TY - JOUR A1 - Wang, Lili A1 - Fan, Jean A1 - Francis, Joshua M. A1 - Georghiou, George A1 - Hergert, Sarah A1 - Li, Shuqiang A1 - Gambe, Rutendo A1 - Zhou, Chensheng W. A1 - Yang, Chunxiao A1 - Xiao, Sheng A1 - Cin, Paola Dal A1 - Bowden, Michaela A1 - Kotliar, Dylan A1 - Shukla, Sachet A. A1 - Brown, Jennifer R. A1 - Neuberg, Donna A1 - Alessi, Dario R. A1 - Zhang, Cheng-Zhong A1 - Kharchenko, Peter V. A1 - Livak, Kenneth J. A1 - Wu, Catherine J. T1 - Integrated single-cell genetic and transcriptional analysis suggests novel drivers of chronic lymphocytic leukemia Y1 - 2017/08/01 JF - Genome Research JO - Genome Research SP - 1300 EP - 1311 DO - 10.1101/gr.217331.116 VL - 27 IS - 8 UR - http://genome.cshlp.org/content/27/8/1300.abstract N2 - Intra-tumoral genetic heterogeneity has been characterized across cancers by genome sequencing of bulk tumors, including chronic lymphocytic leukemia (CLL). In order to more accurately identify subclones, define phylogenetic relationships, and probe genotype–phenotype relationships, we developed methods for targeted mutation detection in DNA and RNA isolated from thousands of single cells from five CLL samples. By clearly resolving phylogenic relationships, we uncovered mutated LCP1 and WNK1 as novel CLL drivers, supported by functional evidence demonstrating their impact on CLL pathways. Integrative analysis of somatic mutations with transcriptional states prompts the idea that convergent evolution generates phenotypically similar cells in distinct genetic branches, thus creating a cohesive expression profile in each CLL sample despite the presence of genetic heterogeneity. Our study highlights the potential for single-cell RNA-based targeted analysis to sensitively determine transcriptional and mutational profiles of individual cancer cells, leading to increased understanding of driving events in malignancy. ER -