Identification of Mutation in Neuroblastoma on the Point of Molecular Heterogeneity

Background and Aim In neuroblastoma, anaplastic lymphoma kinase mutations have recently received attention as molecular targets for the treatment of neuroblastoma, as 6% to 10% of patients with neuroblastoma have anaplastic lymphoma kinase mutations. There are little data from the cases in Turkey. W...

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Main Authors: Tekincan Çağrı Aktaş MD, PhD, Deniz Kızmazoğlu MD, PhD, Safiye Aktaş MD, PhD, Özde Elif Gökbayrak MSc, PhD, Efe Serinan MSc, PhD, Aylin Erol MSc, PhD, Zekiye Altun MD, PhD, Hongling Yuan MD, MSc, Hatice Nur Olgun MD
Format: Article
Language:English
Published: SAGE Publishing 2023-11-01
Series:Technology in Cancer Research & Treatment
Online Access:https://doi.org/10.1177/15330338231211138
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author Tekincan Çağrı Aktaş MD, PhD
Deniz Kızmazoğlu MD, PhD
Safiye Aktaş MD, PhD
Özde Elif Gökbayrak MSc, PhD
Efe Serinan MSc, PhD
Aylin Erol MSc, PhD
Zekiye Altun MD, PhD
Hongling Yuan MD, MSc
Hatice Nur Olgun MD
author_facet Tekincan Çağrı Aktaş MD, PhD
Deniz Kızmazoğlu MD, PhD
Safiye Aktaş MD, PhD
Özde Elif Gökbayrak MSc, PhD
Efe Serinan MSc, PhD
Aylin Erol MSc, PhD
Zekiye Altun MD, PhD
Hongling Yuan MD, MSc
Hatice Nur Olgun MD
author_sort Tekincan Çağrı Aktaş MD, PhD
collection DOAJ
description Background and Aim In neuroblastoma, anaplastic lymphoma kinase mutations have recently received attention as molecular targets for the treatment of neuroblastoma, as 6% to 10% of patients with neuroblastoma have anaplastic lymphoma kinase mutations. There are little data from the cases in Turkey. We aimed to detect anaplastic lymphoma kinase mutations and molecular heterogeneity in neuroblastoma using next-generation sequencing. This study is the first one with this many cases in Turkey. Methods Next-generation sequencing analysis was performed using an Illumina MiniSeq custom gene panel. Clinically important mutations were selected for the analysis. We also gathered clinical data of the patients from Turkish Pediatric Oncology Group cohorts to associate them with anaplastic lymphoma kinase mutations. This study is a retrospective cross-sectional study. We followed STROBE guideline ( https://www.equator-network.org/reporting-guidelines/strobe/ ) on this study. Results We analyzed anaplastic lymphoma kinase in 108 patients with neuroblastoma, with a mean age of 43.76 months. Pathogenic anaplastic lymphoma kinase mutations were detected in 13 patients (12.04%). We noted that anaplastic lymphoma kinase mutations were primarily observed in intermediate- and high-risk patients ( P   =  .028). R1275Q and F1174-related mutations were predominant; I1171T, L1226F, S1189F, V1135A, and G1125S mutations were rare. Duplicate samples did not exhibit any heterogeneity. Conclusions We found that F1174 and R1275Q-related anaplastic lymphoma kinase mutations are the most common pathogenic mutations in neuroblastoma. Anaplastic lymphoma kinase mutation status did not show any heterogeneity, and the mutations were correlated with intermediate- or high-risk groups.
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spelling doaj.art-b74cbe39c43b4420a59edda52eb280962023-11-15T14:03:20ZengSAGE PublishingTechnology in Cancer Research & Treatment1533-03382023-11-012210.1177/15330338231211138Identification of Mutation in Neuroblastoma on the Point of Molecular HeterogeneityTekincan Çağrı Aktaş MD, PhD0Deniz Kızmazoğlu MD, PhD1Safiye Aktaş MD, PhD2Özde Elif Gökbayrak MSc, PhD3Efe Serinan MSc, PhD4Aylin Erol MSc, PhD5Zekiye Altun MD, PhD6Hongling Yuan MD, MSc7Hatice Nur Olgun MD8 Institute of Oncology, Department of Basic Oncology, , Izmir, Turkey Institute of Oncology, Department of Clinical Oncology, , Izmir, Turkey Institute of Oncology, Department of Basic Oncology, , Izmir, Turkey Institute of Oncology, Department of Basic Oncology, , Izmir, Turkey Institute of Oncology, Department of Basic Oncology, , Izmir, Turkey Institute of Oncology, Department of Basic Oncology, , Izmir, Turkey Institute of Oncology, Department of Basic Oncology, , Izmir, Turkey Institute of Oncology, Department of Basic Oncology, , Izmir, Turkey Institute of Oncology, Department of Clinical Oncology, , Izmir, TurkeyBackground and Aim In neuroblastoma, anaplastic lymphoma kinase mutations have recently received attention as molecular targets for the treatment of neuroblastoma, as 6% to 10% of patients with neuroblastoma have anaplastic lymphoma kinase mutations. There are little data from the cases in Turkey. We aimed to detect anaplastic lymphoma kinase mutations and molecular heterogeneity in neuroblastoma using next-generation sequencing. This study is the first one with this many cases in Turkey. Methods Next-generation sequencing analysis was performed using an Illumina MiniSeq custom gene panel. Clinically important mutations were selected for the analysis. We also gathered clinical data of the patients from Turkish Pediatric Oncology Group cohorts to associate them with anaplastic lymphoma kinase mutations. This study is a retrospective cross-sectional study. We followed STROBE guideline ( https://www.equator-network.org/reporting-guidelines/strobe/ ) on this study. Results We analyzed anaplastic lymphoma kinase in 108 patients with neuroblastoma, with a mean age of 43.76 months. Pathogenic anaplastic lymphoma kinase mutations were detected in 13 patients (12.04%). We noted that anaplastic lymphoma kinase mutations were primarily observed in intermediate- and high-risk patients ( P   =  .028). R1275Q and F1174-related mutations were predominant; I1171T, L1226F, S1189F, V1135A, and G1125S mutations were rare. Duplicate samples did not exhibit any heterogeneity. Conclusions We found that F1174 and R1275Q-related anaplastic lymphoma kinase mutations are the most common pathogenic mutations in neuroblastoma. Anaplastic lymphoma kinase mutation status did not show any heterogeneity, and the mutations were correlated with intermediate- or high-risk groups.https://doi.org/10.1177/15330338231211138
spellingShingle Tekincan Çağrı Aktaş MD, PhD
Deniz Kızmazoğlu MD, PhD
Safiye Aktaş MD, PhD
Özde Elif Gökbayrak MSc, PhD
Efe Serinan MSc, PhD
Aylin Erol MSc, PhD
Zekiye Altun MD, PhD
Hongling Yuan MD, MSc
Hatice Nur Olgun MD
Identification of Mutation in Neuroblastoma on the Point of Molecular Heterogeneity
Technology in Cancer Research & Treatment
title Identification of Mutation in Neuroblastoma on the Point of Molecular Heterogeneity
title_full Identification of Mutation in Neuroblastoma on the Point of Molecular Heterogeneity
title_fullStr Identification of Mutation in Neuroblastoma on the Point of Molecular Heterogeneity
title_full_unstemmed Identification of Mutation in Neuroblastoma on the Point of Molecular Heterogeneity
title_short Identification of Mutation in Neuroblastoma on the Point of Molecular Heterogeneity
title_sort identification of mutation in neuroblastoma on the point of molecular heterogeneity
url https://doi.org/10.1177/15330338231211138
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