Pan-cancer copy number analysis identifies optimized size thresholds and co-occurrence models for individualized risk stratification

Abstract Chromosome instability leading to aneuploidy and accumulation of copy number gains or losses is a hallmark of cancer. Copy number alteration (CNA) signatures are increasingly used for cancer risk stratification, but size thresholds for defining CNAs across cancers are variable and the biolo...

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Main Authors: Minh P. Nguyen, William C. Chen, Kanish Mirchia, Abrar Choudhury, Naomi Zakimi, Vijay Nitturi, Tiemo J. Klisch, Stephen T. Magill, Calixto-Hope G. Lucas, Akash J. Patel, David R. Raleigh
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-025-61063-y
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author Minh P. Nguyen
William C. Chen
Kanish Mirchia
Abrar Choudhury
Naomi Zakimi
Vijay Nitturi
Tiemo J. Klisch
Stephen T. Magill
Calixto-Hope G. Lucas
Akash J. Patel
David R. Raleigh
author_facet Minh P. Nguyen
William C. Chen
Kanish Mirchia
Abrar Choudhury
Naomi Zakimi
Vijay Nitturi
Tiemo J. Klisch
Stephen T. Magill
Calixto-Hope G. Lucas
Akash J. Patel
David R. Raleigh
author_sort Minh P. Nguyen
collection DOAJ
description Abstract Chromosome instability leading to aneuploidy and accumulation of copy number gains or losses is a hallmark of cancer. Copy number alteration (CNA) signatures are increasingly used for cancer risk stratification, but size thresholds for defining CNAs across cancers are variable and the biological and clinical implications of CNA size heterogeneity and co-occurrence are incompletely understood. Here we analyze CNA and clinical data from 691 meningiomas and 10,383 tumors from The Cancer Genome Atlas to develop cancer- and chromosome-specific size-dependent CNA and CNA co-occurrence models to predict tumor control and overall survival. Our results shed light on technical considerations for biomarker development and reveal prognostic CNAs with optimized size thresholds and co-occurrence patterns that refine risk stratification across a diversity of cancer types. These data suggest that consideration of CNA size, focality, number, and co-occurrence can be used to identify biomarkers of aggressive tumor behavior that may be useful for individualized risk stratification.
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issn 2041-1723
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spelling doaj-art-5ea5449657014e07b621dba848c77d5d2025-08-20T03:45:33ZengNature PortfolioNature Communications2041-17232025-07-0116111410.1038/s41467-025-61063-yPan-cancer copy number analysis identifies optimized size thresholds and co-occurrence models for individualized risk stratificationMinh P. Nguyen0William C. Chen1Kanish Mirchia2Abrar Choudhury3Naomi Zakimi4Vijay Nitturi5Tiemo J. Klisch6Stephen T. Magill7Calixto-Hope G. Lucas8Akash J. Patel9David R. Raleigh10Department of Pathology, University of California San FranciscoDepartment of Pathology, University of California San FranciscoDepartment of Pathology, University of California San FranciscoDepartment of Pathology, University of California San FranciscoDepartment of Pathology, University of California San FranciscoDepartment of Neurosurgery, Baylor College of MedicineDepartment of Neurosurgery, Baylor College of MedicineDepartment of Neurological Surgery, Northwestern UniversityDepartment of Pathology, Johns Hopkins UniversityDepartment of Neurosurgery, Baylor College of MedicineDepartment of Pathology, University of California San FranciscoAbstract Chromosome instability leading to aneuploidy and accumulation of copy number gains or losses is a hallmark of cancer. Copy number alteration (CNA) signatures are increasingly used for cancer risk stratification, but size thresholds for defining CNAs across cancers are variable and the biological and clinical implications of CNA size heterogeneity and co-occurrence are incompletely understood. Here we analyze CNA and clinical data from 691 meningiomas and 10,383 tumors from The Cancer Genome Atlas to develop cancer- and chromosome-specific size-dependent CNA and CNA co-occurrence models to predict tumor control and overall survival. Our results shed light on technical considerations for biomarker development and reveal prognostic CNAs with optimized size thresholds and co-occurrence patterns that refine risk stratification across a diversity of cancer types. These data suggest that consideration of CNA size, focality, number, and co-occurrence can be used to identify biomarkers of aggressive tumor behavior that may be useful for individualized risk stratification.https://doi.org/10.1038/s41467-025-61063-y
spellingShingle Minh P. Nguyen
William C. Chen
Kanish Mirchia
Abrar Choudhury
Naomi Zakimi
Vijay Nitturi
Tiemo J. Klisch
Stephen T. Magill
Calixto-Hope G. Lucas
Akash J. Patel
David R. Raleigh
Pan-cancer copy number analysis identifies optimized size thresholds and co-occurrence models for individualized risk stratification
Nature Communications
title Pan-cancer copy number analysis identifies optimized size thresholds and co-occurrence models for individualized risk stratification
title_full Pan-cancer copy number analysis identifies optimized size thresholds and co-occurrence models for individualized risk stratification
title_fullStr Pan-cancer copy number analysis identifies optimized size thresholds and co-occurrence models for individualized risk stratification
title_full_unstemmed Pan-cancer copy number analysis identifies optimized size thresholds and co-occurrence models for individualized risk stratification
title_short Pan-cancer copy number analysis identifies optimized size thresholds and co-occurrence models for individualized risk stratification
title_sort pan cancer copy number analysis identifies optimized size thresholds and co occurrence models for individualized risk stratification
url https://doi.org/10.1038/s41467-025-61063-y
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