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Publication : Fully accessible fitness landscape of oncogene-negative lung adenocarcinoma.

First Author  Yousefi M Year  2023
Journal  Proc Natl Acad Sci U S A Volume  120
Issue  38 Pages  e2303224120
PubMed ID  37695905 Mgi Jnum  J:346096
Mgi Id  MGI:7614234 Doi  10.1073/pnas.2303224120
Citation  Yousefi M, et al. (2023) Fully accessible fitness landscape of oncogene-negative lung adenocarcinoma. Proc Natl Acad Sci U S A 120(38):e2303224120
abstractText  Cancer genomes are almost invariably complex with genomic alterations cooperating during each step of carcinogenesis. In cancers that lack a single dominant oncogene mutation, cooperation between the inactivation of multiple tumor suppressor genes can drive tumor initiation and growth. Here, we shed light on how the sequential acquisition of genomic alterations generates oncogene-negative lung tumors. We couple tumor barcoding with combinatorial and multiplexed somatic genome editing to characterize the fitness landscapes of three tumor suppressor genes NF1, RASA1, and PTEN, the inactivation of which jointly drives oncogene-negative lung adenocarcinoma initiation and growth. The fitness landscape was surprisingly accessible, with each additional mutation leading to growth advantage. Furthermore, the fitness landscapes remained fully accessible across backgrounds with the inactivation of additional tumor suppressor genes. These results suggest that while predicting cancer evolution will be challenging, acquiring the multiple alterations that drive the growth of oncogene-negative tumors can be facilitated by the lack of constraints on mutational order.
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