RT Journal Article SR Electronic T1 Mutational signatures associated with tobacco smoking in human cancer JF bioRxiv FD Cold Spring Harbor Laboratory SP 051417 DO 10.1101/051417 A1 Ludmil B. Alexandrov A1 Young Seok Ju A1 Kerstin Haase A1 Peter Van Loo A1 IƱigo Martincorena A1 Serena Nik-Zainal A1 Yasushi Totoki A1 Akihiro Fujimoto A1 Hidewaki Nakagawa A1 Tatsuhiro Shibata A1 Peter J. Campbell A1 Paolo Vineis A1 David H. Phillips A1 Michael R. Stratton YR 2016 UL http://biorxiv.org/content/early/2016/05/03/051417.abstract AB Tobacco smoking increases the risk of at least 15 classes of cancer. We analyzed somatic mutations and DNA methylation in 5,243 cancers of types for which tobacco smoking confers an elevated risk. Smoking is associated with increased mutation burdens of multiple distinct mutational signatures, which contribute to different extents in different cancers. One of these signatures, mainly found in cancers derived from tissues directly exposed to tobacco smoke, is attributable to misreplication of DNA damage caused by tobacco carcinogens. Others likely reflect indirect activation of DNA editing by APOBEC cytidine deaminases and of an endogenous clock-like mutational process. The results are consistent with the proposition that smoking increases cancer risk by increasing the somatic mutation load, although direct evidence for this mechanism is lacking in some smoking-related cancer types.ONE SENTENCE SUMMARY Multiple distinct mutational processes associate with tobacco smoking in cancer reflecting direct and indirect effects of tobacco smoke.