RT Journal A1 Georgakopoulos-Soares, Ilias A1 Morganella, Sandro A1 Jain, Naman A1 Hemberg, Martin A1 Nik-Zainal, Serena T1 Noncanonical secondary structures arising from non-B DNA motifs are determinants of mutagenesis JF Genome Research JO Genome Research YR 2018 FD September 01 VO 28 IS 9 SP 1264 OP 1271 DO 10.1101/gr.231688.117 UL http://genome.cshlp.org/content/28/9/1264.abstract AB Somatic mutations show variation in density across cancer genomes. Previous studies have shown that chromatin organization and replication time domains are correlated with, and thus predictive of, this variation. Here, we analyze 1809 whole-genome sequences from 10 cancer types to show that a subset of repetitive DNA sequences, called non-B motifs that predict noncanonical secondary structure formation can independently account for variation in mutation density. Combined with epigenetic factors and replication timing, the variance explained can be improved to 43%–76%. Approximately twofold mutation enrichment is observed directly within non-B motifs, is focused on exposed structural components, and is dependent on physical properties that are optimal for secondary structure formation. Therefore, there is mounting evidence that secondary structures arising from non-B motifs are not simply associated with increased mutation density—they are possibly causally implicated. Our results suggest that they are determinants of mutagenesis and increase the likelihood of recurrent mutations in the genome. This analysis calls for caution in the interpretation of recurrent mutations and highlights the importance of taking non-B motifs that can simply be inferred from the reference sequence into consideration in background models of mutability henceforth.