ArticleResearch square2026
Context-dependent selection sculpts mutational landscapes in the normal lung.
Article in Research square, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
29 authors.
Funding
Abstract
Just as organismal evolution is driven by environmental changes, somatic evolution is similarly driven by changes in tissue environments, whether caused by the normal process of aging, by lifestyle choices, or by extrinsic exposures. We present deep mutational profiling using duplex sequencing of over 390 samples of non-malignant lung tissue from 202 subjects, showing how aging, smoking and different anti-cancer therapies are associated with selection for particular mutations in normal lung tissue. Mutations within known cancer driver genes exhibit selection in the normal tissue that differs from that for lung cancers, with a substantially expanded spectrum of sites under selection. Multiregional profiling of mutational landscapes reveals convergent evolution within each individual's lung. Understanding the forces controlling clonal selection as we age and due to lifetime exposures could be critical for controlling multiple diseases of old age.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.