RT Journal Article SR Electronic T1 Copy-number signatures and mutational processes in ovarian carcinoma JF bioRxiv FD Cold Spring Harbor Laboratory SP 174201 DO 10.1101/174201 A1 Geoff Macintyre A1 Teodora E. Goranova A1 Dilrini De Silva A1 Darren Ennis A1 Anna M. Piskorz A1 Matthew Eldridge A1 Daoud Sie A1 Liz-Anne Lewsley A1 Aishah Hanif A1 Cheryl Wilson A1 Suzanne Dowson A1 Rosalind M. Glasspool A1 Michelle Lockley A1 Elly Brockbank A1 Ana Montes A1 Axel Walther A1 Sudha Sundar A1 Richard Edmondson A1 Geoff D. Hall A1 Andrew Clamp A1 Charlie Gourley A1 Marcia Hall A1 Christina Fotopoulou A1 Hani Gabra A1 James Paul A1 Anna Supernat A1 David Millan A1 Aoisha Hoyle A1 Gareth Bryson A1 Craig Nourse A1 Laura Mincarelli A1 Luis Navarro Sanchez A1 Bauke Ylstra A1 Mercedes Jimenez-Linan A1 Luiza Moore A1 Oliver Hofmann A1 Florian Markowetz A1 Iain A. McNeish A1 James D. Brenton YR 2017 UL http://biorxiv.org/content/early/2017/09/04/174201.abstract AB Genomic complexity from profound copy-number aberration has prevented effective molecular stratification of ovarian and other cancers. Here we present a method for copy-number signature identification that decodes this complexity. We derived eight signatures using 117 shallow whole-genome sequenced high-grade serous ovarian cancer cases, which were validated on a further 497 cases. Mutational processes underlying the copy-number signatures were identified, including breakage-fusion-bridge cycles, homologous recombination deficiency and whole-genome duplication. We show that most tumours are heterogeneous and harbour multiple signature exposures. We also demonstrate that copy number signatures predict overall survival and changes in signature exposure observed in response to chemotherapy suggest potential treatment strategies.