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Chapter 2 - University of British Columbia

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obtained, pr<strong>of</strong>iled and used as the control. While it has been shown that unmatched references<br />

can be used to detect UPD, the resultant UPD may not be called correctly all the time. Finally,<br />

the progression from call-based approaches to allele specific copy number-based approaches<br />

can also increase the detection <strong>of</strong> UPD [6, 12]. Taken together, these improvements could<br />

explain the observed results.<br />

While it is interesting to observe these frequent regions <strong>of</strong> UPD in the lung adenocarcinoma<br />

genome, the larger implications <strong>of</strong> these findings may not be readily apparent. In the cases <strong>of</strong><br />

somatically mutated oncogenes or tumor suppressor genes, the existence <strong>of</strong> UPD in these<br />

cases is clear as UPD is used to select the mutated allele to result in a homozygous mutation<br />

state. We have previously shown that mutant allelic specific imbalance (MASI), either through<br />

allele specific amplification or UPD, is associated with a poorer prognosis [20]. To assess the<br />

prevalence <strong>of</strong> UPD at homozygously mutated oncogene sites, we analyzed cancer cell lines<br />

encompassing multiple cancer types for UPD at mutated oncogenes. While the most frequent<br />

genomic alteration observed is copy number gain, frequent UPD also occurs. The distribution<br />

<strong>of</strong> alterations observed across all genes is consistent with the most frequently mutated<br />

oncogenes, KRAS and BRAF. The result <strong>of</strong> these UPD events is preferential expression <strong>of</strong> the<br />

mutated allele.<br />

It should also be noted that with the amount <strong>of</strong> frequent UPD detected, there are regions likely<br />

selected for reasons other than somatic mutation. For example, like in the cases <strong>of</strong> imprinted<br />

regions, there could be preferential selection <strong>of</strong> an unmethylated or methylated allele which in<br />

turn, could regulate downstream gene expression. Previous studies have assessed the<br />

relationship between regions <strong>of</strong> UPD and DNA methylation patterns in cancer [8, 34, 35].<br />

Alternatively, in order to achieve downstream differential expression, in addition to preferential<br />

selection based on methylation, it has also been shown that for a given gene, transcription may<br />

involve only one <strong>of</strong> the alleles [36-39] and thus, selection may be based on transcriptional<br />

efficiency. Hence, it is important that the genetic data on UPD be integrated with methylation<br />

86

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