Driver Fusions and Their Implications in the Development and Treatment of Human Cancers.

Journal Article (Journal Article)

Gene fusions represent an important class of somatic alterations in cancer. We systematically investigated fusions in 9,624 tumors across 33 cancer types using multiple fusion calling tools. We identified a total of 25,664 fusions, with a 63% validation rate. Integration of gene expression, copy number, and fusion annotation data revealed that fusions involving oncogenes tend to exhibit increased expression, whereas fusions involving tumor suppressors have the opposite effect. For fusions involving kinases, we found 1,275 with an intact kinase domain, the proportion of which varied significantly across cancer types. Our study suggests that fusions drive the development of 16.5% of cancer cases and function as the sole driver in more than 1% of them. Finally, we identified druggable fusions involving genes such as TMPRSS2, RET, FGFR3, ALK, and ESR1 in 6.0% of cases, and we predicted immunogenic peptides, suggesting that fusions may provide leads for targeted drug and immune therapy.

Full Text

Duke Authors

Cited Authors

  • Gao, Q; Liang, W-W; Foltz, SM; Mutharasu, G; Jayasinghe, RG; Cao, S; Liao, W-W; Reynolds, SM; Wyczalkowski, MA; Yao, L; Yu, L; Sun, SQ; Fusion Analysis Working Group, ; Cancer Genome Atlas Research Network, ; Chen, K; Lazar, AJ; Fields, RC; Wendl, MC; Van Tine, BA; Vij, R; Chen, F; Nykter, M; Shmulevich, I; Ding, L

Published Date

  • April 3, 2018

Published In

Volume / Issue

  • 23 / 1

Start / End Page

  • 227 - 238.e3

PubMed ID

  • 29617662

Pubmed Central ID

  • PMC5916809

Electronic International Standard Serial Number (EISSN)

  • 2211-1247

Digital Object Identifier (DOI)

  • 10.1016/j.celrep.2018.03.050


  • eng

Conference Location

  • United States