TY - JOUR TI - Induction of APOBEC3 Exacerbates DNA Replication Stress and Chromosomal Instability in Early Breast and Lung Cancer Evolution AU - Venkatesan, Subramanian AU - Angelova, Mihaela AU - Puttick, Clare and AU - Zhai, Haoran AU - Caswell, Deborah R. AU - Lu, Wei-Ting AU - Dietzen, AU - Michelle AU - Galanos, Panagiotis AU - Evangelou, Konstantinos and AU - Bellelli, Roberto AU - Lim, Emilia L. AU - Watkins, Thomas B. K. and AU - Rowan, Andrew AU - Teixeira, Vitor H. AU - Zhao, Yue AU - Chen, Haiquan and AU - Ngo, Bryan AU - Zalmas, Lykourgos-Panagiotis AU - Al Bakir, Maise and AU - Hobor, Sebastijan AU - Gronroos, Eva AU - Pennycuick, Adam AU - Nigro, AU - Ersilia AU - Campbell, Brittany B. AU - Brown, William L. AU - Akarca, Ayse AU - U. AU - Marafioti, Teresa AU - Wu, Mary Y. AU - Howell, Michael and AU - Boulton, Simon J. AU - Bertoli, Cosetta AU - Fenton, Tim R. AU - de Bruin, AU - Robertus A. M. AU - Maya-Mendoza, Apolinar AU - Santoni-Rugiu, Eric and AU - Hynds, Robert E. AU - Gorgoulis, Vassilis G. AU - Jamal-Hanjani, Mariam AU - and McGranahan, Nicholas AU - Harris, Reuben S. AU - Janes, Sam M. and AU - Bartkova, Jirina AU - Bakhoum, Samuel F. AU - Bartek, Jiri AU - Kanu, AU - Nnennaya AU - Swanton, Charles AU - TRACERx Consortium JO - Cancer Discovery PY - 2021 VL - 11 TODO - 10 SP - 2456-2473 PB - AMER ASSOC CANCER RESEARCH SN - 2159-8274, 2159-8290 TODO - 10.1158/2159-8290.CD-20-0725 TODO - null TODO - APOBEC3 enzymes are cytosine deaminases implicated in cancer. Precisely when APOBEC3 expression is induced during cancer development remains to be defined. Here we show that specific APOBEC3 genes are upregulated in breast ductal carcinoma in situ, and in preinvasive lung cancer lesions coincident with cellular proliferation. We observe evidence of APOBEC3-mediated subclonal mutagenesis propagated from TRACERx preinvasive to invasive non-small cell lung cancer (NSCLC) lesions. We find that APOBEC3B exacerbates DNA replication stress and chromosomal instability through incomplete replication of genomic DNA, manifested by accumulation of mitotic ultrafine bridges and 53BP1 nuclear bodies in the G(1) phase of the cell cycle. Analysis of TRACERx NSCLC clinical samples and mouse lung cancer models revealed APOBEC3B expression driving replication stress and chromosome missegregation. We propose that APOBEC3 is functionally implicated in the onset of chromosomal instability and somatic mutational heterogeneity in preinvasive disease, providing fuel for selection early in cancer evolution. SIGNIFICANCE : This study reveals the dynamics and drivers of APOBEC3 gene expression in preinvasive disease and the exacerbation of cellular diversity by APOBEC3B through DNA replication stress to promote chromosomal instability early in cancer evolution. ER -