Work

Genetic similarity between cancers and comorbid Mendelian diseases identifies candidate driver genes

Year: 2015
Type: article
Abstract: Despite large-scale cancer genomics studies, key somatic mutations driving cancer, and their functional roles, remain elusive. Here, we propose that analysis of comorbidities of Mendelian diseases with cancers provides a novel, systematic way to discover new cancer genes. If germline genetic variation in Mendelian loci predisposes bearers to common cancers, the same loci may harbour cancer-associated somatic variation. Compilations of clinical records spanning over 100 million patients provide an unprecedented opportunity to assess clinical associations between Mendelian diseases and cancers. We systematically compare these comorbidities against recurrent somatic mutations from more than 5,000 patients across many cancers. Using multiple measures of genetic similarity, we show that a Mendelian disease and comorbid cancer indeed have genetic alterations of significant functional similarity. This result provides a basis to identify candidate drivers in cancers including melanoma and glioblastoma. Some Mendelian diseases demonstrate ‘pan-cancer’ comorbidity and shared genetics across cancers. Historically, Mendelian disorders were used to provide the first insight into cancer-associated genes. Here Melamed et al.use the unprecedented scope of electronic health records to explore genetic relationships and uncover potentially new drivers of cancer.
Language: English
Subfield: Cancer Research
Open Access status: gold
Estimated APC paid: $6,990
OpenAlex ID: W2050849384
FWCI: 1.982
Cites: 60
Cited by: 41
Related to: 10