Relapsed neuroblastomas show frequent RAS-MAPK pathway mutations

Autor: Jean Michon, Gudrun Schleiermacher, Malcolm A. Smith, JulieAnn Rader, Trevor J. Pugh, Patricia Legoix-Né, Jan Koster, Daniela S Gerhard, Edward F. Attiyeh, Olivier Delattre, Shahab Asgharzadeh, Julie M. Gastier-Foster, Sharon J. Diskin, Jan J. Molenaar, Leo Colmet Daage, Rogier Versteeg, Esther M. van Wezel, Eve Lapouble, Marli E. Ebus, Godelieve A.M. Tytgat, Javed Khan, Ellen M. Westerhout, Mathieu Chicard, Lori S. Hart, Nadia Bessoltane Bentahar, M. Emmy M. Dolman, Linda Schild, Anne Hakkert, Virginie Bernard, Valérie Combaret, Johannes H. Schulte, Angela Bellini, Jaime M. Guidry Auvil, Jun S. Wei, Thomas B.K. Watkins, Michael D. Hogarty, Shile Zhang, Thomas F. Eleveld, John M. Maris, Derek A. Oldridge, Huib N. Caron, Peter van Sluis, Isabelle Janoueix-Lerosey, Arlene Naranjo, C. Ellen van der Schoot, Danny A. Zwijnenburg
Přispěvatelé: Graduate School, Oncogenomics, AGEM - Amsterdam Gastroenterology Endocrinology Metabolism, CCA -Cancer Center Amsterdam, Paediatric Oncology, Landsteiner Laboratory, Clinical Haematology, APH - Amsterdam Public Health, Human Genetics, Oncology
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Nature genetics, 47(8), 864-871. Nature Publishing Group
ISSN: 1061-4036
Popis: The majority of neuroblastoma patients have tumors that initially respond to chemotherapy, but a large proportion of patients will experience therapy-resistant relapses. The molecular basis of this aggressive phenotype is unknown. Whole genome sequencing of 23 paired diagnostic and relapsed neuroblastomas showed clonal evolution from the diagnostic tumor with a median of 29 somatic mutations unique to the relapse sample. Eighteen of the 23 relapse tumors (78%) showed mutations predicted to activate the RAS-MAPK signaling pathway. Seven events were detected only in the relapse tumor while the others showed clonal enrichment. In neuroblastoma cell lines we also detected a high frequency of activating mutations in the RAS-MAPK pathway (11/18, 61%) and these lesions predicted for sensitivity to MEK inhibition in vitro and in vivo. Our findings provide the rationale for genetic characterization of relapse neuroblastoma and show that RAS-MAPK pathway mutations may function as a biomarker for new therapeutic approaches to refractory disease.
Databáze: OpenAIRE