Aging and APOBEC-related mutational signatures are dominant in HPV(+) OPSCC but account for a lower proportion of mutations in tobacco users
(A) Heatmap of mutational signatures demonstrates the dominance of signatures #1 (Aging-related), #2 and 13 (both APOBEC-related) in HPV(+) OPSCC. Despite high reported rates of tobacco use in the cohort, mutations attributable to tobacco-related signatures #4 and #29 were absent.
(B) The proportion of signature #1, #2, and #13 mutations is significantly greater in never tobacco users, whereas (C) the proportion of uncategorized mutations is significantly greater in those reporting current or former tobacco use (∗ Wilcoxon p < 0.05).