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Segmental chromosomal alterations have prognostic impact in neuroblastoma: a report from the INRG project

Identifieur interne : 005930 ( Main/Exploration ); précédent : 005929; suivant : 005931

Segmental chromosomal alterations have prognostic impact in neuroblastoma: a report from the INRG project

Auteurs : G. Schleiermacher [France] ; V. Mosseri [France] ; W. B. London [États-Unis] ; J. M. Maris [États-Unis] ; G. M. Brodeur [États-Unis] ; E. Attiyeh [États-Unis] ; M. Haber [Australie] ; J. Khan [États-Unis] ; A. Nakagawara [Japon] ; F. Speleman [Belgique] ; R. Noguera [Espagne] ; G. P. Tonini [Italie] ; M. Fischer [Allemagne] ; I. Ambros [Autriche] ; T. Monclair [Norvège] ; K. K. Matthay [États-Unis] ; P. Ambros [Autriche] ; S. L. Cohn [États-Unis] ; Adj Pearson [Royaume-Uni]

Source :

RBID : Pascal:12-0416784

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English descriptors

Abstract

BACKGROUND: In the INRG dataset, the hypothesis that any segmental chromosomal alteration might be of prognostic impact in neuroblastoma without MYCN amplification (MNA) was tested. METHODS: The presence of any segmental chromosomal alteration (chromosome I p deletion, I I q deletion and/or chromosome 17q gain) defined a segmental genomic profile. Only tumours with a confirmed unaltered status for all three chromosome arms were considered as having no segmental chromosomal alterations. RESULTS: Among the 8800 patients in the INRG database, a genomic type could be attributed for 505 patients without MNA: 397 cases had a segmental genomic type, whereas 108 cases had an absence of any segmental alteration. A segmental genomic type was more frequent in patients > 18 months and in stage 4 disease (P<0.0001). In univariate analysis, I I q deletion, 17q gain and a segmental genomic type were associated with a poorer event-free survival (EFS) (P<0.0001, P = 0.0002 and P < 0.0001, respectively). In multivariate analysis modelling EFS, the parameters age, stage and a segmental genomic type were retained in the model, whereas the individual genetic markers were not (P<0.0001 and RR = 2.56; P = 0.0002 and RR= 1.8; P = 0.01 and RR = 1.7, respectively). CONCLUSION: A segmental genomic profile, rather than the single genetic markers, adds prognostic information to the clinical markers age and stage in neuroblastoma patients without MNA, underlining the importance of pangenomic studies.

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<sZ>13 aut.</sZ>
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<wicri:noRegion>University of Cologne</wicri:noRegion>
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<s1>CCRI, Children's Cancer Research Institute, St. Anno Kinderkrebsforschung</s1>
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<sZ>14 aut.</sZ>
<sZ>17 aut.</sZ>
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<region nuts="2" type="province">Vienne (Autriche)</region>
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<name sortKey="Monclair, T" sort="Monclair, T" uniqKey="Monclair T" first="T." last="Monclair">T. Monclair</name>
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<s1>Section for Paediatric Surgery, Division of Surgery, Rikshospitatet University Hospital</s1>
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<settlement type="city">Oslo</settlement>
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<name sortKey="Matthay, K K" sort="Matthay, K K" uniqKey="Matthay K" first="K. K." last="Matthay">K. K. Matthay</name>
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<name sortKey="Ambros, P" sort="Ambros, P" uniqKey="Ambros P" first="P." last="Ambros">P. Ambros</name>
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<country>Royaume-Uni</country>
<wicri:noRegion>Sutton</wicri:noRegion>
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<title level="j" type="main">British journal of cancer</title>
<title level="j" type="abbreviated">Br. j. cancer</title>
<idno type="ISSN">0007-0920</idno>
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<date when="2012">2012</date>
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<title level="j" type="main">British journal of cancer</title>
<title level="j" type="abbreviated">Br. j. cancer</title>
<idno type="ISSN">0007-0920</idno>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Cancerology</term>
<term>Chromosome</term>
<term>Genetics</term>
<term>Genome</term>
<term>Neuroblastoma</term>
<term>Prognosis</term>
<term>Segmental</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Neuroblastome</term>
<term>Segmentaire</term>
<term>Chromosome</term>
<term>Génétique</term>
<term>Pronostic</term>
<term>Génome</term>
<term>Cancérologie</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Génétique</term>
</keywords>
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<front>
<div type="abstract" xml:lang="en">BACKGROUND: In the INRG dataset, the hypothesis that any segmental chromosomal alteration might be of prognostic impact in neuroblastoma without MYCN amplification (MNA) was tested. METHODS: The presence of any segmental chromosomal alteration (chromosome I p deletion, I I q deletion and/or chromosome 17q gain) defined a segmental genomic profile. Only tumours with a confirmed unaltered status for all three chromosome arms were considered as having no segmental chromosomal alterations. RESULTS: Among the 8800 patients in the INRG database, a genomic type could be attributed for 505 patients without MNA: 397 cases had a segmental genomic type, whereas 108 cases had an absence of any segmental alteration. A segmental genomic type was more frequent in patients > 18 months and in stage 4 disease (P<0.0001). In univariate analysis, I I q deletion, 17q gain and a segmental genomic type were associated with a poorer event-free survival (EFS) (P<0.0001, P = 0.0002 and P < 0.0001, respectively). In multivariate analysis modelling EFS, the parameters age, stage and a segmental genomic type were retained in the model, whereas the individual genetic markers were not (P<0.0001 and RR = 2.56; P = 0.0002 and RR= 1.8; P = 0.01 and RR = 1.7, respectively). CONCLUSION: A segmental genomic profile, rather than the single genetic markers, adds prognostic information to the clinical markers age and stage in neuroblastoma patients without MNA, underlining the importance of pangenomic studies.</div>
</front>
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<country>
<li>Allemagne</li>
<li>Australie</li>
<li>Autriche</li>
<li>Belgique</li>
<li>Espagne</li>
<li>France</li>
<li>Italie</li>
<li>Japon</li>
<li>Norvège</li>
<li>Royaume-Uni</li>
<li>États-Unis</li>
</country>
<region>
<li>Vienne (Autriche)</li>
<li>Île-de-France</li>
<li>Østlandet</li>
</region>
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<li>Oslo</li>
<li>Paris</li>
<li>Vienne (Autriche)</li>
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<region name="Île-de-France">
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<name sortKey="Mosseri, V" sort="Mosseri, V" uniqKey="Mosseri V" first="V." last="Mosseri">V. Mosseri</name>
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<name sortKey="Cohn, S L" sort="Cohn, S L" uniqKey="Cohn S" first="S. L." last="Cohn">S. L. Cohn</name>
<name sortKey="Khan, J" sort="Khan, J" uniqKey="Khan J" first="J." last="Khan">J. Khan</name>
<name sortKey="Maris, J M" sort="Maris, J M" uniqKey="Maris J" first="J. M." last="Maris">J. M. Maris</name>
<name sortKey="Matthay, K K" sort="Matthay, K K" uniqKey="Matthay K" first="K. K." last="Matthay">K. K. Matthay</name>
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<name sortKey="Nakagawara, A" sort="Nakagawara, A" uniqKey="Nakagawara A" first="A." last="Nakagawara">A. Nakagawara</name>
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</country>
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<noRegion>
<name sortKey="Speleman, F" sort="Speleman, F" uniqKey="Speleman F" first="F." last="Speleman">F. Speleman</name>
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<name sortKey="Noguera, R" sort="Noguera, R" uniqKey="Noguera R" first="R." last="Noguera">R. Noguera</name>
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<name sortKey="Tonini, G P" sort="Tonini, G P" uniqKey="Tonini G" first="G. P." last="Tonini">G. P. Tonini</name>
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<name sortKey="Fischer, M" sort="Fischer, M" uniqKey="Fischer M" first="M." last="Fischer">M. Fischer</name>
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<name sortKey="Ambros, I" sort="Ambros, I" uniqKey="Ambros I" first="I." last="Ambros">I. Ambros</name>
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<name sortKey="Ambros, P" sort="Ambros, P" uniqKey="Ambros P" first="P." last="Ambros">P. Ambros</name>
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<region name="Østlandet">
<name sortKey="Monclair, T" sort="Monclair, T" uniqKey="Monclair T" first="T." last="Monclair">T. Monclair</name>
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