Clonal evolution in relapsed acute myeloid leukaemia revealed by whole-genome sequencing

Most patients with acute myeloid leukaemia (AML) die from progressive disease after relapse, which is associated with clonal evolution at the cytogenetic level. To determine the mutational spectrum associated with relapse, we sequenced the primary tumour and relapse genomes from eight AML patients, and validated hundreds of somatic mutations using deep sequencing; this allowed us to define clonality and clonal evolution patterns precisely at relapse. In addition to discovering novel, recurrently mutated genes (for example, WAC, SMC3, DIS3, DDX41 and DAXX) in AML, we also found two major clonal evolution patterns during AML relapse: (1) the founding clone in the primary tumour gained mutations and evolved into the relapse clone, or (2) a subclone of the founding clone survived initial therapy, gained additional mutations and expanded at relapse. In all cases, chemotherapy failed to eradicate the founding clone. The comparison of relapse-specific versus primary tumour mutations in all eight cases revealed an increase in transversions, probably due to DNA damage caused by cytotoxic chemotherapy. These data demonstrate that AML relapse is associated with the addition of new mutations and clonal evolution, which is shaped, in part, by the chemotherapy that the patients receive to establish and maintain remissions.     

地球在碰撞中运行

对太阳系的探测表明,陨石撞击是行星表面的形成及日后演变的一个重要进程。例如,月亮表面满是陨痕累累的高地及低洼的、布满熔岩的盆地。遍布陨石坑的高地表明,最初的月球外壳及盆地是38亿年以前、月球形成最后阶段中所发生的巨大碰撞的结果。这些盆地是由直径为10～50公里的物体撞击出来的,后来,陨石坑为大熔岩所填充,就成了现在大家所熟知的平坦的玄武岩平原,即月球海。地球表面一定也曾发生过类似的碰撞。这些巨大的碰撞可能是地壳由早先的模样演变成现今海洋和大陆板