RT Journal Article SR Electronic T1 The landscape of somatic mutation in normal colorectal epithelial cells JF bioRxiv FD Cold Spring Harbor Laboratory SP 416800 DO 10.1101/416800 A1 Henry Lee-Six A1 Peter Ellis A1 Robert J. Osborne A1 Mathijs A. Sanders A1 Luiza Moore A1 Nikitas Georgakopoulos A1 Franco Torrente A1 Ayesha Noorani A1 Martin Goddard A1 Philip Robinson A1 Tim H. H. Coorens A1 Laura O’Neill A1 Christopher Alder A1 Jingwei Wang A1 Rebecca C. Fitzgerald A1 Matthias Zilbauer A1 Nicholas Coleman A1 Kourosh Saeb-Parsy A1 Inigo Martincorena A1 Peter J. Campbell A1 Michael R. Stratton YR 2018 UL http://biorxiv.org/content/early/2018/09/13/416800.abstract AB The colorectal adenoma-carcinoma sequence has provided a paradigmatic framework for understanding the successive somatic genetic changes and consequent clonal expansions leading to cancer. As for most cancer types, however, understanding of the earliest phases of colorectal neoplastic change, which may occur in morphologically normal tissue, is comparatively limited because of the difficulty of detecting somatic mutations in normal cells. Each colorectal crypt is a small clone of cells derived from a single recently-existing stem cell. Here, we whole genome sequenced hundreds of normal crypts from 42 individuals. Signatures of multiple mutational processes were revealed, some ubiquitous and continuous, others only found in some individuals, in some crypts or during some phases of the cell lineage from zygote to adult cell. Likely driver mutations were present in ∼1% of normal colorectal crypts in middle-aged individuals, indicating that adenomas and carcinomas are rare outcomes of a pervasive process of neoplastic change across morphologically normal colorectal epithelium.