Genomic Analysis Revealed New Oncogenic Signatures in -Mutant Hepatocellular Carcinoma.

The gene is the most commonly mutated gene in human cancers and mutations in have been shown to have either gain-of-function or loss-of-function effects. Using the data generated by The Cancer Genome Atlas, we sought to define the spectrum of mutations in hepatocellular carcinomas (HCCs) and their association with clinicopathologic features, and to determine the oncogenic and mutational signatures in -mutant HCCs. Compared to other cancer types, HCCs harbored distinctive mutation hotspots at V157 and R249, whereas common mutation hotspots in other cancer types, R175 and R273, were extremely rare in HCCs. In terms of clinicopathologic features, in addition to the associations with chronic viral infection and high Edmondson grade, we found that somatic mutations were less frequent in HCCs with cholestasis or tumor infiltrating lymphocytes, but were more frequent in HCCs displaying necrotic areas. An analysis of the oncogenic signatures based on the genetic alterations found in genes recurrently altered in HCCs identified four distinct -mutant subsets, three of which were defined by mutations, 1q amplifications or 8q24 amplifications, respectively, that co-occurred with mutations. We also found that mutational signature 12, a liver cancer-specific signature characterized by T>C substitutions, was prevalent in HCCs with wild-type or with missense mutations, but not in HCCs with deleterious mutations. Finally, whereas patients with HCCs harboring deleterious mutations had worse overall and disease-free survival than patients with -wild-type HCCs, patients with HCCs harboring missense mutations did not have worse prognosis. In conclusion, our results highlight the importance to consider the genetic heterogeneity among -mutant HCCs in studies of biomarkers and molecular characterization of HCCs.