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• Mutational landscape of normal epithelial cells in Lynch Syndrome patients

  Lynch Syndrome (LS) is an autosomal dominant disease conferring a high risk of colorectal cancer due to germline heterozygous mutations in a DNA mismatch repair (MMR) gene. Although cancers in LS patients show elevated somatic mutation burdens, information on mutation rates in normal tissues and understanding of the trajectory from normal to cancer cell is limited. Here we whole-genome sequenced 152 crypts from normal and neoplastic epithelial tissues from LS patients. In normal tissues the repertoire of mutational processes and mutation rates were similar to those found in wild type individuals. A morphologically normal colonic crypt with an increased mutation burden and mutational signatures consistent with MMR deficiency was identified, which may represent a very early stage of LS pathogenesis. Phylogenetic tress of tumour crypts indicated that the most recent ancestor cell of each tumour was already MMR deficient and had experienced multiple clonal evolution cycles. This study demonstrates the genomic stability of epithelial cells with heterozygous germline MMR gene mutations and highlights important differences in the pathogenesis of LS from other colorectal cancer predisposition syndromes.

  Dataset EGAD00001008092

• Neutrophils as effector cells in resistance to infection by Mtb

  Dac EGAC00001003255

• Latency and interval therapy affect the evolution in metastatic colorectal cancer.

  Dac EGAC00001001198

• The mutational landscape of skin tumours in CYLD cutaneous syndrome

  Dac EGAC00001001305

• TCR sequencing of TIL in breast cancer data access committee

  Dac EGAC00001003173

• RMS_Infinium450K

  Infinium 450K in Rhabdomyosarcoma

  Dataset EGAD00010000897

• Mechanisms of duodenal adenoma development in familial polyposis syndromes

  Study EGAS00001006561

• Resident memory CD8 T cell in human lung cancer

  Study EGAS00001004707

• APOBEC mutagenesis in EGFR mutant TKI resistance NSCLCs

  Study EGAS00001005526

• Exome sequencing in CLL re-treated with venetoclax

  Study EGAS00001006158