RT Journal Article SR Electronic T1 Integrated Molecular Profiling Studies to Characterize the Cellular Origins of High-Grade Serous Ovarian Cancer JF bioRxiv FD Cold Spring Harbor Laboratory SP 330597 DO 10.1101/330597 A1 Kate Lawrenson A1 Marcos A.S. Fonseca A1 Felipe Segato A1 Janet M. Lee A1 Rosario I. Corona A1 Ji-Heui Seo A1 Simon Coetzee A1 Yvonne G. Lin A1 Tanja Pejovic A1 Paulette Mhawech-Fauceglia A1 Ronny Drapkin A1 Beth Y. Karlan A1 Dennis J. Hazelett A1 Matthew L. Freedman A1 Simon A. Gayther A1 Houtan Noushmehr YR 2018 UL http://biorxiv.org/content/early/2018/05/25/330597.abstract AB Historically, high-grade serous ovarian cancers (HGSOCs) were thought to arise from ovarian surface epithelial cells (OSECs) but recent data implicate fallopian tube secretory epithelial cells (FTSECs) as the major precursor. We performed transcriptomic and epigenomic profiling to characterize molecular similarities between OSECs, FTSECs and HGSOCs. Transcriptomic signatures of FTSECs were preserved in most HGSOCs reinforcing FTSECs as the predominant cell-of-origin; though an OSEC-like signature was associated with increased chemosensitivity (Padj = 0.03) and was enriched in proliferative-type tumors, suggesting a dualistic model for HGSOC origins. More super-enhancers (SEs) were shared between FTSECs and HGSOCs than between OSECS and HGSOCs (P < 2.2 × 10−16). SOX18, ELF3 and EHF transcription factors (TFs) coincided with HGSOC SEs and represent putative novel drivers of tumor development. Our integrative analyses support a predominantly fallopian origin for HGSOCs and indicate tumorigenesis may be driven by different TFs according to cell-of-origin.