RT Journal Article SR Electronic T1 Microhomology-mediated end joining drives complex rearrangements and over-expression of MYC and PVT1 in multiple myeloma JF bioRxiv FD Cold Spring Harbor Laboratory SP 515106 DO 10.1101/515106 A1 Aneta Mikulasova A1 Cody Ashby A1 Ruslana G. Tytarenko A1 Pingping Qu A1 Adam Rosenthal A1 Judith A. Dent A1 Katie R. Ryan A1 Michael A. Bauer A1 Christopher P. Wardell A1 Antje Hoering A1 Konstantinos Mavrommatis A1 Matthew Trotter A1 Shayu Deshpande A1 Shmuel Yaccoby A1 Erming Tian A1 Jonathan Keats A1 Daniel Auclair A1 Graham H. Jackson A1 Faith E. Davies A1 Anjan Thakurta A1 Gareth J. Morgan A1 Brian A. Walker YR 2019 UL http://biorxiv.org/content/early/2019/06/24/515106.abstract AB MYC is a widely acting transcription factor and its deregulation is a crucial event in many human cancers. MYC is important biologically and clinically in multiple myeloma, but the mechanisms underlying its dysregulation are poorly understood. We show that MYC rearrangements are present in 36.0% of newly diagnosed myeloma patients, as detected in the largest set of next generation sequencing data to date (n=1267). Rearrangements were complex and associated with increased expression of MYC and PVT1, but not other genes at 8q24. The highest effect on gene expression was detected in cases where the MYC locus is juxtaposed next to super-enhancers associated with genes such as IGH, IGK, IGL, TXNDC5/BMP6, FAM46C and FOXO3. We identified three hotspots of recombination at 8q24, one of which is enriched for IGH-MYC translocations. Breakpoint analysis indicates primary myeloma rearrangements involving the IGH locus occur through non-homologous end joining, whereas secondary MYC rearrangements occur through microhomology-mediated end joining. This mechanism is different to lymphomas, where non-homologous end joining generates MYC rearrangements. Rearrangements resulted in over-expression of key genes and ChIP-seq identified that HK2, a member of the glucose metabolism pathway, is directly over-expressed through binding of MYC at its promoter.