Supplementary Methods Isolation of analytes Tissue samples were provided by the NCT Heidelberg Tissue Bank in accordance with its regulations and the approval of the Ethics Committee of Heidelberg University. DNA and RNA from the tumor specimen and DNA from the blood sample were isolated using the AllPrep DNA/RNA/Protein Mini Kit (Qiagen, Hilden, Germany), followed by quality control and quantification using a Qubit 2.0 Fluorometer (Life Technologies, Carlsbad, CA, USA), a 2200 TapeStation system (Agilent, Santa Clara, CA, USA), and a 2100 Bioanalyzer system (Agilent). Whole-exome and RNA sequencing Exome capturing was performed using SureSelect Human All Exon V5+UTRs in-solution capture reagents (Agilent). Briefly, 1.5 µg genomic DNA were fragmented to 150-200 bp (paired-end) insert size with a Covaris S2 device (Woburn, MA, USA), and 250 ng of Illumina adapter-containing libraries were hybridized with exome baits at 65°C for 16 h. Paired-end sequencing (101 bp) was carried out with a HiSeq 2500 instrument (Illumina, San Diego, CA, USA) in rapid mode. RNA sequencing libraries were prepared using the TruSeq RNA Sample Preparation Kit v2 (Illumina). Briefly, mRNA was purified from 1 µg total RNA using oligo(dT) beads, poly(A)+ RNA was fragmented to 150 bp and converted into cDNA, and cDNA fragments were end-repaired, adenylated on the 3’ end, adapter-ligated, and amplified with 12 cycles of PCR. The final libraries were validated using a Qubit 2.0 Fluorometer (Life Technologies) and a Bioanalyzer 2100 system (Agilent). Paired-end sequencing (2 x 101 bp) was carried out with a HiSeq 2500 instrument (Illumina) in rapid mode. Mapping and analysis of whole-exome sequencing data Reads were mapped to the 1000 Genomes Phase 2 assembly of the human reference genome (NCBI build 37.1) using BWA (version 0.6.2) with default parameters and maximum insert size set to 1000 bp.1 BAM files were sorted with SAMtools (version 0.1.19),2 and duplicates were marked with Picard tools (version 1.90). Average target coverage was 98x for the tumor and 96x for the control. In both, more than 80% of the targets had a coverage of at least 40x. For the detection of single-nucleotide variants (SNVs), we applied our in-house analysis pipeline based on SAMtools mpileup and bcftools with parameter adjustments 1 to allow for calling of somatic variants with heuristic filtering as previously described.3-5 After annotation with RefSeq (version September 2013) using ANNOVAR,6 somatic, nonsilent coding variants of high confidence were selected. Short insertions and deletions (indels) were identified using Platypus (version 0.5.2; parameters genIndels=1, genSNPs=0, ploidy=2, nIndividuals=2) by providing the tumor and control BAM files.7 To be of high confidence, somatic calls (control genotype 0/0) were required to either have the Platypus filter flag PASS or pass custom filters allowing for low variant frequency using a scoring scheme. Candidates with the badReads flag, alleleBias or strandBias if the variant allele frequency was less than 10%, or more than two of the remaining flags were discarded. Additionally, combinations of Platypus non-PASS filter flags, bad quality values, low genotype quality, very low variant counts in the tumor, and presence of variant reads in the control were not tolerated. Indels were annotated with ANNOVAR, and somatic high-confidence indels falling into a coding sequence or splice site were extracted. Copy number variants were analyzed by read depth plots and an in-house pipeline using the VarScan2 copynumber and copyCaller modules.8 Regions were filtered for unmappable genomic stretches, merged by requiring at least 70 markers per called copy number event, and annotated with RefSeq genes using BEDTools.9 Mapping and analysis of RNA sequencing data RNA sequencing reads were mapped with STAR (version 2.3.0e).10 For building the index, the 1000 Genomes reference sequence with GENCODE version 17 transcript annoations were used. For alignment, the following parameters were used: alignIntronMax 500000, alignMatesGapMax 500000, outSAMunmapped Within, outFilterMultimapNmax 1, outFilterMismatchNmax 3, outFilterMismatchNoverLmax 0.3, sjdbOverhang 50, chimSegmentMin 15, chimScoreMin 1, chimScoreJunctionNonGTAG 0, chimJunctionOverhangMin 15. The output was converted to sorted BAM files with SAMtools,2 and duplicates were marked with Picard tools (version 1.90). Expression levels were determined per gene and sample as reads per kb of exon model per million mapped reads, and RefSeq was used as gene model. For each gene, overlapping annotated exons from all transcript variants were merged into nonredundant exon units with a custom Perl script. Nonduplicate reads with mapping quality above zero were counted for all exon units with coverageBed from the BEDtools package.9 Read counts were summarized per gene and divided by the combined length of its exon units (in kb), and the total number of reads (in millions) was counted by coverageBed. 2 SNVs and indels were annotated with RNA information by generating a pileup of the DNA variant position in the RNA BAM file with SAMtools. Western blotting Monolayers of Plat-E cells and MEFs were overlaid with normal lysis buffer (50 mM Tris/HCl, pH 7.4; 1% Triton X‐100; 137.5 mM NaCl; 1% glycerine; 1 mM sodium orthovanadate; 0.5 mM EDTA; 0.01 μg/μl leupeptin; 0.1 μg/μl aprotinin; 1 mM AEBSF) and detached with a cell scraper. Following centrifugation, supernatants were mixed with sample buffer (20 v/v% glycerine, 6 v/v% SDS, 6 v/v% ß-mercaptoethanol, 0.06 v/v% bromophenol blue sodium salt) and subjected to SDS-PAGE. Blotted proteins were visualized with horseradish peroxidase‐conjugated secondary antibodies (Thermo Fisher Scientific, Waltham, MA, USA) using the SuperSignal West Femto Maximum Sensitivity Substrate (Thermo Fisher Scientific) and a Fusion Solo chemiluminescence reader (Peqlab, Erlangen, Germany). 3 References 1 Li H, Durbin R. Fast and accurate short read alignment with Burrows-Wheeler transform. Bioinformatics 2009; 25: 1754–1760. 2 Li H, Handsaker B, Wysoker A, Fennell T, Ruan J, Homer N et al. The Sequence Alignment/Map format and SAMtools. Bioinformatics 2009; 25: 2078–2079. 3 Yaktapour N, Meiss F, Mastroianni J, Zenz T, Andrlova H, Mathew NR et al. BRAF inhibitor-associated ERK activation drives development of chronic lymphocytic leukemia. J Clin Invest 2014; 124: 5074–5084. 4 Jones DTW, Jäger N, Kool M, Zichner T, Hutter B, Sultan M et al. Dissecting the genomic complexity underlying medulloblastoma. Nature 2012; 488: 100–105. 5 Jones DTW, Hutter B, Jäger N, Korshunov A, Kool M, Warnatz H-J et al. Recurrent somatic alterations of FGFR1 and NTRK2 in pilocytic astrocytoma. Nat Genet 2013; 45: 927–932. 6 Wang K, Li M, Hakonarson H. ANNOVAR: functional annotation of genetic variants from high-throughput sequencing data. Nucleic Acids Res 2010; 38: e164. 7 Rimmer A, Phan H, Mathieson I, Iqbal Z, Twigg SRF, WGS500 Consortium et al. Integrating mapping-, assembly- and haplotype-based approaches for calling variants in clinical sequencing applications. Nat Genet 2014; 46: 912–918. 8 Koboldt DC, Zhang Q, Larson DE, Shen D, McLellan MD, Lin L et al. VarScan 2: somatic mutation and copy number alteration discovery in cancer by exome sequencing. Genome Res 2012; 22: 568–576. 9 Quinlan AR, Hall IM. BEDTools: a flexible suite of utilities for comparing genomic features. Bioinformatics 2010; 26: 841–842. 10 Dobin A, Davis CA, Schlesinger F, Drenkow J, Zaleski C, Jha S et al. STAR: ultrafast universal RNA-seq aligner. Bioinformatics 2013; 29: 15–21. 4 Supplementary Table S1. Coexistence of mutations in RAS familiy members and BRAF mutants with intermediate activity BRAF mutation COSMIC ID Entity Sample HRAS KRAS NRAS PMID F595L, V600E F595L F595La F595La F595L F595L F595L F595L F595L F595L COSS1025231 COSS1470210 COSS2097331 COSS2186274 COSS684271 COSS727479 COSS685799 COSS683807 COSS1489268 COSS1718117 Melanoma Melanoma UC UC CRA CRA CRC CCC NSCLC NB Primary Primary Primary Primary Primary Primary Primary Primary Primary Primary NA NA WT WT NA NA NA NA NA WT NA NA G12R G12R WT WT G12D WT G12C NA NA WT WT WT NA NA NA NA WT NA 15935100 20975100 24121792 24121792 12941809 12438234 12068308 12692057 20881644 22142829 R462I R462I COSS685903 COSS980673 CRC EC Primary Primary NA NA NA WT NA NA 12198537 16619251 I463S COSS685904 CRC Primary NA NA NA 12198537 G464E G464E G464E G464E G464E G464Ea G464E G464E G464E G464E G464E COSS1303034 COSS2163850 COSS2237767 COSS1459722 COSS2141707 COSS724836 COSS1102812 COSS685905 COSS686473 COSS1179048 COSS1879300 Melanoma Melanoma Melanoma HNSCC HNSCC OC OC CRC CCC ACC BC Cell line Cell line Primary Primary Primary Cell line Cell line Primary Primary Primary Primary NA NA NA NA WT WT NA NA NA NA WT NA NA NA WT NA G12D NA NA NA WT NA WT Q61L WT NA NA WT NA NA NA WT NA 19996208 23851445 24714776 20813562 24672248 12068308 18060073 12198537 12692057 19190079 23398044 G464Va G464V G464Va G464V G464V COSS1046950 COSS1738950 COSS724835 COSS889335 COSS1781563 BC BC CRC CRC NSCLC Cell line Primary Cell line Cell line Primary WT NA WT NA NA G13D WT G13D NA NA WT NA WT NA NA 17314276 22538770 12068308 14734469 NA G466A G466A G466Aa G466A COSS685774 COSS1303054 COSS1646817 COSS1914059 Melanoma Melanoma NSCLC NSCLC Cell line Cell line Primary Primary NA NA WT NA WT NA G12C NA NA WT WT NA 12068308 19996208 22327622 NA G469E G469E G469E G469E G469E G469E G469E G469E G469E G469E G469E G469E COSS685351 COSS685798 COSS1651617 COSS886169 COSS1948267 COSS2185962 COSS2121050 COSS2139246 COSS1792997 COSS1799687 COSS683809 COSS1083526 CRC CRC CRC Melanoma Melanoma Melanoma HNSCC HNSCC NSCLC NSCLC CCC CC Primary Primary Primary Primary Primary Primary Primary Primary Primary Primary Primary Primary NA NA NA NA NA NA NA NA NA NA NA NA NA WT NA NA NA NA NA NA WT NA WT WT NA NA NA NA NA NA NA NA NA NA NA NA 14500346 12068308 NA 14722037 23273605 NA NA NA 23098378 22649091 12692057 17360030 N581S N581S N581S N581S N581S N581S N581S N581S N581S COSS727252 COSS920871 COSS1166494 COSS1651235 COSS1651277 COSS1651607 COSS1299206 COSS1532583 COSS1746759 CRC CRC CRC CRC CRC CRC Melanoma Melanoma Melanoma Primary Primary Primary Primary Primary Primary Primary Primary Primary NA NA NA NA NA NA NA NA NA Q22K Q22K NA G12D G12C NA NA NA NA NA NA NA NA NA NA NA WT WT 12438234 NA 18451217 NA NA NA 19861964 20925915 22048237 5 N581S N581S N581S N581S N581S N581S N581S N581S N581S N581S N581S COSS2013634 COSS2121773 COSS1780107 COSS1780128 COSS1913999 COSS2120683 COSS2120684 COSS1230715 COSS1475020 COSS2157539 COSS2194087 Melanoma Melanoma NSCLC NSCLC NSCLC HCC HCC MPNST OC SIC RCC Primary Primary Primary Primary Primary Primary Primary Primary Primary Primary Primary WT NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA WT NA Q22K NA NA P34L NA NA NA NA NA NA NA WT NA 22842228 NA NA NA NA NA NA 19142971 21720365 24797764 NA L597V L597Va L597V L597V L597V, V600E L597V L597V, V600E L597V L597V COSS686980 COSS724834 COSS1477422 COSS1641854 COSS888999 COSS1664831 COSS1778642 COSS683804 COSS1083527 NSCLC NSCLC NSCLC NSCLC Melanoma Melanoma Melanoma CCC CC Primary Cell line Cell line Primary Cell line Primary Primary Primary Primary NA WT NA NA NA NA NA NA NA WT WT WT NA NA NA NA WT WT WT Q61K Q61R NA WT WT NA NA NA 12460918 12068308 20551065 21825258 15048078 21680547 22535154 12692057 17360030 T599I T599I T599I, V600E T599I T599I, V600E/K COSS727247 COSS1166491 COSS889188 COSS1238011 COSS1295535 CRC CRC Melanoma Melanoma BMN Primary Primary Primary Primary Primary NA NA NA NA NA G13D NA NA NA NA NA NA NA NA NA 12438234 18451217 15140238 19383316 19752400 Abbreviations: ACC, adrenal cortical carcinoma; BC, breast carcinoma; BMN, benign melanocytic naevus; CC, cervical carcinoma; CCC, cholangiocellular carcinoma; CRA, colorectal adenoma; CRC, colorectal carcinoma; EC, endometrial carcinoma; HCC, hepatocellular carcinoma; HNSCC, head and neck squamous cell carcinoma; MPNST, malignant peripheral nerve-sheath tumor; NB, neuroblastoma; NSCLC, non-small cell lung carcinoma; OC, ovarian carcinoma; RCC, renal cell carcinoma; SIC, small-intestine carcinoma; UC, urothelial carcinoma; NA, not available; WT, wildtype; COSMIC ID, Catalogue of Somatic Mutations in Cancer identifier; PMID, PubMed identifier. aCases with intermediate-activity BRAF mutants in which HRAS, KRAS, and NRAS were analyzed. 6