Molecular landmarks of tumor hypoxia across cancer types

Vinayak Bhandari, Christianne Hoey, Lydia Y Liu, Emilie Lalonde, Jessica Ray, Julie Livingstone, Robert Lesurf, Yu-Jia Shiah, Tina Vujcic, Xiaoyong Huang, Shadrielle M G Espiritu, Lawrence E Heisler, Fouad Yousif, Vincent Huang, Takafumi N Yamaguchi, Cindy Q Yao, Veronica Y Sabelnykova, Michael Fraser, Melvin L K Chua, Theodorus van der KwastStanley K Liu, Paul C Boutros, Robert G Bristow

Research output: Contribution to journalArticlepeer-review

Abstract

Many primary-tumor subregions have low levels of molecular oxygen, termed hypoxia. Hypoxic tumors are at elevated risk for local failure and distant metastasis, but the molecular hallmarks of tumor hypoxia remain poorly defined. To fill this gap, we quantified hypoxia in 8,006 tumors across 19 tumor types. In ten tumor types, hypoxia was associated with elevated genomic instability. In all 19 tumor types, hypoxic tumors exhibited characteristic driver-mutation signatures. We observed widespread hypoxia-associated dysregulation of microRNAs (miRNAs) across cancers and functionally validated miR-133a-3p as a hypoxia-modulated miRNA. In localized prostate cancer, hypoxia was associated with elevated rates of chromothripsis, allelic loss of PTEN and shorter telomeres. These associations are particularly enriched in polyclonal tumors, representing a constellation of features resembling tumor nimbosus, an aggressive cellular phenotype. Overall, this work establishes that tumor hypoxia may drive aggressive molecular features across cancers and shape the clinical trajectory of individual tumors.

Original languageEnglish
Pages (from-to)308-318
Number of pages11
JournalNature Genetics
Volume51
Issue number2
Early online date14 Jan 2019
DOIs
Publication statusPublished - 1 Feb 2019

Keywords

  • Alleles
  • Cell Line, Tumor
  • Chromothripsis
  • Gene Expression Profiling/methods
  • Gene Expression Regulation, Neoplastic/genetics
  • Genomic Instability/genetics
  • Humans
  • Hypoxia/genetics
  • Male
  • MicroRNAs/genetics
  • PC-3 Cells
  • PTEN Phosphohydrolase/genetics
  • Prostatic Neoplasms/genetics
  • Telomere/genetics
  • Tumor Hypoxia/genetics

Research Beacons, Institutes and Platforms

  • Lydia Becker Institute
  • Manchester Cancer Research Centre

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