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author Esenturk, Emre
Sahli, Atef
Haberland, Valeriia
Ziuboniewicz, Aleksandra
Wirth, Christopher
Bova, G. Steven
Bristow, Robert G
Brook, Mark N
Brors, Benedikt
Butler, Adam
Cancel-Tassin, Géraldine
Cheng, Kevin CL
Cooper, Colin S
Corcoran, Niall M
Cussenot, Olivier
Eeles, Ros A
Favero, Francesco
Gerhauser, Clarissa
Gihawi, Abraham
Girma, Etsehiwot G
Gnanapragasam, Vincent J
Gruber, Andreas J
Hamid, Anis
Hayes, Vanessa M
He, Housheng Hansen
Hovens, Christopher M
Imada, Eddie Luidy
Jakobsdottir, G. Maria
Jung, Chol-hee
Khani, Francesca
Kote-Jarai, Zsofia
Lamy, Philippe
Leeman, Gregory
Loda, Massimo
Lutsik, Pavlo
Marchionni, Luigi
Molania, Ramyar
Papenfuss, Anthony T
Pellegrina, Diogo
Pope, Bernard
Queiroz, Lucio R
Rausch, Tobias
Reimand, Jüri
Robinson, Brian
Schlomm, Thorsten
Sørensen, Karina D
Uhrig, Sebastian
Weischenfeldt, Joachim
Xu, Yaobo
Yamaguchi, Takafumi N
Zanettini, Claudio
Lynch, Andy G
Wedge, David C
Brewer, Daniel S
Woodcock, Dan J
author_facet Esenturk, Emre
Sahli, Atef
Haberland, Valeriia
Ziuboniewicz, Aleksandra
Wirth, Christopher
Bova, G. Steven
Bristow, Robert G
Brook, Mark N
Brors, Benedikt
Butler, Adam
Cancel-Tassin, Géraldine
Cheng, Kevin CL
Cooper, Colin S
Corcoran, Niall M
Cussenot, Olivier
Eeles, Ros A
Favero, Francesco
Gerhauser, Clarissa
Gihawi, Abraham
Girma, Etsehiwot G
Gnanapragasam, Vincent J
Gruber, Andreas J
Hamid, Anis
Hayes, Vanessa M
He, Housheng Hansen
Hovens, Christopher M
Imada, Eddie Luidy
Jakobsdottir, G. Maria
Jung, Chol-hee
Khani, Francesca
Kote-Jarai, Zsofia
Lamy, Philippe
Leeman, Gregory
Loda, Massimo
Lutsik, Pavlo
Marchionni, Luigi
Molania, Ramyar
Papenfuss, Anthony T
Pellegrina, Diogo
Pope, Bernard
Queiroz, Lucio R
Rausch, Tobias
Reimand, Jüri
Robinson, Brian
Schlomm, Thorsten
Sørensen, Karina D
Uhrig, Sebastian
Weischenfeldt, Joachim
Xu, Yaobo
Yamaguchi, Takafumi N
Zanettini, Claudio
Lynch, Andy G
Wedge, David C
Brewer, Daniel S
Woodcock, Dan J
contents Cancer progression involves the sequential accumulation of genetic alterations that cumulatively shape the tumour phenotype. In prostate cancer, tumours can follow divergent evolutionary trajectories that lead to distinct subtypes, but the causes of this divergence remain unclear. While causal inference could elucidate the factors involved, conventional methods are unsuitable due to the possibility of unobserved confounders and ambiguity in the direction of causality. Here, we propose a method that circumvents these issues and apply it to genomic data from 829 prostate cancer patients. We identify several genetic alterations that drive divergence as well as others that prevent this transition, locking tumours into one trajectory. Further analysis reveals that these genetic alterations may cause each other, implying a positive-feedback loop that accelerates divergence. Our findings provide insights into how cancer subtypes emerge and offer a foundation for genomic surveillance strategies aimed at monitoring the progression of prostate cancer.
format Preprint
id arxiv_https___arxiv_org_abs_2503_13189
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Causes of evolutionary divergence in prostate cancer
Esenturk, Emre
Sahli, Atef
Haberland, Valeriia
Ziuboniewicz, Aleksandra
Wirth, Christopher
Bova, G. Steven
Bristow, Robert G
Brook, Mark N
Brors, Benedikt
Butler, Adam
Cancel-Tassin, Géraldine
Cheng, Kevin CL
Cooper, Colin S
Corcoran, Niall M
Cussenot, Olivier
Eeles, Ros A
Favero, Francesco
Gerhauser, Clarissa
Gihawi, Abraham
Girma, Etsehiwot G
Gnanapragasam, Vincent J
Gruber, Andreas J
Hamid, Anis
Hayes, Vanessa M
He, Housheng Hansen
Hovens, Christopher M
Imada, Eddie Luidy
Jakobsdottir, G. Maria
Jung, Chol-hee
Khani, Francesca
Kote-Jarai, Zsofia
Lamy, Philippe
Leeman, Gregory
Loda, Massimo
Lutsik, Pavlo
Marchionni, Luigi
Molania, Ramyar
Papenfuss, Anthony T
Pellegrina, Diogo
Pope, Bernard
Queiroz, Lucio R
Rausch, Tobias
Reimand, Jüri
Robinson, Brian
Schlomm, Thorsten
Sørensen, Karina D
Uhrig, Sebastian
Weischenfeldt, Joachim
Xu, Yaobo
Yamaguchi, Takafumi N
Zanettini, Claudio
Lynch, Andy G
Wedge, David C
Brewer, Daniel S
Woodcock, Dan J
Genomics
Cancer progression involves the sequential accumulation of genetic alterations that cumulatively shape the tumour phenotype. In prostate cancer, tumours can follow divergent evolutionary trajectories that lead to distinct subtypes, but the causes of this divergence remain unclear. While causal inference could elucidate the factors involved, conventional methods are unsuitable due to the possibility of unobserved confounders and ambiguity in the direction of causality. Here, we propose a method that circumvents these issues and apply it to genomic data from 829 prostate cancer patients. We identify several genetic alterations that drive divergence as well as others that prevent this transition, locking tumours into one trajectory. Further analysis reveals that these genetic alterations may cause each other, implying a positive-feedback loop that accelerates divergence. Our findings provide insights into how cancer subtypes emerge and offer a foundation for genomic surveillance strategies aimed at monitoring the progression of prostate cancer.
title Causes of evolutionary divergence in prostate cancer
topic Genomics
url https://arxiv.org/abs/2503.13189