RT Journal Article SR Electronic T1 Phenotypic plasticity and genetic control in colorectal cancer evolution JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.07.18.451272 DO 10.1101/2021.07.18.451272 A1 Jacob Househam A1 Timon Heide A1 George D Cresswell A1 Claire Lynn A1 Inmaculada Spiteri A1 Max Mossner A1 Chris Kimberley A1 Calum Gabbutt A1 Eszter Lakatos A1 Javier Fernandez-Mateos A1 Bingjie Chen A1 Luis Zapata A1 Chela James A1 Alison Berner A1 Melissa Schmidt A1 Ann-Marie Baker A1 Daniel Nichol A1 Helena Costa A1 Miriam Mitchinson A1 Marnix Jansen A1 Giulio Caravagna A1 Darryl Shibata A1 John Bridgewater A1 Manuel Rodriguez-Justo A1 Luca Magnani A1 Andrea Sottoriva A1 Trevor A Graham YR 2021 UL http://biorxiv.org/content/early/2021/07/19/2021.07.18.451272.abstract AB Cancer evolution is driven by natural selection acting upon phenotypic trait variation. However, the extent to which phenotypic variation within a tumour is a consequence of intra-tumour genetic heterogeneity remains undetermined. Here we show that colorectal cancer cells frequently have highly plastic phenotypic traits in vivo in patient tumours. We measured the degree to which trait variation reflects genetic ancestry by quantifying the phylogenetic signal of gene expression across 297 samples with multi-region paired whole genome and transcriptome sequencing collected from 27 primary colorectal cancers. Within-tumour phylogenetic signal for genes and pathways was detected only infrequently, suggesting that the majority of intra-tumour variation in gene expression programmes was not strongly heritable. Expression quantitative trait loci analyses (eQTL) identified a small number of putative mechanisms of genetic control of gene expression due to the cis-acting coding, non-coding and structural genetic alteration, but most gene expression variation was not explained by our genetic analysis. Leveraging matched chromatin-accessibility sequencing data, enhancer mutations with cis regulatory effects on gene expression were associated with a change in chromatin accessibility, indicating that non-coding variation can have phenotypic consequence through modulation of the 3D architecture of the genome. This study maps the evolution of transcriptional variation during cancer evolution, highlighting that intra-tumour phenotypic plasticity is pervasive in colorectal malignancies, and may play key roles in further tumour evolution, from metastasis to therapy resistance.Competing Interest StatementThe authors have declared no competing interest.