Ultra-high Density SNParray in Neuroblastoma Molecular Diagnostics

Neuroblastoma serves as a paradigm for applying tumor genomic data for determining patient prognosis and thus for treatment allocation. MYCN status, i.e. amplified vs. non-amplified, was one of the very first biomarkers in oncology to discriminate aggressive from less aggressive or even favorable cl...

Full description

Bibliographic Details
Main Authors: Inge M. Ambros, Clemens eBrunner, Reza eAbbasi, Christian eFrech, Peter F. Ambros
Format: Article
Language:English
Published: Frontiers Media S.A. 2014-08-01
Series:Frontiers in Oncology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fonc.2014.00202/full
_version_ 1818363479871979520
author Inge M. Ambros
Clemens eBrunner
Reza eAbbasi
Christian eFrech
Peter F. Ambros
Peter F. Ambros
author_facet Inge M. Ambros
Clemens eBrunner
Reza eAbbasi
Christian eFrech
Peter F. Ambros
Peter F. Ambros
author_sort Inge M. Ambros
collection DOAJ
description Neuroblastoma serves as a paradigm for applying tumor genomic data for determining patient prognosis and thus for treatment allocation. MYCN status, i.e. amplified vs. non-amplified, was one of the very first biomarkers in oncology to discriminate aggressive from less aggressive or even favorable clinical courses of neuroblastoma. However, MYCN amplification is by far not the only genetic change associated with unfavorable clinical courses: so called segmental chromosomal aberrations, i.e. gains or losses of chromosomal fragments, can also indicate tumor aggressiveness. The clinical use of these genomic aberrations has, however, been hampered for many years by methodical and interpretational problems. Only after reaching worldwide consensus on markers, methodology, and data interpretation, information on SCAs has recently been implemented in clinical studies. Now, a number of collaborative studies within COG, GPOH and SIOPEN use genomic information to stratify therapy for patients with localized and metastatic disease. Recently, new types of DNA based aberrations influencing the clinical behavior of neuroblastomas have been described. Deletions or mutations of genes like ATRX and a phenomenon referred to as chromothripsis are all assumed to correlate with an unfavorable clinical behavior. However, these genomic aberrations need to be scrutinized in larger studies applying the most appropriate techniques. Single nucleotide polymorphism (SNP) arrays have proven successful in deciphering genomic aberrations of cancer cells; these techniques, however, are usually not applied in the daily routine. Here, we present an ultra-high density (UHD) SNParray technique which is, because of its high specificity and sensitivity and the combined copy number and allele information, highly appropriate for the genomic diagnosis of neuroblastoma and other malignancies.
first_indexed 2024-12-13T21:49:08Z
format Article
id doaj.art-263797fb779841b8aaa99bc4c16c9197
institution Directory Open Access Journal
issn 2234-943X
language English
last_indexed 2024-12-13T21:49:08Z
publishDate 2014-08-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Oncology
spelling doaj.art-263797fb779841b8aaa99bc4c16c91972022-12-21T23:30:20ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2014-08-01410.3389/fonc.2014.0020286201Ultra-high Density SNParray in Neuroblastoma Molecular DiagnosticsInge M. Ambros0Clemens eBrunner1Reza eAbbasi2Christian eFrech3Peter F. Ambros4Peter F. Ambros5CCRI, Children's Cancer Research Institute, St. Anna KinderkrebsforschungCCRI, Children's Cancer Research Institute, St. Anna KinderkrebsforschungCCRI, Children's Cancer Research Institute, St. Anna KinderkrebsforschungCCRI, Children's Cancer Research Institute, St. Anna KinderkrebsforschungDept. of Pediatrics, Medical University of Vienna, Vienna, AustriaCCRI, Children's Cancer Research Institute, St. Anna KinderkrebsforschungNeuroblastoma serves as a paradigm for applying tumor genomic data for determining patient prognosis and thus for treatment allocation. MYCN status, i.e. amplified vs. non-amplified, was one of the very first biomarkers in oncology to discriminate aggressive from less aggressive or even favorable clinical courses of neuroblastoma. However, MYCN amplification is by far not the only genetic change associated with unfavorable clinical courses: so called segmental chromosomal aberrations, i.e. gains or losses of chromosomal fragments, can also indicate tumor aggressiveness. The clinical use of these genomic aberrations has, however, been hampered for many years by methodical and interpretational problems. Only after reaching worldwide consensus on markers, methodology, and data interpretation, information on SCAs has recently been implemented in clinical studies. Now, a number of collaborative studies within COG, GPOH and SIOPEN use genomic information to stratify therapy for patients with localized and metastatic disease. Recently, new types of DNA based aberrations influencing the clinical behavior of neuroblastomas have been described. Deletions or mutations of genes like ATRX and a phenomenon referred to as chromothripsis are all assumed to correlate with an unfavorable clinical behavior. However, these genomic aberrations need to be scrutinized in larger studies applying the most appropriate techniques. Single nucleotide polymorphism (SNP) arrays have proven successful in deciphering genomic aberrations of cancer cells; these techniques, however, are usually not applied in the daily routine. Here, we present an ultra-high density (UHD) SNParray technique which is, because of its high specificity and sensitivity and the combined copy number and allele information, highly appropriate for the genomic diagnosis of neuroblastoma and other malignancies.http://journal.frontiersin.org/Journal/10.3389/fonc.2014.00202/fullNeuroblastomaAmplificationgenetic risk factorsGenomicchromothripsisprecision medicine
spellingShingle Inge M. Ambros
Clemens eBrunner
Reza eAbbasi
Christian eFrech
Peter F. Ambros
Peter F. Ambros
Ultra-high Density SNParray in Neuroblastoma Molecular Diagnostics
Frontiers in Oncology
Neuroblastoma
Amplification
genetic risk factors
Genomic
chromothripsis
precision medicine
title Ultra-high Density SNParray in Neuroblastoma Molecular Diagnostics
title_full Ultra-high Density SNParray in Neuroblastoma Molecular Diagnostics
title_fullStr Ultra-high Density SNParray in Neuroblastoma Molecular Diagnostics
title_full_unstemmed Ultra-high Density SNParray in Neuroblastoma Molecular Diagnostics
title_short Ultra-high Density SNParray in Neuroblastoma Molecular Diagnostics
title_sort ultra high density snparray in neuroblastoma molecular diagnostics
topic Neuroblastoma
Amplification
genetic risk factors
Genomic
chromothripsis
precision medicine
url http://journal.frontiersin.org/Journal/10.3389/fonc.2014.00202/full
work_keys_str_mv AT ingemambros ultrahighdensitysnparrayinneuroblastomamoleculardiagnostics
AT clemensebrunner ultrahighdensitysnparrayinneuroblastomamoleculardiagnostics
AT rezaeabbasi ultrahighdensitysnparrayinneuroblastomamoleculardiagnostics
AT christianefrech ultrahighdensitysnparrayinneuroblastomamoleculardiagnostics
AT peterfambros ultrahighdensitysnparrayinneuroblastomamoleculardiagnostics
AT peterfambros ultrahighdensitysnparrayinneuroblastomamoleculardiagnostics