RT Journal Article SR Electronic T1 Copy-number signatures and mutational processes in ovarian carcinoma JF bioRxiv FD Cold Spring Harbor Laboratory SP 174201 DO 10.1101/174201 A1 Geoff Macintyre A1 Teodora E. Goranova A1 Dilrini De Silva A1 Darren Ennis A1 Anna M. Piskorz A1 Matthew Eldridge A1 Daoud Sie A1 Liz-Anne Lewsley A1 Aishah Hanif A1 Cheryl Wilson A1 Suzanne Dowson A1 Rosalind M. Glasspool A1 Michelle Lockley A1 Elly Brockbank A1 Ana Montes A1 Axel Walther A1 Sudha Sundar A1 Richard Edmondson A1 Geoff D. Hall A1 Andrew Clamp A1 Charlie Gourley A1 Marcia Hall A1 Christina Fotopoulou A1 Hani Gabra A1 James Paul A1 Anna Supernat A1 David Millan A1 Aoisha Hoyle A1 Gareth Bryson A1 Craig Nourse A1 Laura Mincarelli A1 Luis Navarro Sanchez A1 Bauke Ylstra A1 Mercedes Jimenez-Linan A1 Luiza Moore A1 Oliver Hofmann A1 Florian Markowetz A1 Iain A. McNeish A1 James D. Brenton YR 2017 UL http://biorxiv.org/content/early/2017/08/09/174201.abstract AB Tumours with profound copy-number aberration elude molecular stratification due to their genomic complexity. By representing this complexity as a mixture of copy-number signatures, we provide molecular explanations for differing clinical outcomes. Here we present a method for copy-number signature identification, deriving eight signatures in 117 shallow whole-genome sequenced high-grade serous ovarian cancers (HGSOC), which validated on independent cohorts of 95 deep whole-genome sequenced, and 402 SNP array-profiled cases. Three copy-number signatures predicted longer overall survival, while the others predicted poorer outcome. We found evidence for the mutational processes giving rise to copy-number change for six of the eight signatures via correlations with other genomic features. Our results provide insights into the pathogenesis of HGSOC by uncovering multiple mutational processes that shape genomes following TP53 mutation. Importantly, our work shows that most HGSOC have a mixture of mutational processes suggesting that targeting a single mutator phenotype may be therapeutically suboptimal.