Subclonality and genetically defined transcriptional constraints across solid tumors and leukemias
<p dir="ltr">Cancer is a highly heterogeneous disease, both at the genomic and phenotypic level. Single-cell methods have allowed exploration of phenotypic cell states and genomic evolution, but the association between genotype and phenotype remains largely elusive. Activating or deleterious single nucleotide variants (SNVs) can have very clear effects on a phenotype, but copy number variations (CNVs), which are ubiquitous in cancers, are not well understood functionally. Recent advances within ultra-low coverage, single-cell whole genome sequencing (WGS) have enabled high throughput analysis of CNV. However, downstream analysis is still largely dependent on tools developed for high coverage bulk data.</p><p dir="ltr">In <b>paper I</b> we developed a computational method, ASCENT, which enables accurate breakpoint detection, absolute copy number calling, and haplotyping of clonal segments. We showed that by using ASCENT we could find minor subclones not detected in bulk WGS data, and produce accurate high-resolution copy number profiles from ultra-low coverage single-cell WGS.</p><p dir="ltr">By running ASCENT on joint mRNA/WGS data from 57 patients representing six cancer types, we were able to make generalizable inferences about how subclonal genetics affect cell phenotypes (<b>paper III</b>). We found that highly amplified CNVs constrain the phenotype to a much greater degree than lowly amplified whole chromosome aneuploidies. We found that gene dosage is largely tissue-dependent and that oncogenes, such as MYC, are often not sensitive to dosage. We identified a previously underappreciated group of tumors that lack a clear clonal structure, where each cell division leads to two distinct genotypes.</p><p dir="ltr">In <b>paper IV</b> we analyzed the relationship between genotype and phenotype during induction treatment in pediatric acute lymphoblastic leukemia (ALL). We found that while some genotypes have specific phenotypes, during induction treatment cell states shifted toward a more mature B-cell-like state, independent of genomic background. We contrast this to the mechanism which leads to relapse, which always includes additional genomic aberrations, selection on the genetic level, and inter-patient heterogeneity in cell states.</p><p dir="ltr">Single-cell sequencing methods are often used to determine which cell states are responsible for phenotypes found in bulk sequencing. In <b>paper II</b> we investigated the complicated relationship between shear stress and vascular disease in the aorta. We used single-cell sequencing to deconvolve which cell type caused an immune-pro phenotype in AmotL2-depleted mice and found a subset of endothelial cells to be responsible.</p><p dir="ltr">In conclusion, we have charted the transcriptional effect of different genetic aberrations across human cancer. We conclude that specific genomic aberrations can affect the functional phenotype of a cell. We found that dosage effects are largely tissue-dependent and that the amplification of oncogenes is often compensated for on the mRNA-level. We additionally found that induction treatment confers a common cell state in ALL, while relapsed samples had evolved divergent phenotypes during low intensity treatment.</p><h3 dir="ltr">List of scientific papers</h3><p dir="ltr">I. <b>Solrun Kolbeinsdottir</b>*, Vasilios Zachariadis*, Christian Sommerauer, Olli Lohi, Merja Heinäniemi, Martin Enge. Absolute copy number aware CNV calling of sub megabase segments in ultra-low coverage single-cell DNA sequencing data. Nucleic Acids Research, Volume 53, Issue 17, 23 September 2025. <a href="https://doi.org/10.1093/nar/gkaf919" rel="noreferrer" target="_blank">https://doi.org/10.1093/nar/gkaf919</a></p><p dir="ltr">II. Yuanyuan Zhang, Yumeng Zhang, Evelyn Hutterer, Sara Hultin, Otto Bergman, <b>Solrun Kolbeinsdottir</b>, Hong Jin, Maria J Forteza, Daniel F J Ketelhuth, Joy Roy, Ulf Hedin, Martin Enge, Ljubica Matic, Per Eriksson, Lars Holmgren. The VE-cadherin/AmotL2 mechanosensory pathway suppresses aortic inflammation and the formation of abdominal aortic aneurysms. Nature Cardiovascular Research, 2023, 7, 629-644. <a href="https://doi.org/10.1038/s44161-023-00298-8" rel="noreferrer" target="_blank">https://doi.org/10.1038/s44161-023-00298-8</a></p><p dir="ltr">III. <b>Solrun Kolbeinsdottir</b>, Vasilios Zachariadis, Muyi Yang, Luuk Broeils, Christian Sommerauer, Huaitao Cheng, Xinsong Chen, Yingbo Lin, Sampsa Hautaniemi, Johanna Hynninen, Suzanne Egyhazi Brage, Dhifaf Sarhan, Anna Vähärautio, Nikolas Herold, Johan Hartman, Hildur Helgadóttir, Felix Haglund de Flon, Martin Enge. Subclonal copy number alterations and their transcriptional impacts across human cancers using joint single-cell genome and transcriptome sequencing. [Manuscript]</p><p dir="ltr">IV. Vasilios Zachariadis, <b>Solrun Kolbeinsdottir</b>, Jessica Hacheney, Huaitao Cheng, Laura Oksa, Aonghus Naughton, Arghavan Alizadeh, Sanni Moisio, Olli Lohi, Merja Heinäniemi, Martin Enge. Persister states and relapse in childhood leukemia. [Manuscript]</p><p dir="ltr">*These authors contributed equally</p>
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