Patterns of CDK12 genomic alterations and tandem duplication phenotype
(a) The number of samples harboring a CDK12 genomic alteration are shown for four CRPC cohorts. CDK12 alterations that lead to bi-allelic loss (CDK12BAL): homozygous deletion, 2 or more (2+) small mutations (SNV/INDEL), or 1 mutation plus a loss of heterozygosity (LOH) event. CDK12 alterations that lead to monoallelic loss (CDK12MAL): 1 small mutation or hemizygous deletion leading to LOH. Deletion was determined based on copy loss relative to the tumor ploidy. The number of CDK12-altered samples with concomitant tandem duplicator phenotype (TDP) is shown in colors; grey indicates no TDP was observed; white indicates sample was unevaluable for TDP (see Methods).The total number and percentage of samples with CDK12 alterations are shown in parentheses. Samples with less than 20% estimated tumor cellularity are excluded. UW, University of Washington Rapid Autopsy; SU2C-I, Stand-Up-2-Cancer International Dream Team; SU2C-WC, Stand-Up-2-Cancer West Coast Dream Team; HMF, Hartwig Medical Foundation.
(b) Nonsynonymous mutations in CDK12. Counts of missense (green) and truncating (black) mutations are shown on top and bottom, respectively. Mutations included are from UW, SU2C-I, SU2CWC, HMF cohorts (n=832) as well as panel based genomic testing (n=46). A total of 135 SNVs/INDELs in CDK12 are present in 89 patient samples.
(c) LOH Score for UW, SU2C-I, SU2C-WC, and HMF cohorts comparing tumors with biallelic loss of BRCA2, CDK12, TP53, or no alterations in these genes (and in BRCA1, CHD1, PALB2) for both alleles (All Intact). The LOH Score was defined as the proportion of the genome altered by copy number segments having zero minor copy number due to a deletion event but excluding aneuploidy involving whole or arm chromosome events. For each grouping, samples included are those with biallelic loss status of the specified gene only with absence of mutations from the other groups, or other recurrently mutated HR genes: BRCA1, CHD1, PALB2 or genes of other groupings. ‘All Intact’ group consists of samples that do not have biallelic loss in any of BRCA2, CDK12, TP53, BRCA1, CHD1 and PALB2. Wilcoxon rank-sum test p-value shown.
(d) Mutational signature 3 (SBS3) that is associated with homologous recombination deficiency (COSMIC v3.4) is shown for UW, SU2C-I, SU2C-WC and HMF cohorts comparing between biallelic loss of BRCA2, CDK12, TP53, or no alterations in these genes (and in BRCA1, CHD1, PALB2) for both alleles (All Intact). Presence of SBS3 requires greater than 0.05 proportion of SNVs assigned. Mann-Whitney U test p-value shown. The samples included in the groups were selected based on the same criteria as in (c).
(e) The proportion of CDK12 alterations for 46 samples determined to exhibit a TDP across four CRPC cohorts. Definitions for biallelic and monoallelic loss of CDK12 are same as in (a); intact refers to wildtype for both alleles. The number of samples harboring each CDK12 alteration category is indicated.
(f) Frequency of alteration by tandem duplications (TDs) in the 46 TDP cases. TDs were defined as simple duplication events that had flanking regions of lower copy number and length less than 10 mega base-pairs (see Methods). (Top) For each 50 kb genomic bins, the proportion of samples overlapping TDs are shown for TDP+ (grey) and TDP-cases (black). Regions with significant enrichment of TD overlap by ξ2-test of independence (red, Bonferroni adjusted p < 0.001) spanning a total of 35.8 Mb across the genome. (Middle) Cancer Gene Census oncogenes and/or fusions whereby the gene, based on its start and end coordinates, is fully contained within a TD event. Genes with significant enrichment for being altered by TDs in TDP+ samples relative to TDP-samples by Fisher’s exact test (Bonferroni adjusted p-value < 0.01) are shown in red. (Bottom) Cancer Gene Census tumor suppressor genes and/or fusions whereby the gene is transected (broken) by either side of the TD boundary or both. Genes with significant enrichment for being altered by TDs in TDP+ samples relative to TDP-samples by Fisher’s exact test (Bonferroni adjusted p-value < 0.01) are shown in blue.
(g-h) Genes enriched for being altered by TDs in TDP+ (n=46) versus TDP-(n=775) tumors. Shown are 433 COSMIC Cancer Gene Census oncogenes and fusions (g) and 390 tumor suppressor genes and fusions (h). Genes with -log10(p-value) > 5.5 and log odds ratio > 2 are shown in red for oncogenes and blue for tumor suppressors. Higher log odds ratio indicates that the proportion of the TD events altering a gene higher in TDP+ cases. Definitions of gene and TD event overlap same as in (f).
(i) AR absolute copy number distribution between cases with TDP+ (n=39) and TDP- (n=730) tumors. Mann-Whitney U test p-value is shown.
(j) The proportions of BRCA2, TP53, and PTEN genomic alteration status (MAL, BAL or intact), for the cases with CDK12BAL (n=39). Fisher’s exact test was used to compare the proportions in CDK12BAL with CDK12MAL or intact cases.