Basal-like breast cancer is an aggressive subtype generally characterized as poor prognosis and lacking the expression of the three most important clinical biomarkers, estrogen receptor, progesterone receptor, and HER2. Cell lines serve as useful model systems to study cancer biology in vitro and in vivo. We performed mutational profiling of six basal-like breast cancer cell lines (HCC38, HCC1143, HCC1187, HCC1395, HCC1954, and HCC1937) and their matched normal lymphocyte DNA using targeted capture and next-generation sequencing of 1,237 cancer-associated genes, including all exons, UTRs and upstream flanking regions. In total, 658 somatic variants were identified, of which 378 were non-silent (average 63 per cell line, range 37–146) and 315 were novel (not present in the Catalogue of Somatic Mutations in Cancer database; COSMIC). 125 novel mutations were confirmed by Sanger sequencing (59 exonic, 48 3’UTR and 10 5’UTR, 1 splicing), with a validation rate of 94% of high confidence variants. Of 36 mutations previously reported for these cell lines but not detected in our exome data, 36% could not be detected by Sanger sequencing. The base replacements C/G>A/T, C/G>G/C, C/G>T/A and A/T>G/C were significantly more frequent in the coding regions compared to the non-coding regions (OR 3.2, 95% CI 2.0–5.3, P<0.0001; OR 4.3, 95% CI 2.9–6.6, P<0.0001; OR 2.4, 95% CI 1.8–3.1, P<0.0001; OR 1.8, 95% CI 1.2–2.7, P = 0.024, respectively). The single nucleotide variants within the context of T[C]T/A[G]A and T[C]A/T[G]A were more frequent in the coding than in the non-coding regions (OR 3.7, 95% CI 2.2–6.1, P<0.0001; OR 3.8, 95% CI 2.0–7.2, P = 0.001, respectively). Copy number estimations were derived from the targeted regions and correlated well to Affymetrix SNP array copy number data (Pearson correlation 0.82 to 0.96 for all compared cell lines; P<0.0001). These mutation calls across 1,237 cancer-associated genes and identification of novel variants will aid in the design and interpretation of biological experiments using these six basal-like breast cancer cell lines.
Citation: Olsson E, Winter C, George A, Chen Y, Törngren T, Bendahl P-O, et al. (2015) Mutation Screening of 1,237 Cancer Genes across Six Model Cell Lines of Basal-Like Breast Cancer. PLoS ONE 10(12): e0144528. https://doi.org/10.1371/journal.pone.0144528
Editor: Alvaro Galli, CNR, ITALY
Received: May 13, 2015; Accepted: November 19, 2015; Published: December 15, 2015
Copyright: © 2015 Olsson et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Data Availability: All relevant data are available via Dryad (DOI: 10.5061/dryad.cg40g).
Funding: This study was funded by the Swedish Research Council, Swedish Cancer Society, Governmental Funding of Clinical Research within National Health Service, Crafoord Foundation, Mrs. Berta Kamprad Foundation, Lund University Medical Faculty, Gunnar Nilsson Cancer Foundation, Skåne University Hospital Foundation, BioCARE Research Program, King Gustav Vth Jubilee Foundation, and the Krapperup Foundation. The funders had no role in study design, data gathering, data analysis, data interpretation, decision to publish, or writing of the report.
Competing interests: The authors have declared that no competing interests exist.
Among women, breast cancer is the most common malignancy and a leading cause of death with nearly 1.7 million cases diagnosed worldwide and over 500 thousand deaths every year . A minority of these cases, 5–10%, are caused by mutations in high-penetrance germline loss-of function genes (BRCA1, BRCA2) or in low-penetrance susceptibility genes/regions, although not all of the hereditary genetic factors have been identified [2–5]. However, the vast majority of breast cancers result from mutations acquired by aging and lifestyle and environmental factors acting in combination with genetic predisposition [6, 7].
Molecular characterization has shown that breast cancer is a highly heterogeneous disease that can be divided into at least four well-defined subtypes: the hormone receptor positive subtypes, luminal A and luminal B, the HER2 subtype enriched for cases with HER2 amplification, and the basal-like subtype which usually lacks expression of the estrogen (ER), progesterone (PR), and HER2 receptors (so called “triple-negative”) [8–10]. Basal-like breast cancers, which comprise 10–20% of all breast cancers, are also typically high grade, highly proliferative, genomically unstable, and have frequent somatic mutation of TP53 as well as loss of PTEN expression, and express basal cytokeratins such as CK5 and CK14 [8, 10–12]. Interestingly, hereditary BRCA1-mutations appears to primarily predispose for the development of basal-like breast cancers , indicating that BRCA1 dysfunction is a potent driver of basal-like tumorigenesis. Since basal-like tumors rarely express ER/PR/HER2, there is no recommended specific targeted therapy in current clinical practice, and generally these tumors exhibit poor prognosis features as described above. Therefore, there is a great demand for an improved understanding of basal-like breast cancer biology and for the development of drug targets for this aggressive subtype.
Recently, massively parallel sequencing has opened up possibilities to perform integrated large-scale screening studies ranging from the detection of somatic structural variants to the cataloguing of variants at single base resolution. These studies have given us better understanding of which molecular mechanisms and signaling pathways are aberrant in many types of solid tumors, and also to some extent within different subtypes of breast cancer [14–16]. Nonetheless, the number of recurrently mutated genes in the basal-like breast cancer subtype has been sparse but notable for a high frequency of TP53 mutations (84%); the next most commonly mutated gene is PIK3CA (7%) . The use of model systems in vitro and in vivo will be integral to the identification of new drug targets and development of improved therapeutic options for basal-like breast cancer. To draw reliable conclusions from these models under any experimental condition, it will be important to be cognizant of the genomic context of each model.
In this study, our aim was to improve the characterization of the mutational pattern of basal-like breast cancer model cell lines. A custom panel of 1,237 cancer-associated genes was used to perform hybrid capture and deep sequencing on six commonly utilized publically-available basal-like cancer cell lines (HCC38, HCC1143, HCC1187, HCC1395, HCC1954, and HCC1937) with matched normal DNA to identify both known and novel gene mutations. Moreover, we evaluated the use of targeted resequencing data to estimate the DNA copy number profile in the regions of interest.
Results and Discussion
Detection of somatic variants in breast cancer cell lines
To characterize their mutational profiles, the breast cancer cell lines HCC38, HCC1143, HCC1187, HCC1395, HCC1937, HCC1954 (previously classified as basal-like [17, 18]), as well as their matched normal lymphocyte cell lines, were analyzed using targeted DNA capture and massively-parallel single-read DNA sequencing. To maintain the mutational profile of the originating cell line population, all cell lines were obtained directly from the American Type Culture Collection repository and analyzed at very low passage. A custom SureSelect library (Agilent Technology) targeting all coding exons for 1,237 cancer-associated genes, a portion of each gene’s 5’UTR and upstream region, and the entire 3’UTR, was designed and used to capture approximately 6.5 Mbases of the human genome (see Methods) (S1 Table). For the tumor and normal cell line DNAs, targeted regions were captured and PCR-enriched and the libraries sequenced on an Illumina Genome Analyzer IIx instrument. For the cancer cell lines and matched normal samples, on average 6.4 million (range 5.9–7.1) and 5.7 million (range 3.7–6.9) unique 75–80 bp reads were sequenced, respectively. The mean coverage of the targeted area was 127-fold (range 96–152) for the cancer samples and 98-fold (range 87–127) for the normal samples (S2 Table). Across all samples, on average 90% (range 88–92%) of the targeted regions had a sequence coverage of 15 reads or more (S2 Table).
The Burrows-Wheeler aligner (bwa)  was used for the alignment of sequencing reads to the reference human genome (hg19), and Genome Analysis ToolKit (GATK) UnifiedGenotyper was used for the calling of single nucleotide variants (SNVs) and indels . A mean of 5,494 SNVs (range 5,302–5,740) and 643 indels (range 572–685) that passed the variant calling filter were identified for each tumor-normal pair (Table 1), and in total 36,822 variants were called of which 95.7% were known single nucleotide polymorphisms present in dbSNP138. To check the robustness of our method we compared our variant calls to previously reported mutations for these cell lines that had been curated in the COSMIC database version 68 [21, 22]. Of 479 somatic mutations in COSMIC in genes that we targeted, 412 (86.0%) were identified in our data as perfect matches (S3 Table). When allowing for loosely matching variants to COSMIC (i.e., the position was shifted a few bases or alternatively the GATK UnifiedGenotyper detected a substitution as two separate events), an additional 12 variants could be matched increasing the detection rate to 88.5% (424 of 479). Of note, we detected 94.3% of all SNVs (412 of 437) whereas only 28.6% (12 of 42) of indels were identified. These results are in line with single read data being suboptimal for detection of longer indels, and the bwa aligner and UnifiedGenotyper variant caller GATK pipeline being less than ideally suited for indel calling in tumor genomes . The majority of COSMIC matching variants (83.3%) were qualified as “high confidence” somatic variants (see Methods).
In total, 658 high confidence somatic variants were identified across the six basal-like cell lines, and of these, 490 were heterozygous, 168 were homozygous, and 378 were non-silent (count of non-silent: HCC1143 n = 41, HCC1187 n = 58, HCC1395 n = 146, HCC1937 n = 53, HCC1954 n = 37, HCC38 n = 43) (Table 1). The non-silent variants were defined as exonic indels, non-synonymous SNVs, stopgain or stoploss SNVs and splicing mutations. Out of the 658, 315 variants were novel mutations (not present in COSMIC) and of these 110 were exonic and 63 were non-silent. Novel non-coding mutations were also found in the 3’UTR (n = 59), 5’UTR (n = 17), and within 1000 bp upstream of the gene transcriptional start site (n = 20) (Table 1 and S3 Table). Conversely, of the 343 high confidence somatic variants present in COSMIC (S3 Table), 315 were non-silent.
In line with the high mutation rate of TP53 in basal-like breast cancer , TP53 was mutated in all six basal-like cell lines analyzed [17, 24–26], and in total, there were 17 genes with non-synonymous somatic high confidence mutations in two or more of the tumor cell lines (Fig 1). For example, three different homozygous mutations were detected in the CNGA2 gene: two had not been previously described for the BRCA1-deficient cell lines HCC1395 and HCC1937, and the third was a known homozygous mutation (in COSMIC) in HCC1954. Additionally, two of the cell lines had non-coding CNGA2 variants: in HCC1143 there was also a somatic mutation upstream, and HCC1395 was mutated in the 3’UTR.In both of the BRCA1-deficient cell lines a novel non-synonymous homozygous mutation in GUCY2F (Xq22, exon3:c.T851C:p.L284P) was found, and additionally the genes ATRX (Xq21.1), and STARD8 (Xq13.1), GOLGB1 (3q13), SHROOM2 (Xp22.3), and ZNF277 (7q31.1) all harbored non-synonymous mutations. In the cell lines HCC38 and HCC1395, classified as basal B in the work by Neve et al , the AKAP6 (14q12), MACF1 (1p32-p31) and TRPM7 (15q21) genes all had non-silent mutations (Fig 1). For these genes, it was recently reported that among 81 basal-like breast tumors, 5% had somatic GOLGB1 mutations and 4% harbored mutations in AKAP6 or MACF1 [14, 27]. In another study of triple-negative tumors , AKAP6, MACF1, and TRPM7 were mutated in 3% out of 65 analyzed tumors. In the same cohort, MYO3A was mutated in 9% of the cases and we also found two non-silent mutations in that gene in the HCC38 cell line.
The 17 genes with identified somatic mutations in two or more cancer cell lines are shown, colored according to mutation type. Heterozygous non-synonymous single nucleotide variants (SNV) are in yellow; homozygous non-synonymous SNVs are in red; heterozygous stopgain/short indels mutations are in light blue; homozygous stopgain/short indels mutations are in blue. 1Non-synonymous SNVs, stopgain SNVs or short indels also identified in a breast cancer study from TCGA (basal-like tumors) . 2Non-synonymous SNVs, stopgain SNVs or short indels also identified in a breast cancer study of triple-negative tumors . The subtype classification and receptor status have been described earlier [17, 18, 24].
Sanger sequencing validation
Selecting for exonic, 3’UTR, and 5’UTR variants, 187 SNVs and short indels from the exome sequencing results were validated by Sanger sequencing of the cell line tumor-normal pairs (S4 and S5 Tables). Out of the 187, 130 were high confidence and 57 were low confidence somatic variants with quality-by-depth (QD) values >3. The low confidence variants were Sanger sequenced to examine the utility of sub-optimal variant calls (S4 and S5 Tables). Of 187 mutations examined, 172 were not present in COSMIC (including 85 exonic, 19 5’UTR, 60 3’UTR, 1 splice site, and 7 intronic variants; S4 Table) and 15 were present in COSMIC (with 6 of these variants found by GATK UnifiedGenotyper at slightly different positions in our data; S5 Table).
Of the 172 novel candidates (not in COSMIC), 118 were high confidence variants. Of these, 111 (94.1%) were validated as somatic, 5 (4.2%) were wildtype, none were germline, and 2 validated with a different mutation: one SNV variant was homozygous instead of heterozygous (at the same position) and one SNV was a 15 bp deletion in PLCD3 with Sanger sequencing (also present in COSMIC, COSM50189). In total, 98% of the exonic, 93.9% of the 3’UTR, and 81.8% of the 5’UTR variants could be validated as somatic (Table 2 and S4 Table). However, only 25.9% (14 of 54) of the low confidence novel candidates could be validated as somatic: 29.6% were germline and 44.4% were determined as wildtype (Table 2 and S4 Table). Thus, we found that the majority of high confidence variants could be verified, whereas there are few true positives among the lower confidence somatic variant calls.
Across the six cell lines, 125 novel somatic variants (111 high confidence and 14 low confidence) were confirmed by Sanger sequencing and of these 59 were exonic, 48 were in 3’UTRs, 10 in 5’UTRs, 1 affected splicing, and 7 mutations were located in ncRNA or intronic regions. Of the novel somatic mutations within exons, 47 were non-synonymous, 6 were synonymous, 2 were stopgain, and 4 were frameshift indels (Table 2 and S4 Table). Of the 15 selected variants identified by our pipeline but also present in COSMIC, 12 were high confidence variants whereof the Sanger sequencing results verified all 12: 8 exactly and 4 matched loosely to the COSMIC positions (<5bp) (due to location in a homopolymer region). Two of the three remaining low confidence variants were determined by Sanger sequencing to be a single 2-bp deletion (matching the COSMIC variant COSM20994), and the third was confirmed by Sanger (matched to both COSMIC and our UnifiedGenotyper call) (S5 Table).
We also selected for Sanger sequencing 36 known variants that were present in COSMIC for these cell lines but not detected by our pipeline (Table 3 and S6 Table). Of these, 10 mutations were determined by Sanger sequencing to be in fact wildtype in our cell lines, 1 variant was germline, and 2 COSMIC variants were found to be a different somatic mutation at the same locus. On the other hand, 23 of these COSMIC variants (63.9%) were confirmed to be present by Sanger sequencing, thus representing false-negative calls by our pipeline (S6 Table). To note, out of the COSMIC variants missed by our targeted sequencing data pipeline but confirmed by Sanger, 52% (12 out of 23) were deletions and 7 of these were >10bp (S6 Table).
Previous mutation screening studies including these six cell lines have focused on detecting mutations only in coding regions, which explain the relatively high numbers of novel mutations outside these regions in our data. However, the fact that we could detect novel mutations in coding regions in cell lines previously analyzed by others could possibly be explained by differences in sequencing technology, on-target efficiency and sequence coverage, as well as analysis methodologies [22, 25, 29, 30].
Integrated mutational and copy number data
Copy number variation (CNV) across the targeted regions was calculated using the software CONTRA . CONTRA was specifically developed for analysis of copy number variation in resequenced data and is designed to handle GC-content bias and differences in sequencing depth in the input samples. The adjusted mean log ratios derived from CONTRA were segmented with the Bioconductor package GLAD  and copy number estimations (log2 ratios) for individual genes were computed for each tumor cell line (S7 Table).
To validate our copy number estimates, publicly available segmented copy number data generated using the Affymetrix 6.0 SNP array platform was downloaded for these cell lines . The targeted exome-derived CNV data and Affymetrix CNV data are plotted in Fig 2a and S1 Fig. Zoomed-in plots of three selected genes, CDKN2A and PTEN (in HCC1395), and ERBB2 (HCC1954) are shown in Fig 2b–2d. In general, there was a good concordance in copy number estimation between the two methods (Pearson correlations between 0.82 and 0.96 per cell line; P-values<0.0001; Fig 2e and S2 Fig) despite the sparse coverage (0.22%) of the genome in the exome sequencing data.
(a) Whole genome plot of HCC1395 copy number variations derived from targeted sequencing data analyzed with CONTRA in comparison to segmented Affymetrix 6.0 copy number data for the same cell line. For the sequencing data, the black datapoints are the CONTRA adjusted mean log2 ratios, and red datapoints are the CONTRA/GLAD segmented copy log2 ratios. For the Affymetrix 6.0 data, blue datapoints are the segmented copy number data. Zoomed-in plots of three selected genes, (b) CDKN2A and (c) PTEN in HCC1395, and (d) ERBB2 in HCC1954 (color codes are as above). (e) Representative correlation plot for one cell line, HCC1395, of segmented CONTRA copy number data versus Affymetrix 6.0 segmented copy number data (Pearson r = 0.89). Correlation plots for all cell lines are presented in S2 Fig.
Mutational profiles and copy number data were integrated to get a comprehensive summary of the genomic context in the targeted regions of the six breast cancer cell lines. All novel high confidence non-silent somatic mutations, known variants in COSMIC also detected in our analyses, mutations confirmed as somatic with Sanger sequencing, as well as genes with high level amplification or with exonic deletions (i.e., |log2 ratios|>2) were included. In Fig 3, all genes with any of the above somatic genetic aberrations in two or more cancer cell lines are presented. For example, known large deletions in the PTEN gene were detected in both of the BRCA1-deficient cell lines HCC1395 and HCC1937. Moreover, known large deletions of CDKN2A and CDKN2B and heterozygous SNVs in the BRCA2 gene were found in both of the basal B cell lines HCC38 and HCC1395 (the BRCA2 mutation was novel in HCC38). In the cancer cell lines classified as basal A , the gene NOP9 was mutated in HCC1143 and HCC1954, and ZNHIT2 was mutated in both HCC1937 and HCC1187. Out of the genes shown in Fig 3, 91% (74 of 81) had genetic alterations in terms of copy number changes or somatic mutations in a study of 81 triple-negative tumors  in the genes BRCA2 (11%), CDKN2A (11%), CDKN2B (12%), DIP2C (12%), FARP1 (5%), SLC6A3 (5%), PTEN (6%), as well as TP53 (85%).
The 34 genes affected by mutation and/or copy number gain or deletion (|log2 ratio|>2) in two or more cell lines are shown. Color codes are as in Fig 1, with the addition that large homozygous deletions are in green and amplifications are in purple. 1Non-synonymous SNVs, stopgain SNVs, short indels respective deep deletions and amplifications also identified in a breast cancer study from TCGA (basal-like tumors) . 2Non-synonymous SNVs, stopgain SNVs, short indels respective homozygous deletions and amplifications also identified in a breast cancer study of triple negative tumors . The subtype classification and receptor status have been described earlier [17, 18, 24].
The integrated somatic aberrations were annotated according to signaling pathways . The Notch signaling pathway was affected in 4 of 6 cell lines with non-silent mutations present in NOTCH4 in HCC1395, DTX3L and MAML3 in HCC1937, NOTCH1 in HCC1954, and also high-level amplifications of JAG2 and NOTCH3 in HCC1143. Notch signaling is a complex and highly conserved pathway that may be either tumor suppressive or oncogenic depending on the cellular context, and may be a therapeutic target for basal-like breast cancer [34, 35]. Genes involved in the phosphatidylinositol signaling system that harbored mutations were PLCG1 in HCC1395, PLCB2 in HCC1937, DGKE and PIK3CA in HCC1954, DGKG in HCC1395, PLCB1 in HCC38, and also large homozygous deletions of PTEN in HCC1395 and HCC1937. The phosphatidylinositol signaling system is well known to be of importance in breast cancer and regulates key components of proliferation and apoptosis . In the KEGG pathway for regulation of the cytoskeleton, genes that harbored mutations were FGFR2, RAC2, and VAV3 in HCC1143; ARHGEF4, ITGB2, MYH9, and PPP1R12A in HCC1187; FGFR1, ITGA9, PDGFRB, and BCAR1 in HCC1395; CFL2 and PIK3CA in HCC1954; and genes with high level amplifications were FGF3 and FGF4 in HCC1143, and FGFR4 in HCC1954. The role of these gene mutations requires further study, however it is intriguing as reorganization of the actin cytoskeleton could affect focal adhesion stability and is also associated with epithelial-to-mesenchymal transition (EMT), a process thought to increase metastatic potential and enriched in basal-like breast cancer [36, 37].
Predicted effects of somatic mutations
We annotated the high confidence somatic SNVs with three different programs and the complete annotation results are presented in S3 Table. We used Mutation Assessor  to categorize the non-synonymous SNVs as “functional” (i.e., deleterious; 35.3%, n = 116) or “non-functional” (64.7% n = 213). To note, Mutation Assessor only scores the non-synonymous SNVs. A substantial part of the non-functional variants (114 of 213) in Mutation Assessor were annotated as “disease causing” by another software, MutationTaster . Non-synonymous, synonymous, and nonsense mutations are scored by this software and 67.4% (250 out of 371) of these were annotated as disease causing. Moreover, 26 (7.0%) SNVs were assigned as “polymorphisms” by MutationTaster even if they were determined as somatic in our data (but actually present in dbSNP). In total, 101 variants were categorized as both functional in Mutation Assessor and disease causing in MutationTaster. Using Combined Annotation Dependent Depletion (CADD) , the mutations were scored for deleteriousness along a continuous scale, and stopgain SNVs were exclusively top ranked. The CADD scores were significantly higher for MutationTaster disease causing variants compared to the polymorphisms (P<0.0001, Mann-Whitney U test) and similarly for the Mutation Assessor functional compared to non-functional variants (P<0.0001, Mann-Whitney U test). Importantly, CADD also scores most variants outside exonic regions. Frameshift indels were not classified by any of the three programs (indels cannot be matched to CADD database in Annovar).
Base replacement patterns in coding versus non-coding regions
The transitions to transversions ratio (Ti/Tv) for known SNPs in the targeted regions (including variants not passing variant call filters) was on average 2.66 for all cell lines. Since the targeted regions contain both coding and non-coding regions, this suggests a low false positive variant call rate in our targeted sequencing data . Considering only the high confidence somatic variants, the mutational frequency was on average higher in the coding regions (20.6 mutations/Mbp, range 11.6–48.0) than in the non-coding regions (8.7 mutations/Mbp, range 1.7–19.9) and the BRCA1-deficient HCC1395 cell line appeared to exhibit a hypermutated genotype. Interestingly, the average Ti/Tv ratio for somatic variants in the coding regions was lower at 0.94 (range 0.62–3.88) and the HER2-positive cell line (HCC1954) had the highest ratio, primarily owing to a high proportion of C/G→T/A transitions. For the non-coding somatic variants, the average Ti/Tv ratio was 1.32 (range 0.57–1.81), and HCC1954 showed the lowest ratio. Possibly, disparity in the selection pressure and in the efficiency of the repair mechanisms could explain the differences in ratios between coding and noncoding regions.
Of the high confidence somatic SNVs, a G/C base pair was replaced in 76.4% and 61.0% of instances within the coding and non-coding regions, respectively. Differences in the GC-content of the targeted regions, 51.1% in the coding and 47.0% in the non-coding regions, do not explain the bias. For the somatic variants, C/G→T/A transitions were the most common in both coding (34.9%) and non-coding regions (35.1%) on average for all cell lines. The second most common base replacement in the coding regions was C/G→G/C transversions (26.2%) whereas A/T→G/C transitions were the next most common in the non-coding regions (21.5%). Accounting for differences in GC-content, the base replacements C/G→A/T, C/G→G/C, C/G→T/A and A/T→G/C were significantly more frequent in the coding regions compared to the non-coding regions (OR 1.8, 95% CI 1.2–2.7, P = 0.024; OR 3.2, 95% CI 2.0–5.3, P<0.0001; OR 4.3, 95% CI 2.9–6.6, P<0.0001; OR 2.4, 95% CI 1.8–3.1, P<0.0001, respectively) (Fig 4, S8 Table).
Forest plot indicating odds ratio (marker) and 95% confidence intervals (whiskers) for the frequency of indicated base replacements in coding regions (CDS) versus non-coding (non-CDS) regions. The dimensions of the squares are inversely proportional to the standard error (SE) of ln(odds ratio). * P = 0.024; *** P<0.0001 (Bonferroni adjusted).
In a recent study, specific signatures for mutational processes were suggested for breast cancer, and the most common signatures (Signatures 1B, 2 and 3) involved C/G→T/A, C/G→G/C and C/G→A/T replacements with an overall prominence for C/G→T/A transitions (no comparison between coding and non-coding regions were available) . Notably, Signature 3 is characterized by enrichment for C/G substitutions, and one could speculate that this signature is associated with the mutational pattern we detected in the coding regions. Interestingly, Signature 3 has previously been associated with cases harboring BRCA1 and BRCA2 mutations .
The highest fraction of the C/G→T/A substitutions (59.0% of all SNVs) was detected in the coding regions of the HER2-amplified cell line HCC1954 and this pattern partly resembles that of APOBEC mutagenic activity, which is commonly aberrant in many types of human cancers. Of the C/G→G/C substitutions, which have also been suggested to be caused by APOBEC editing, HCC1954 had the lowest fraction (7.7%) and instead the basal B cell lines showed the highest fraction (33.3%). Interestingly, in a recent study it was proposed that breast tumors belonging to the HER2-enriched subtype often show the APOBEC mutational pattern . However, even if our data set was limited and derived from cancer cell lines, additional studies on distinct APOBEC patterns in larger patient cohorts should be considered.
The pattern of adjacent bases, including the base before and after each SNV, was also investigated. Within the coding regions, SNVs occurred most frequently within the context of T[C]G/C[G]A and second most commonly at A[C]G/C[G]T, and in the non-coding regions these combinations were also the two most common, although in reverse order. Moreover, enrichment for these combinations were mainly seen in the Signatures 1B and 2 of the normalized breast cancer signatures . The SNVs within the context of T[C]A/T[G]A and T[C]T/A[G]A were more frequent in the coding than in the non-coding regions (OR 3.8, 95% CI 2.0–7.2, P = 0.001; OR 3.7, 95% CI 2.2–6.1, P<0.0001, respectively) (Fig 5, S9 Table), and again, an enrichment for these combinations was seen particularly in the normalized Signatures 1B and 2. The number of each trinucleotide combination in the different regions was taken into account in the calculations. The most common trinucleotide combination, in absolute terms, was T[C]T/A[G]A in both coding and non-coding regions (n = 62 and n = 26, respectively).
Forest plot indicating the odds ratio (marker) and 95% confidence intervals (whiskers) for the trinucleotide context for base replacements (the center base within square brackets, both strands indicated) in coding regions (CDS) versus non-coding (non-CDS) regions. The dimensions of the squares are inversely proportional to the standard error (SE) of ln(odds ratio). ** P = 0.001; *** P<0.0001 (Bonferroni adjusted). Note that the odds ratio for G[A]C/G[T]C is undefined (2 substitutions in coding regions versus 0 in non-coding regions).
In conclusion, we have successfully used targeted sequencing of six basal-like breast cancer cell lines to identify 658 high confidence somatic mutations of which 315 are novel. Sanger sequencing confirmed 125 novel candidates, with a validation rate of 94% of the novel high confidence variants indicating that the majority of these are true. DNA copy number was estimated across the genome and agreed well to data from an orthologous method performed elsewhere. Although a limited number of cell lines were analyzed, mutational base replacement patterns may reflect complex mutational processes present in these model cell lines and deserves further study. Sanger sequencing showed good concordance to the exome data and highlighted the usefulness of reasonable variant call filtering thresholds and thresholds for calling a variant as somatic, as well as limitations in indel calling. Together, our results across 1,237 cancer-associated genes and the sequencing data will aid in the design and interpretation of biological experiments using these six commonly utilized basal-like breast cancer cell lines.
Materials and Methods
Cell lines and DNA
Original cell line stocks for HCC38, HCC1143, HCC1187, HCC1954, HCC1937 and HCC1395 were obtained directly from the American Type Culture Collection (ATCC), cultured according to Neve et al , and passaged minimally prior to harvesting for the present study. For each respective cell line, normal matched DNA derived from B lymphoblastoid cell lines (HCC38 BL, HCC1143 BL, HCC1187 BL, HCC1954 BL, HCC1937 BL, HCC1395 BL) were purchased from ATCC. Breast cancer cells were harvested at approximately 75% confluency and genomic DNA was isolated using DNeasy Blood and Tissue Kit (Qiagen) according to the standard manufacturer protocol. The concentration of DNA was measured with the ND-1000 NanoDrop spectrophotometer (NanoDrop Technologies).
Custom DNA SureSelect library
A custom SureSelect DNA library (Agilent Technologies) was constructed by selection of 1,237 genes suggested to be of importance primarily in breast cancer. All genes previously found mutated in breast cancer in the COSMIC (ftp://ftp.sanger.ac.uk/pub/CGP/cosmic/data_export/; date of access 2010/01/26) were selected and the list was expanded to include additional genes of interest as well as genes selected from the literature [22, 44–47]. All coding exons of selected genes were included in addition to 300 bp upsteam of the RefSeq transcript, the complete 5’UTR and the first 1200 bp of 3’UTR (human genome build hg18). All selected regions (20,674 separate target regions totaling 5,352,371 bp) were submitted to Agilent eArray (https://earray.chem.agilent.com/earray/) for probe design. The probes were 120 bp in length, designed end-to-end and with 1x coverage (on average 30 bp was targeted into each intron). Overall, 54,636 SureSelect baits were included, covering 6,556,320 bp, which corresponds to 0.22% of the human genome.
Library preparation for sequencing
Target enrichment was performed on genomic DNA of all breast cancer cell lines and matched normal DNA. For each cell line, 3.6 μg of genomic DNA was sheared using the S220 Focused-Ultrasonicator Instrument (Covaris) with the following settings: Duty cycle 10%, Intensity 5, Cycles per burst 200, Time 3×2 min at 5°C. After purification, the fragment sizes were determined using the 2100 Bioanalyzer (Agilent Technologies) and on average fragments of 180 bp were obtained. Subsequently, NEBNext DNA Library Prep Master Mix Set I (New England Biolabs) was used for end-repair, dA-tailing and ligation of Genomic adaptors (Illumina) or custom tagged adaptors. Size selection was done using Agencourt AMPure beads (Beckman Coulter) to keep only fragments between 200–350 bp and this was verified by using the 2100 Bioanalyzer. Pre-capture PCR was performed in a total volume of 100 μl (divided in two tubes) with Phusion Master Mix 1x (Thermo Scientific), 250 nM of PE 1.0 or PE 2.0 primers together with half volume of the size selected DNA. PCR cycling conditions were as follows: Initial denaturation at 98°C for 2 min followed by 8 cycles of 98°C for 20 s, 65°C for 30 s and 72°C for 30 s and a final elongation at 72°C for 5 min. Capturing of selected genomic regions was performed according to SureSelect Hybridization protocol using the Agilent SureSelect Human All Exons protocol (Agilent Technologies). Briefly, biotinylated RNA library baits were hybridized in SureSelect hybridization buffer system and DNA regions of interest were captured by Dynabeads streptavidin-coated magnetic beads (Invitrogen). Post-hybridization enrichment was performed using 1x Herculase II reaction buffer, 1.25 mM each dNTPs, SureSelect GA PCR primers and Herculase II Fusion DNA polymerase with the following PCR conditions: 98°C for 2 min followed by 15 cycles of 98°C for 20 s, 57°C for 30 s and 72°C for 30 s and a final elongation at 72°C for 5 min. The samples were pooled and purified with Agencourt AMPure beads and the size of each library was validated on the 2100 Bioanalyzer (average length 275 bp) and the concentration was measured on Qubit (Invitrogen).
Cluster generation and sequencing
Clusters were generated on a cBot instrument (Illumina). Single read sequencing of 75–80 bp was performed on a Genome Analyzer IIx instrument according to manufacturer's instructions. Raw TIF images were analyzed by Illumina Off-Line BaseCaller v1.6 and the base calling analysis was done using Bustard v1.6 (Illumina).
Alignment and variant calling
Single reads were aligned to the human reference genome hg19 using bwa v0.5.9 , and Picard Tools v1.46 (http://picard.sourceforge.net/) were used to merge the tumor and matched normal BAM-files and to flag duplicates to ignore them in subsequent analysis. In the variant calling procedure, the analyzed regions were extended by 30 bp up- and downstream in the human genome, juxtaposed to the regions targeted by the SureSelect probes. Realignment (IndelRealigner) of targeted regions and quality score calibration (TableRecalibration) was done before variant calling of SNPs and indels using UnifiedGenotyper, all tools from the GenomeAnalysisTK v1.1–32 . A minimum variant call quality score of 10 was required to call a variant. Known SNPs (dbSNP134) and indels (from the 1000 Genomes project) were used as input in IndelRealigner and known SNPs were used in TableRecalibration. GATK v3 best practices recommendations were followed with the following hard filters applied for SNPs: variant call quality < 40 || quality-by-depth (QD) < 5.0 || Homopolymer Run (HRun) > 5 || Fisher Strand bias (FS) > 200.0, and for indels: variant call quality < 40 || QD < 2.0 || Rank Sum Test for relative position in read of wild type vs alternative allele (ReadPosRankSum) < -20.0 || FS >200 (21). Variants were called as somatic if the most likely genotype determined by UnifiedGenotyper included the alternate allele for the tumor while the normal was determined as homozygous for the reference allele. Somatic variants that passed the variant call filters (see above), where the normal had an informative read depth ≥ 10 and ≤ 1 read supporting the alternative allele and the tumor had ≥ 3 reads supporting the alternate allele were considered “high confidence” somatic variants. All other somatic variants were considered “low confidence”.
The sequencing depth statistics was calculated using GATK DepthofCoverage v2.8–1 , in the targeted regions of interest covered by our custom SureSelect bait library. Picard Tools v1.46 (http://picard.sourceforge.net/) were used to derive the read metrics per sample.
Annotation of somatic mutation and copy number variants
All somatic variants were annotated in Annovar  with functional-, regional-, and filter-based annotations from selected databases: RefSeq gene annotations, dbSNP138, allele frequencies in NCI60 , presence in the TCGA BRCA study (mutation calling file level184.108.40.206) , MutationTaster and Mutation Assessor scores (LJB2.3, dbNSFP) [38, 39, 50], CADD (Combined Annotation Dependent Depletion) c-scores , PhyloP scores (phastConsElements46way), and ClinVar (20140211) . All cell lines were annotated by previously known somatic mutations entered in the COSMIC database v68 . The combined list of genes affected by mutational and copy number aberrations were annotated with the KEGG pathway categorization using the DAVID Bioinformatics Resources 6.7 tool with the whole genome list for Homo sapiens as background [33, 52].
Sanger sequencing validation of somatic variants
In total, 172 novel mutations were selected for validation by Sanger sequencing. Both high and low confidence mutations were selected, however, a QD score >3 was required for the low confidence variants to be included. Moreover, 15 variants found both in COSMIC and by our pipeline and 36 variants annotated as mutated in COSMIC but not found in our data were also selected for Sanger sequencing validation. Whenever possible, previously published primers were used for PCR amplification , otherwise, primer pairs were designed. Primer design was performed in Primer3 v0.4.0 with Santa Lucia 1998 settings GC clamp set to 1 . The primers were designed not to be within 30 bp of the variant and the primer closest to the variant was tagged with M13 for sequencing. All primers were synthesized by Integrated DNA Technologies (IDT). PCR reactions were performed in a total volume of 10 μL with Phusion Master Mix 1x (Thermo Scientific), 200 nM of each primer, 2% of DMSO and 10 ng of template DNA and the PCR was run with the following cycling conditions: initial denaturation at 98°C for 2 minutes followed by 11 cycles of 98°C for 10 s, 70°C (-1°C/cycle) for 30 s and 72°C for 15 s and then 29 cycles of 98°C for 10 s, 60°C for 30 s and 72°C for 30 s and a final elongation at 72°C for 5 min. Both tumor and matched normal DNA were used as input for each primer pair assay in separate reactions. All PCR products were purified and sequenced by Beckman Coulter Genomics and Sequencher v5.0.1 (Gene Codes Corporation) was used to evaluate the chromatograms of the tumor and normal sample traces in parallel.
Copy number variation analysis
Copy number variation (CNV) was estimated using the tool CONTRA v2.0.4, a software specifically designed for CNV detection in targeted resequencing data . Deduplicated and realigned bam-files for each tumor and the matched normal sample were used as input data. CONTRA was run with default settings except for the maxRegionSize 150 and targetRegionSize 100. The adjusted mean log ratios derived from CONTRA derived from CONTRA were filtered on coverage (regions with coverage <20 in the matched normal sample were removed) and segmented using the Bioconductor software GLAD . In the GLAD algorithm the bandwidth = 1, qlambda = 0.999999, lambdabreak = 8, lambdacluster = 8, lambdaclusterGen = 40 and alpha = 1e-3 were applied. Copy numbers estimations (log2 ratios) for individual genes were calculated for genes larger than 400bp. To score homozyogous deletions and high level gains that were present in our data, log2 thresholds of <-2 and >2, respectively, were applied. Only genes with all exons passing the threshold were included as high level gains, and pass-threshold deletions of regions ≥ 400bp were considered as homozygous deletions only if exonic regions were included. To make a comparison of the results from CONTRA to publicly available CNV data, segmented Affymetrix 6.0 SNP array data was downloaded from the Cancer Cell Line Encyclopedia . The two methods for copy number estimation were compared by correlating each of the CONTRA copy number values per segmented window to the corresponding copy number values derived from the Affymetrix SNP array data. The mean genomic position per window in the segmented CONTRA data were used to lookup the corresponding copy number value in the Affymetrix data. Pearson correlation was used to compare the data from the two methods.
Base replacements and trinucleotide combinations
The base replacement frequencies were calculated by using the number of G/C or T/A bases as denominator and the number of respective base replacements as numerator, in coding versus non-coding regions. The trinucleotide frequencies were calculated by using the number of each trinucleotide combination as denominator and the number of SNVs within each context as numerator, in coding versus non-coding regions. Only SNPs passing the variant call filters were included in the analysis (see above). The statistical calculations were performed by using logistic regression interaction modeling (between samples) and all p-values were corrected with Bonferroni adjustment.
The software BedTools v2.17.0, and Samtools v0.1.19 together with custom scripts in R v3.1.0, Stata/SE v13.1 (StataCorp LP) and Python v2.7 were used to implement the analysis, for statistical calculations, and for plotting of the data.
The sequencing data BAM files and target region BED file are publically available from the Dryad repository: http://doi.org/10.5061/dryad.cg40g.
S1 Fig. Copy number plots of targeted sequencing data.
(a-f) Whole genome plots of CONTRA copy number (log2 ratios) derived from targeted sequencing data for respective cell line in comparison to segmented Affymetrix 6.0 copy number data. For the sequencing data, the black datapoints are the CONTRA adjusted mean log2 ratios, and red datapoints are the CONTRA/GLAD segmented copy log2 ratios. For the Affymetrix 6.0 data, blue datapoints are the segmented copy number data.
S2 Fig. Correlation plots for targeted sequencing CNVs versus Affymetrix 6.0 for respective cancer cell line.
Segmented CONTRA copy number data derived from targeted sequencing data versus segmented CCLE Affymetrix 6.0 copy number data are shown in the plots (Pearson correlation 0.82 to 0.96 for all compared cell lines; P<0.0001).
S1 Table. Genes included in targeted capture regions.
S3 Table. All somatic variants detected by GATK UnifiedGenotyper and annotated by Annovar.
S4 Table. Sanger sequencing validation of novel mutations, primer details.
S5 Table. Sanger sequencing validation of mutations both detected in our targeted sequencing analysis and in COSMIC v68.
S6 Table. Sanger sequencing validation of mutations in COSMIC v68 but not detected by in our targeted sequencing analysis.
S7 Table. Estimated average copy number for individual genes.
S8 Table. Number of mutations in coding respective non-coding regions for respective base replacement.
We thank members of the Translational Oncogenomics Unit and Anders Kvist for valuable discussion, and Jeanette Valcich, Ulrika Åström, Ingrid Wilson, Björn Frostner, and Susanne André at the Division of Oncology and Pathology for administrative assistance.
Conceived and designed the experiments: EO SKGS LHS. Performed the experiments: EO AG YC TT LHS. Analyzed the data: EO AG YC POB. Contributed reagents/materials/analysis tools: EO CW POB ÅB SKGS LHS. Wrote the paper: EO LHS. Discussed, critically revised, and approved the final version of the report for publication: EO CW AG YC TT POB ÅB SKGS LHS.
- 1. Ferlay J, Soerjomataram II, Dikshit R, Eser S, Mathers C, Rebelo M, et al. Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. International journal of cancer Journal international du cancer. 2014.
- 2. Futreal PA, Liu Q, Shattuck-Eidens D, Cochran C, Harshman K, Tavtigian S, et al. BRCA1 mutations in primary breast and ovarian carcinomas. Science. 1994;266(5182):120–2. pmid:7939630
- 3. Wooster R, Neuhausen SL, Mangion J, Quirk Y, Ford D, Collins N, et al. Localization of a breast cancer susceptibility gene, BRCA2, to chromosome 13q12-13. Science. 1994;265(5181):2088–90. pmid:8091231
- 4. Antoniou AC, Casadei S, Heikkinen T, Barrowdale D, Pylkas K, Roberts J, et al. Breast-cancer risk in families with mutations in PALB2. The New England journal of medicine. 2014;371(6):497–506. pmid:25099575
- 5. Hakansson S, Johannsson O, Johansson U, Sellberg G, Loman N, Gerdes AM, et al. Moderate frequency of BRCA1 and BRCA2 germ-line mutations in Scandinavian familial breast cancer. American journal of human genetics. 1997;60(5):1068–78. pmid:9150154
- 6. McPherson K, Steel CM, Dixon JM. ABC of breast diseases. Breast cancer-epidemiology, risk factors, and genetics. BMJ. 2000;321(7261):624–8. pmid:10977847
- 7. Friebel TM, Domchek SM, Rebbeck TR. Modifiers of cancer risk in BRCA1 and BRCA2 mutation carriers: systematic review and meta-analysis. Journal of the National Cancer Institute. 2014;106(6):dju091. pmid:24824314
- 8. Sorlie T, Perou CM, Tibshirani R, Aas T, Geisler S, Johnsen H, et al. Gene expression patterns of breast carcinomas distinguish tumor subclasses with clinical implications. Proc Natl Acad Sci U S A. 2001;98(19):10869–74. pmid:11553815
- 9. Curtis C, Shah SP, Chin SF, Turashvili G, Rueda OM, Dunning MJ, et al. The genomic and transcriptomic architecture of 2,000 breast tumours reveals novel subgroups. Nature. 2012;486(7403):346–52. pmid:22522925
- 10. Perou CM, Sorlie T, Eisen MB, van de Rijn M, Jeffrey SS, Rees CA, et al. Molecular portraits of human breast tumours. Nature. 2000;406(6797):747–52. pmid:10963602
- 11. Da Silva L, Clarke C, Lakhani SR. Demystifying basal-like breast carcinomas. Journal of clinical pathology. 2007;60(12):1328–32. pmid:17496191
- 12. Saal LH, Gruvberger-Saal SK, Persson C, Lovgren K, Jumppanen M, Staaf J, et al. Recurrent gross mutations of the PTEN tumor suppressor gene in breast cancers with deficient DSB repair. Nature genetics. 2008;40(1):102–7. pmid:18066063
- 13. Turner NC, Reis-Filho JS. Basal-like breast cancer and the BRCA1 phenotype. Oncogene. 2006;25(43):5846–53. pmid:16998499
- 14. Cancer Genome Atlas N. Comprehensive molecular portraits of human breast tumours. Nature. 2012;490(7418):61–70. pmid:23000897
- 15. Stephens PJ, Tarpey PS, Davies H, Van Loo P, Greenman C, Wedge DC, et al. The landscape of cancer genes and mutational processes in breast cancer. Nature. 2012;486(7403):400–4. pmid:22722201
- 16. Barretina J, Caponigro G, Stransky N, Venkatesan K, Margolin AA, Kim S, et al. The Cancer Cell Line Encyclopedia enables predictive modelling of anticancer drug sensitivity. Nature. 2012;483(7391):603–7. pmid:22460905
- 17. Neve RM, Chin K, Fridlyand J, Yeh J, Baehner FL, Fevr T, et al. A collection of breast cancer cell lines for the study of functionally distinct cancer subtypes. Cancer cell. 2006;10(6):515–27. pmid:17157791
- 18. Hu Z, Huang G, Sadanandam A, Gu S, Lenburg ME, Pai M, et al. The expression level of HJURP has an independent prognostic impact and predicts the sensitivity to radiotherapy in breast cancer. Breast cancer research: BCR. 2010;12(2):R18. pmid:20211017
- 19. Li H, Durbin R. Fast and accurate short read alignment with Burrows-Wheeler transform. Bioinformatics. 2009;25(14):1754–60. pmid:19451168
- 20. McKenna A, Hanna M, Banks E, Sivachenko A, Cibulskis K, Kernytsky A, et al. The Genome Analysis Toolkit: a MapReduce framework for analyzing next-generation DNA sequencing data. Genome Res. 2010;20(9):1297–303. pmid:20644199
- 21. Forbes SA, Bindal N, Bamford S, Cole C, Kok CY, Beare D, et al. COSMIC: mining complete cancer genomes in the Catalogue of Somatic Mutations in Cancer. Nucleic acids research. 2011;39(Database issue):D945–50. pmid:20952405
- 22. Sjoblom T, Jones S, Wood LD, Parsons DW, Lin J, Barber TD, et al. The consensus coding sequences of human breast and colorectal cancers. Science. 2006;314(5797):268–74. pmid:16959974
- 23. Li S, Li R, Li H, Lu J, Li Y, Bolund L, et al. SOAPindel: efficient identification of indels from short paired reads. Genome research. 2013;23(1):195–200. pmid:22972939
- 24. Kao J, Salari K, Bocanegra M, Choi YL, Girard L, Gandhi J, et al. Molecular profiling of breast cancer cell lines defines relevant tumor models and provides a resource for cancer gene discovery. PLoS One. 2009;4(7):e6146. pmid:19582160
- 25. Hollestelle A, Nagel JH, Smid M, Lam S, Elstrodt F, Wasielewski M, et al. Distinct gene mutation profiles among luminal-type and basal-type breast cancer cell lines. Breast cancer research and treatment. 2010;121(1):53–64. pmid:19593635
- 26. Wistuba II, Behrens C, Milchgrub S, Syed S, Ahmadian M, Virmani AK, et al. Comparison of features of human breast cancer cell lines and their corresponding tumors. Clinical cancer research: an official journal of the American Association for Cancer Research. 1998;4(12):2931–8.
- 27. Gao J, Aksoy BA, Dogrusoz U, Dresdner G, Gross B, Sumer SO, et al. Integrative analysis of complex cancer genomics and clinical profiles using the cBioPortal. Science signaling. 2013;6(269):pl1. pmid:23550210
- 28. Shah SP, Roth A, Goya R, Oloumi A, Ha G, Zhao Y, et al. The clonal and mutational evolution spectrum of primary triple-negative breast cancers. Nature. 2012;486(7403):395–9. pmid:22495314
- 29. Wood LD, Parsons DW, Jones S, Lin J, Sjoblom T, Leary RJ, et al. The genomic landscapes of human breast and colorectal cancers. Science. 2007;318(5853):1108–13. pmid:17932254
- 30. Galante PA, Parmigiani RB, Zhao Q, Caballero OL, de Souza JE, Navarro FC, et al. Distinct patterns of somatic alterations in a lymphoblastoid and a tumor genome derived from the same individual. Nucleic acids research. 2011;39(14):6056–68. pmid:21493686
- 31. Li J, Lupat R, Amarasinghe KC, Thompson ER, Doyle MA, Ryland GL, et al. CONTRA: copy number analysis for targeted resequencing. Bioinformatics. 2012;28(10):1307–13. pmid:22474122
- 32. Hupe P, Stransky N, Thiery JP, Radvanyi F, Barillot E. Analysis of array CGH data: from signal ratio to gain and loss of DNA regions. Bioinformatics. 2004;20(18):3413–22. pmid:15381628
- 33. Kanehisa M, Goto S, Sato Y, Kawashima M, Furumichi M, Tanabe M. Data, information, knowledge and principle: back to metabolism in KEGG. Nucleic acids research. 2014;42(Database issue):D199–205. pmid:24214961
- 34. Han J, Hendzel MJ, Allalunis-Turner J. Notch signaling as a therapeutic target for breast cancer treatment? Breast Cancer Res. 2011;13(3):210. pmid:21672271
- 35. Lobry C, Oh P, Mansour MR, Look AT, Aifantis I. Notch signaling: switching an oncogene to a tumor suppressor. Blood. 2014;123(16):2451–9. pmid:24608975
- 36. Sarrio D, Rodriguez-Pinilla SM, Hardisson D, Cano A, Moreno-Bueno G, Palacios J. Epithelial-mesenchymal transition in breast cancer relates to the basal-like phenotype. Cancer research. 2008;68(4):989–97. pmid:18281472
- 37. Lamouille S, Xu J, Derynck R. Molecular mechanisms of epithelial-mesenchymal transition. Nature reviews Molecular cell biology. 2014;15(3):178–96. pmid:24556840
- 38. Reva B, Antipin Y, Sander C. Predicting the functional impact of protein mutations: application to cancer genomics. Nucleic acids research. 2011;39(17):e118. pmid:21727090
- 39. Schwarz JM, Rodelsperger C, Schuelke M, Seelow D. MutationTaster evaluates disease-causing potential of sequence alterations. Nature methods. 2010;7(8):575–6. pmid:20676075
- 40. Kircher M, Witten DM, Jain P, O'Roak BJ, Cooper GM, Shendure J. A general framework for estimating the relative pathogenicity of human genetic variants. Nature genetics. 2014;46(3):310–5. pmid:24487276
- 41. DePristo MA, Banks E, Poplin R, Garimella KV, Maguire JR, Hartl C, et al. A framework for variation discovery and genotyping using next-generation DNA sequencing data. Nat Genet. 2011;43(5):491–8. pmid:21478889
- 42. Alexandrov LB, Nik-Zainal S, Wedge DC, Aparicio SA, Behjati S, Biankin AV, et al. Signatures of mutational processes in human cancer. Nature. 2013;500(7463):415–21. pmid:23945592
- 43. Roberts SA, Lawrence MS, Klimczak LJ, Grimm SA, Fargo D, Stojanov P, et al. An APOBEC cytidine deaminase mutagenesis pattern is widespread in human cancers. Nat Genet. 2013;45(9):970–6. pmid:23852170
- 44. Greenman C, Stephens P, Smith R, Dalgliesh GL, Hunter C, Bignell G, et al. Patterns of somatic mutation in human cancer genomes. Nature. 2007;446(7132):153–8. pmid:17344846
- 45. Stephens PJ, McBride DJ, Lin ML, Varela I, Pleasance ED, Simpson JT, et al. Complex landscapes of somatic rearrangement in human breast cancer genomes. Nature. 2009;462(7276):1005–10. pmid:20033038
- 46. Shah SP, Morin RD, Khattra J, Prentice L, Pugh T, Burleigh A, et al. Mutational evolution in a lobular breast tumour profiled at single nucleotide resolution. Nature. 2009;461(7265):809–13. pmid:19812674
- 47. Mitelman F, Johansson B, Mertens F. The impact of translocations and gene fusions on cancer causation. Nature reviews Cancer. 2007;7(4):233–45. pmid:17361217
- 48. Wang K, Li M, Hakonarson H. ANNOVAR: functional annotation of genetic variants from high-throughput sequencing data. Nucleic acids research. 2010;38(16):e164. pmid:20601685
- 49. Abaan OD, Polley EC, Davis SR, Zhu YJ, Bilke S, Walker RL, et al. The exomes of the NCI-60 panel: a genomic resource for cancer biology and systems pharmacology. Cancer research. 2013;73(14):4372–82. pmid:23856246
- 50. Liu X, Jian X, Boerwinkle E. dbNSFP v2.0: a database of human non-synonymous SNVs and their functional predictions and annotations. Human mutation. 2013;34(9):E2393–402. pmid:23843252
- 51. Landrum MJ, Lee JM, Riley GR, Jang W, Rubinstein WS, Church DM, et al. ClinVar: public archive of relationships among sequence variation and human phenotype. Nucleic acids research. 2014;42(Database issue):D980–5. pmid:24234437
- 52. Huang da W, Sherman BT, Lempicki RA. Systematic and integrative analysis of large gene lists using DAVID bioinformatics resources. Nature protocols. 2009;4(1):44–57. pmid:19131956
- 53. Parsons DW, Li M, Zhang X, Jones S, Leary RJ, Lin JC, et al. The genetic landscape of the childhood cancer medulloblastoma. Science. 2011;331(6016):435–9. pmid:21163964
- 54. Koressaar T, Remm M. Enhancements and modifications of primer design program Primer3. Bioinformatics. 2007;23(10):1289–91. pmid:17379693