Data availability
The raw DNA amplicon-seq data generated in this study have been deposited in the NCBI database under accession code PRJNA1372027. The raw spatial transcriptomics data generated in this study have been deposited in the GEO database under accession code GSE312204. Processed data are available as supplementary data. Source data are provided with this paper.
Code availability
All code for reproducing the analyses in this paper can be found at the GitLab repository https://gitlab.com/davidtourigny/crypt-clone-dynamics.
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Acknowledgements
We would like to thank the Histopathology, Genomics and Bioinformatics Core at the CRUK Cambridge Institute for their help with the project. This study was funded by the Wellcome Trust (D.J.W.: 103805, N.S.P.: 102160/Z/13/Z) and Cancer Research UK Cambridge Institute, University of Cambridge (D.J.W.: A24456) and we would like to thank them for making the work possible.
Author information
Authors and Affiliations
CRUK Cambridge Institute, University of Cambridge, Cambridge, UK
Nefeli Skoufou-Papoutsaki, Richard Kemp, Sam Adler, Anne-Claire Girard, Shenay Mehmed, Filipe C. Lourenço, Elisa B. Moutin & Douglas J. Winton
Wellcome-MRC Cambridge Stem Cell Institute, University of Cambridge, Cambridge, UK
Nefeli Skoufou-Papoutsaki & Douglas J. Winton
Pathology and Data Analytics, Leeds Institute of Medical Research, University of Leeds School of Medicine, University of Leeds, Leeds, UK
Kate Marks
Department of Oncology, University of Cambridge, Cambridge, UK
Rogier Ten Hoopen
MRC Weatherall Institute of Molecular Medicine, John Radcliffe Hospital, University of Oxford, Oxford, UK
Edward Morrissey
School of Mathematics, University of Birmingham, Birmingham, UK
David S. Tourigny
Authors
- Nefeli Skoufou-Papoutsaki
- Richard Kemp
- Sam Adler
- Kate Marks
- Anne-Claire Girard
- Shenay Mehmed
- Filipe C. Lourenço
- Elisa B. Moutin
- Rogier Ten Hoopen
- Edward Morrissey
- Douglas J. Winton
- David S. Tourigny
Contributions
N.S.P.: conceptualisation, formal analysis, funding acquisition, investigation, methodology, validation, visualisation, writing-original draft and review/editing. R.K.: conceptualisation, methodology, data curation, formal analysis, software, visualisation. S.A.: investigation, methodology, validation. K.M.: resources, formal analysis. A.C.G.: project administration, data curation. S.M.: investigation. F.L.: supervision. E.B.M.: writing-review and editing. R.T.H.: resources, project administration. E.M.: software. D.J.W.: conceptualisation, funding acquisition, supervision, writing-original draft and review/editing. D.S.T.: methodology, software, visualisation, writing-original draft and review/editing.
Corresponding authors
Correspondence to Douglas J. Winton or David S. Tourigny.
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Skoufou-Papoutsaki, N., Kemp, R., Adler, S. et al. Clonal biases dictate availability of colonic cancer driver mutations for transformation. Nat Commun (2026). https://doi.org/10.1038/s41467-026-71944-5
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DOI: https://doi.org/10.1038/s41467-026-71944-5

