RT Journal Article SR Electronic T1 Distinct mutational processes shape selection of MHC class I and class II mutations across primary and metastatic tumors JF bioRxiv FD Cold Spring Harbor Laboratory SP 2023.01.22.523447 DO 10.1101/2023.01.22.523447 A1 Michael B. Mumphrey A1 Noshad Hosseini A1 Abhijit Parolia A1 Jie Geng A1 Weiping Zou A1 Malini Raghavan A1 Arul Chinnaiyan A1 Marcin Cieslik YR 2023 UL http://biorxiv.org/content/early/2023/01/22/2023.01.22.523447.abstract AB Disruption of antigen presentation via loss of MHC expression is a strategy whereby cancer cells escape immune surveillance and develop resistance to immunotherapy. We developed the personalized genomics algorithm Hapster and accurately called somatic mutations within the MHC genes of 10,001 primary and 2,199 metastatic tumors, creating a catalog of 1663 nonsynonymous mutations that provide key insights into MHC mutagenesis. We found that MHC-I genes are among the most frequently mutated genes in both primary and metastatic tumors, while MHC-II mutations are more restricted. Recurrent deleterious mutations are found within haplotype and cancer-type specific hotspots associated with distinct mutational processes. Functional classification of MHC residues revealed significant positive selection for mutations disruptive to the B2M, peptide, and T-cell binding interfaces, as well as MHC chaperones. At the cohort level, all cancers with positive selection for MHC mutations are responsive to immune checkpoint inhibitors, underscoring the translational relevance of our findings.Competing Interest StatementThe authors have declared no competing interest.