PMID- 26119945 OWN - NLM STAT- MEDLINE DCOM- 20160815 LR - 20181113 IS - 1476-5594 (Electronic) IS - 0950-9232 (Linking) VI - 35 IP - 11 DP - 2016 Mar 17 TI - Comparative genetic study of intratumoral heterogenous MYCN amplified neuroblastoma versus aggressive genetic profile neuroblastic tumors. PG - 1423-32 LID - 10.1038/onc.2015.200 [doi] AB - Intratumoral heterogeneous MYCN amplification (hetMNA) is an unusual event in neuroblastoma with unascertained biological and clinical implications. Diagnosis is based on the detection of MYCN amplification surrounded by non-amplified tumor cells by fluorescence in situ hybridization (FISH). To better define the genetic features of hetMNA tumors, we studied the Spanish cohort of neuroblastic tumors by FISH and single nucleotide polymorphism arrays. We compared hetMNA tumors with homogeneous MNA (homMNA) and nonMNA tumors with 11q deletion (nonMNA w11q-). Of 1091 primary tumors, 28 were hetMNA by FISH. Intratumoral heterogeneity of 1p, 2p, 11q and 17q was closely associated with hetMNA tumors when analyzing different pieces for each case. For chromosome 2, 16 cases showed 2p intact, 4 focal gain at 2p24.3 and 8 MNA. The lengths of the smallest regions of overlap (SROs) for 2p gains and 1p deletions were between the SRO lengths observed in homMNA and nonMNA w11q- tumors. Co-occurrence of 11q- and +17q was frequently found with the largest SROs for both aberrations. The evidence for and frequency of different genetic subpopulations representing a hallmark of the hetMNA subgroup of NB indicates, on one hand, the presence of a considerable genetic instability with different SRO of either gains and losses compared with those of the other NB groups and highlights and, on the other hand, the need for multiple sampling from distant and macroscopically and microscopically distinct tumor areas. Narrowing down the different SRO for both deletions and gains in NB groups would be crucial to pinpointing the candidate gene(s) and the critical gene dosage with prognostic and therapeutic significance. This complexity of segmental chromosomal aberration patterns reinforces the necessity for a larger cohort study using FISH and pangenomic techniques to develop a suitable therapeutic strategy for these patients. FAU - Berbegall, A P AU - Berbegall AP AD - Pathology Department, Medical School, University of Valencia, Medical Research Foundation, INCLIVA, Valencia, Spain. FAU - Villamon, E AU - Villamon E AD - Pathology Department, Medical School, University of Valencia, Medical Research Foundation, INCLIVA, Valencia, Spain. FAU - Piqueras, M AU - Piqueras M AD - Pathology Department, Medical School, University of Valencia, Medical Research Foundation, INCLIVA, Valencia, Spain. FAU - Tadeo, I AU - Tadeo I AD - Pathology Department, Medical School, University of Valencia, Medical Research Foundation, INCLIVA, Valencia, Spain. FAU - Djos, A AU - Djos A AD - Department of Medical and Clinical Genetics, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden. FAU - Ambros, P F AU - Ambros PF AD - CCRI, Children's Cancer Research Institute, St Anna Kinderkrebsforschung, Vienna, Austria. AD - Pediatric Oncology Unit, Hospital Universitario y Politecnico La Fe, Valencia, Spain. FAU - Martinsson, T AU - Martinsson T AD - Department of Medical and Clinical Genetics, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden. FAU - Ambros, I M AU - Ambros IM AD - CCRI, Children's Cancer Research Institute, St Anna Kinderkrebsforschung, Vienna, Austria. FAU - Canete, A AU - Canete A AD - Pediatric Oncology Unit, Hospital Universitario y Politecnico La Fe, Valencia, Spain. FAU - Castel, V AU - Castel V AD - Pediatric Oncology Unit, Hospital Universitario y Politecnico La Fe, Valencia, Spain. FAU - Navarro, S AU - Navarro S AD - Pathology Department, Medical School, University of Valencia, Medical Research Foundation, INCLIVA, Valencia, Spain. FAU - Noguera, R AU - Noguera R AD - Pathology Department, Medical School, University of Valencia, Medical Research Foundation, INCLIVA, Valencia, Spain. LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150629 PL - England TA - Oncogene JT - Oncogene JID - 8711562 RN - 0 (MYCN protein, human) RN - 0 (N-Myc Proto-Oncogene Protein) RN - 0 (Nuclear Proteins) RN - 0 (Oncogene Proteins) RN - Chromosome 1, monosomy 1p SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Child MH - Child, Preschool MH - Chromosome Deletion MH - Chromosomes, Human, Pair 1/genetics MH - Chromosomes, Human, Pair 11/genetics MH - Chromosomes, Human, Pair 17/genetics MH - Chromosomes, Human, Pair 2/genetics MH - Cohort Studies MH - Gene Dosage/*genetics MH - Humans MH - In Situ Hybridization, Fluorescence MH - Middle Aged MH - N-Myc Proto-Oncogene Protein MH - Neuroblastoma/classification/*genetics MH - Nuclear Proteins/*genetics MH - Oncogene Proteins/*genetics MH - Polymorphism, Single Nucleotide/genetics MH - Young Adult EDAT- 2015/06/30 06:00 MHDA- 2016/08/16 06:00 CRDT- 2015/06/30 06:00 PHST- 2015/01/05 00:00 [received] PHST- 2015/04/08 00:00 [revised] PHST- 2015/05/10 00:00 [accepted] PHST- 2015/06/30 06:00 [entrez] PHST- 2015/06/30 06:00 [pubmed] PHST- 2016/08/16 06:00 [medline] AID - onc2015200 [pii] AID - 10.1038/onc.2015.200 [doi] PST - ppublish SO - Oncogene. 2016 Mar 17;35(11):1423-32. doi: 10.1038/onc.2015.200. Epub 2015 Jun 29.