RT Journal Article SR Electronic T1 Aberrant integration of Hepatitis B virus DNA promotes major restructuring of human hepatocellular carcinoma genome architecture JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.04.19.440412 DO 10.1101/2021.04.19.440412 A1 Eva G. Álvarez A1 Jonas Demeulemeester A1 Clemency Jolly A1 Daniel García-Souto A1 Paula Otero A1 Ana Pequeño A1 Jorge Zamora A1 Marta Tojo A1 Javier Temes A1 Adrian Baez-Ortega A1 Bernardo Rodríguez-Martín A1 Yilong Li A1 Ana Oitaben A1 Alicia L. Bruzos A1 Mónica Martínez-Fernández A1 Kerstin Haase A1 Martin Santamarina A1 Sonia Zumalave A1 Rosanna Abal A1 Jorge Rodríguez-Castro A1 Aitor Rodriguez-Casanova A1 Angel Diaz-Lagares A1 Keiran Raine A1 Adam P. Butler A1 Atsuhi Ono A1 Hiroshi Aikata A1 Kazuaki Chayama A1 Masaki Ueno A1 Shinya Hayami A1 Hiroki Yamaue A1 Miguel G. Blanco A1 Xavier Forns A1 Carmen Rivas A1 Sofía Pérez-del-Pulgar A1 Raúl Torres-Ruiz A1 Sandra Rodríguez Perales A1 Urtzi Garaigorta A1 Hidewaki Nakagawa A1 Peter J. Campbell A1 Peter Van Loo A1 Jose M. C. Tubio YR 2021 UL http://biorxiv.org/content/early/2021/04/19/2021.04.19.440412.abstract AB Most cancers are characterized by the somatic acquisition of genomic rearrangements during tumour evolution that eventually drive the oncogenesis. There are different mutational mechanisms causing structural variation, some of which are specific to particular cancer types. Here, using multiplatform sequencing technologies, we identify and characterize a remarkable mutational mechanism in human hepatocellular carcinoma caused by Hepatitis B virus, by which DNA molecules from the virus are inserted into the tumour genome causing dramatic changes in its configuration, including non-homologous chromosomal fusions and megabase-size telomeric deletions. This aberrant mutational process, present in at least 8% of all HCC tumours, is active early during liver cancer evolution and can provide the driver rearrangements that a cancer clone requires to survive and grow.Competing Interest StatementThe authors have declared no competing interest.