In bladder cancers (three cases), there is a marked
DBS pattern despite low mutational burden
(0.15 to 8 subs/Mb). The cause for this curious
difference in tissue behavior is unclear.
SBS109 is a C>A pattern with tall peaks at
NCA and NCT, although the tallest peaks
are primarily located at ACA and TCT. Only
seven bladder cancers demonstrate this pheno-
type, and it does not have any associated DBS
or TSB. The mutation burden is also low, at
only 0.3 to 3 subs/Mb. SBS107 is seen at low
levels in bladder and kidney cancers (0.04 to
Degasperiet al.,Science 376 , eabl9283 (2022) 22 April 2022 9 of 15
SBS7a
0.000.05
0.10
0.150.20
0.25
C>A C>G C>T T>A T>C T>G
GEL
275
Hartwig 262
ICGC
97
SBS38
0.000.05
0.10
0.150.20
0.25
C>A C>G C>T T>A T>C T>G
GEL
30
Hartwig 62
ICGC
17
SBS129
0.0
0.1
0.2
0.3
0.4
C>A C>G C>T T>A T>C T>G
GEL
2
Hartwig 0
ICGC
0
SBS137
0.00
0.05
0.10
0.15
0.20
C>A C>G C>T T>A T>C T>G
GEL
2
Hartwig 0
ICGC
0
SBS22
0.000.02
0.040.06
0.080.10
0.12
C>A C>G C>T T>A T>C T>G
GEL
3
Hartwig 2
ICGC
45
SBS113
0.000.01
0.020.03
0.040.05
0.060.07
C>A C>G C>T T>A T>C T>G
GEL
3
Hartwig 0
ICGC
0
SBS31
0.000.02
0.040.06
0.080.10
0.120.14
C>A C>G C>T T>A T>C T>G
GEL
48
ICGC
2
SBS35
0.00
0.01
0.02
0.03
0.04
C>A C>G C>T T>A T>C T>G
GEL
0
Hartwig 431
ICGC
301
SBS104
0.00
0.050.10
0.15
0.20
0.25
C>A C>G C>T T>A T>C T>G
GEL
0
Hartwig 2
ICGC
0
SBS111
0.000.01
0.020.03
0.040.05
0.06
C>A C>G C>T T>A T>C T>G
GEL
8
Hartwig 95
ICGC
0
SBS112
0.00
0.02
0.040.06
0.08
0.10
C>A C>G C>T T>A T>C T>G
GEL
4
Hartwig 26
ICGC
0
SBS4
0.000.01
0.020.03
0.040.05
0.06
C>A C>G C>T T>A T>C T>G
GEL
898
Hartwig 346
ICGC
301
SBS94
0.000.02
0.040.06
0.080.10
0.120.14
C>A C>G C>T T>A T>C T>G
GEL
13
Hartwig 3
ICGC
1
SBS107
0.000.01
0.020.03
0.040.05
0.06
C>A C>G C>T T>A T>C T>G
GEL
1461
Hartwig 92
ICGC
403
SBS109
0.000.02
0.040.06
0.080.10
0.12
C>A C>G C>T T>A T>C T>G
GEL
7
Hartwig 66
ICGC
0
Biliary
Bladder
Bone_SoftTissue
Breast
CNS
Colorectal
Esophagus
Head_neck
Kidney
Liver
Lung
Lymphoid
Myeloid
NET
Oral_Oropharyngeal
Ovary
Pancreas
Prostate
Skin
Stomach
Uterus
A
C
D
F
Signatures occurring at CCN and TCN, similar to UV-related SBS7a
Signatures presenting T>A, with similarities to AAI-associated SBS22
Signatures indicating prior platinum exposure
Signatures with strong C>A components,
with similarities to tobacco-associated SBS4
-0.5
0.0
0.5
1.0
Pearson correlation
DBS1SBS7aDBS1SBS38DBS1
SBS129
DBS1
SBS137
GEL
ICGC
Hartwig
8 12211 200 100
-0.5
0.0
0.5
1.0
Pearson correlation
DBS5+18
SBS31
DBS5+18
SBS35
DBS5+18SBS104DBS5+18SBS111DBS5+18SBS112
8 1 11 024 002 1 03 203
-0.5
0.0
0.5
1.0
Pearson correlation
DBS2SBS4 DBS2SBS94DBS2
SBS107
DBS2
SBS109
736 201 2 10 10 1
Correlation of exposures,
UV-like signatures
Correlation of exposures,
platinum-like signatures
Correlation of exposures,
tobacco-like signatures
B
E
G
Hartwig 559
Fig. 5. Signatures associated with environmental mutational processes.
(A) SBS signatures occurring at CCN and TCN, with similarities to UV-related
SBS7a. (B) Correlations of the signatures in (A) with DBS signatures. (C) SBS
signatures presenting T>A, with similarities to AAI-associated SBS22. (D) SBS
signatures indicating prior platinum exposure. (E) Correlations of the
signatures in (D) with DBS signatures. (F) SBS signatures presenting C>A with
similarities to tobacco-associated SBS4. (G) Correlation of the signatures in (F)
with DBS signatures. The number in each column indicates the number of
organs implicated in the correlative analyses. A correlation is computed
independently for each organ, and correlations are displayed as a box plot.
Box plots denote median (horizontal line) and 25th to 75th percentiles (boxes).
The lower and upper whiskers extend 1.5 × IQR.
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