RT Journal Article SR Electronic T1 The evolutionary history of 2,658 cancers JF bioRxiv FD Cold Spring Harbor Laboratory SP 161562 DO 10.1101/161562 A1 Moritz Gerstung A1 Clemency Jolly A1 Ignaty Leshchiner A1 Stefan C. Dentro A1 Santiago Gonzalez A1 Thomas J. Mitchell A1 Yulia Rubanova A1 Pavana Anur A1 Daniel Rosebrock A1 Kaixan Yu A1 Maxime Tarabichi A1 Amit Deshwar A1 Jeff Wintersinger A1 Kortine Kleinheinz A1 Ignacio Vázquez-García A1 Kerstin Haase A1 Subhajit Sengupta A1 Geoff Macintyre A1 Salem Malikic A1 Nilgun Donmez A1 Dimitri G. Livitz A1 Marek Cmero A1 Jonas Demeulemeester A1 Steve Schumacher A1 Yu Fan A1 Xiaotong Yao A1 Juhee Lee A1 Matthias Schlesner A1 Paul C. Boutros A1 David D. Bowtell A1 Hongtu Zhu A1 Gad Getz A1 Marcin Imielinski A1 Rameen Beroukhim A1 S. Cenk Sahinalp A1 Yuan Ji A1 Martin Peifer A1 Florian Markowetz A1 Ville Mustonen A1 Ke Yuan A1 Wenyi Wang A1 Quaid D. Morris A1 Paul T. Spellman A1 David C. Wedge A1 Peter Van Loo A1 on behalf of the PCAWG Evolution and Heterogeneity Working Group A1 the PCAWG network A1 Stefan C. Dentro A1 Ignaty Leshchiner A1 Moritz Gerstung A1 Clemency Jolly A1 Kerstin Haase A1 Jeff Wintersinger A1 Pavana Anur A1 Rameen Beroukhim A1 Paul C. Boutros A1 David D. Bowtell A1 Peter J. Campbell A1 Elizabeth L. Christie A1 Marek Cmero A1 Yupeng Cun A1 Kevin Dawson A1 Jonas Demeulemeester A1 Amit Deshwar A1 Nilgun Donmez A1 Roland Eils A1 Yu Fan A1 Matthew Fittall A1 Dale W. Garsed A1 Gad Getz A1 Santiago Gonzalez A1 Gavin Ha A1 Marcin Imielinski A1 Yuan Ji A1 Kortine Kleinheinz A1 Juhee Lee A1 Henry Lee-Six A1 Dimitri G. Livitz A1 Geoff Macintyre A1 Salem Malikic A1 Florian Markowetz A1 Inigo Martincorena A1 Thomas J. Mitchell A1 Ville Mustonen A1 Layla Oesper A1 Martin Peifer A1 Myron Peto A1 Benjamin J. Raphael A1 Daniel Rosebrock A1 Yulia Rubanova A1 S. Cenk Sahinalp A1 Salcedo Adriana A1 Matthias Schlesner A1 Steve Schumacher A1 Subhajit Sengupta A1 Lincoln D. Stein A1 Maxime Tarabichi A1 Ignacio Vázquez-García A1 Shankar Vembu A1 Wenyi Wang A1 David A. Wheeler A1 Tsun-Po Yang A1 Xiaotong Yao A1 Fouad Yousif A1 Kaixian Yu A1 Ke Yuan A1 Hongtu Zhu A1 Quaid D. Morris A1 Paul T. Spellman A1 David C. Wedge A1 Peter Van Loo YR 2017 UL http://biorxiv.org/content/early/2017/07/11/161562.abstract AB Cancer develops through a process of somatic evolution. Here, we reconstruct the evolutionary history of 2,778 tumour samples from 2,658 donors spanning 39 cancer types. Characteristic copy number gains, such as trisomy 7 in glioblastoma or isochromosome 17q in medulloblastoma, are found amongst the earliest events in tumour evolution. The early phases of oncogenesis are driven by point mutations in a restricted set of cancer genes, often including biallelic inactivation of tumour suppressors. By contrast, increased genomic instability, a more than three-fold diversification of driver genes, and an acceleration of mutational processes are features of later stages. Clock-like mutations yield estimates for whole genome duplications and subclonal diversification in chronological time. Our results suggest that driver mutations often precede diagnosis by many years, and in some cases decades. Taken together, these data reveal common and divergent trajectories of cancer evolution, pivotal for understanding tumour biology and guiding early cancer detection.