PT - JOURNAL ARTICLE AU - Christopher J. Minteer AU - Kyra Thrush AU - Peter Niimi AU - Joel Rozowsky AU - Jason Liu AU - Mor Frank AU - Thomas McCabe AU - Erin Hofstatter AU - Mariya Rozenblit AU - Lajos Pusztai AU - Kenneth Beckman AU - Mark Gerstein AU - Morgan E. Levine TI - Revisiting the bad luck hypothesis: Cancer risk and aging are linked to replication-driven changes to the epigenome AID - 10.1101/2022.09.14.507975 DP - 2022 Jan 01 TA - bioRxiv PG - 2022.09.14.507975 4099 - http://biorxiv.org/content/early/2022/09/17/2022.09.14.507975.short 4100 - http://biorxiv.org/content/early/2022/09/17/2022.09.14.507975.full AB - Aging is the leading risk factor for cancer. While it’s been proposed that the age-related accumulation of somatic mutations drives this relationship, it is likely not the full story. Here, we show that both aging and cancer share a common epigenetic replication signature, which we modeled from DNA methylation data in extensively passaged immortalized human cells in vitro and tested on clinical tissues. This epigenetic signature of replication – termed CellDRIFT – increased with age across multiple tissues, distinguished tumor from normal tissue, and was escalated in normal breast tissue from cancer patients. Additionally, within-person tissue differences were correlated with both predicted lifetime tissue-specific stem cell divisions and tissue-specific cancer risk. Overall, our findings suggest that age-related replication drives epigenetic changes in cells, pushing them towards a more tumorigenic state.One sentence summary Cellular replication leaves an epigenetic fingerprint that may partially underly the age-associated increase in cancer risk.Competing Interest StatementThe authors have declared no competing interest.