified 11 mobile element insertions or mobile element-mediated structural variants, and found that the majority (nine of the eleven) of these occurred early in tumor progression. Two of the identified insertions were SVA elements, which have not been examined in previous cancer studies. Most of the variants appear to impact intergenic regions; however, we identified a mobile element-mediated translocation in MAP2K4 and a mobile element-mediated deletion in YTHDF2 that likely inactivate reported tumor suppressor genes. MAP2K4 is part of the JNK signaling pathway, influencing cell growth and proliferation. The high variant allele frequency of this translocation and the important function of MAP2K4 indicate that this mobile element-mediated translocation is likely a driver mutation. Overall, using a unique longitudinal dataset, we find that most variants are likely passenger mutations in the four patients we examined, but some variants impact tumor progression.