Whole-genome sequencing of recurrent neuroblastoma reveals somatic mutations that affect key players in cancer progression and telomere maintenance

Abstract Neuroblastoma is the most common and deadly childhood tumor. Relapsed or refractory neuroblastoma has a very poor prognosis despite recent treatment advances. To investigate genomic alterations associated with relapse and therapy resistance, whole-genome sequencing was performed on diagnost...

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Autores principales: Susanne Fransson, Angela Martinez-Monleon, Mathias Johansson, Rose-Marie Sjöberg, Caroline Björklund, Gustaf Ljungman, Torben Ek, Per Kogner, Tommy Martinsson
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Publicado: Nature Portfolio 2020
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Acceso en línea:https://doaj.org/article/040e279adcf3445389b188aed659660d
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spelling oai:doaj.org-article:040e279adcf3445389b188aed659660d2021-12-02T14:01:28ZWhole-genome sequencing of recurrent neuroblastoma reveals somatic mutations that affect key players in cancer progression and telomere maintenance10.1038/s41598-020-78370-72045-2322https://doaj.org/article/040e279adcf3445389b188aed659660d2020-12-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-78370-7https://doaj.org/toc/2045-2322Abstract Neuroblastoma is the most common and deadly childhood tumor. Relapsed or refractory neuroblastoma has a very poor prognosis despite recent treatment advances. To investigate genomic alterations associated with relapse and therapy resistance, whole-genome sequencing was performed on diagnostic and relapsed lesions together with constitutional DNA from seven children. Sequencing of relapsed tumors indicates somatic alterations in diverse genes, including those involved in RAS-MAPK signaling, promoting cell cycle progression or function in telomere maintenance and immortalization. Among recurrent alterations, CCND1-gain, TERT-rearrangements, and point mutations in POLR2A, CDK5RAP, and MUC16 were shown in ≥ 2 individuals. Our cohort contained examples of converging genomic alterations in primary-relapse tumor pairs, indicating dependencies related to specific genetic lesions. We also detected rare genetic germline variants in DNA repair genes (e.g., BARD1, BRCA2, CHEK2, and WRN) that might cooperate with somatically acquired variants in these patients with highly aggressive recurrent neuroblastoma. Our data indicate the importance of monitoring recurrent neuroblastoma through sequential genomic characterization and that new therapeutic approaches combining the targeting of MAPK signaling, cell cycle progression, and telomere activity are required for this challenging patient group.Susanne FranssonAngela Martinez-MonleonMathias JohanssonRose-Marie SjöbergCaroline BjörklundGustaf LjungmanTorben EkPer KognerTommy MartinssonNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 10, Iss 1, Pp 1-14 (2020)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Susanne Fransson
Angela Martinez-Monleon
Mathias Johansson
Rose-Marie Sjöberg
Caroline Björklund
Gustaf Ljungman
Torben Ek
Per Kogner
Tommy Martinsson
Whole-genome sequencing of recurrent neuroblastoma reveals somatic mutations that affect key players in cancer progression and telomere maintenance
description Abstract Neuroblastoma is the most common and deadly childhood tumor. Relapsed or refractory neuroblastoma has a very poor prognosis despite recent treatment advances. To investigate genomic alterations associated with relapse and therapy resistance, whole-genome sequencing was performed on diagnostic and relapsed lesions together with constitutional DNA from seven children. Sequencing of relapsed tumors indicates somatic alterations in diverse genes, including those involved in RAS-MAPK signaling, promoting cell cycle progression or function in telomere maintenance and immortalization. Among recurrent alterations, CCND1-gain, TERT-rearrangements, and point mutations in POLR2A, CDK5RAP, and MUC16 were shown in ≥ 2 individuals. Our cohort contained examples of converging genomic alterations in primary-relapse tumor pairs, indicating dependencies related to specific genetic lesions. We also detected rare genetic germline variants in DNA repair genes (e.g., BARD1, BRCA2, CHEK2, and WRN) that might cooperate with somatically acquired variants in these patients with highly aggressive recurrent neuroblastoma. Our data indicate the importance of monitoring recurrent neuroblastoma through sequential genomic characterization and that new therapeutic approaches combining the targeting of MAPK signaling, cell cycle progression, and telomere activity are required for this challenging patient group.
format article
author Susanne Fransson
Angela Martinez-Monleon
Mathias Johansson
Rose-Marie Sjöberg
Caroline Björklund
Gustaf Ljungman
Torben Ek
Per Kogner
Tommy Martinsson
author_facet Susanne Fransson
Angela Martinez-Monleon
Mathias Johansson
Rose-Marie Sjöberg
Caroline Björklund
Gustaf Ljungman
Torben Ek
Per Kogner
Tommy Martinsson
author_sort Susanne Fransson
title Whole-genome sequencing of recurrent neuroblastoma reveals somatic mutations that affect key players in cancer progression and telomere maintenance
title_short Whole-genome sequencing of recurrent neuroblastoma reveals somatic mutations that affect key players in cancer progression and telomere maintenance
title_full Whole-genome sequencing of recurrent neuroblastoma reveals somatic mutations that affect key players in cancer progression and telomere maintenance
title_fullStr Whole-genome sequencing of recurrent neuroblastoma reveals somatic mutations that affect key players in cancer progression and telomere maintenance
title_full_unstemmed Whole-genome sequencing of recurrent neuroblastoma reveals somatic mutations that affect key players in cancer progression and telomere maintenance
title_sort whole-genome sequencing of recurrent neuroblastoma reveals somatic mutations that affect key players in cancer progression and telomere maintenance
publisher Nature Portfolio
publishDate 2020
url https://doaj.org/article/040e279adcf3445389b188aed659660d
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