(a) Highly recurrent somatic mutations (individual genomic bases) aggregate near annotated transcription start sites (TSS) and typically colocalize with TTCCG elements. Recurrent sites having a TTCCG element within a +/-10 bp context on the mutated (pyrimidine) strand are indicated (red). The distance to the nearest TSS (x-axis) is adjusted for transcriptional orientation (upstream positioning of BRAF V600E mutations is explained by their relative proximity to the neighboring NDUFB2 promoter). Bottom panel: +/-500 bp close-up around the TSS. (b) Top 51 recurrent promoter sites (+/-500 bp), all mutated in ≥12/221 tumors (>5%). Degree of recurrence, position relative to TSS, sequence context with TTCCG highlighted in red, and nearest gene are indicated. (c) Positional distribution of TTCCG-related mutation hotspots near TSSs, based on 291 promoter sites recurrent in ≥5 tumors. (d) Proportion of recurrent promoter mutations (+/- 500 bp) that are TTCCG-related (red), TERT activating mutations (C228T/C250T; orange) or other (gray), as a function of recurrence. (e) Number of mutated TTCCG promoter hotspot sites per tumor, out of 291 in total as defined above, plotted against the whole-genome mutational burden across 221 melanomas. (f) TTCCG-related promoter hotspots arise preferably near highly expressed genes. 241 genes hosting 291 sites as defined above were considered. Expression levels were based on the median RPKM value across a subset of 38 TCGA melanomas with available RNA-seq. ND, not detected.