PMID- 29455316 OWN - NLM STAT- MEDLINE DCOM- 20180927 LR - 20181113 IS - 1573-4978 (Electronic) IS - 0301-4851 (Linking) VI - 45 IP - 3 DP - 2018 Jun TI - Investigation of major genetic alterations in neuroblastoma. PG - 287-295 LID - 10.1007/s11033-018-4161-4 [doi] AB - Neuroblastoma (NB) is the most common extracranial solid tumor in childhood. This malignancy shows a wide spectrum of clinical outcome and its prognosis is conditioned by manifold biological and genetic factors. We investigated the tumor genetic profile and clinical data of 29 patients with NB by multiplex ligation-dependent probe amplification (MLPA) to assess therapeutic risk. In 18 of these tumors, MYCN status was assessed by fluorescence in situ hybridization (FISH). Copy number variation was also determined for confirming MLPA findings in two 6p loci. We found 2p, 7q and 17q gains, and 1p and 11q losses as the most frequent chromosome alterations in this cohort. FISH confirmed all cases of MYCN amplification detected by MLPA. In view of unexpected 6p imbalance, copy number variation of two 6p loci was assessed for validating MLPA findings. Based on clinical data and genetic profiles, patients were stratified in pretreatment risk groups according to international consensus. MLPA proved to be effective for detecting multiple genetic alterations in all chromosome regions as requested by the International Neuroblastoma Risk Group (INRG) for therapeutic stratification. Moreover, this technique proved to be cost effective, reliable, only requiring standard PCR equipment, and attractive for routine analysis. However, the observed 6p imbalances made PKHD1 and DCDC2 inadequate for control loci. This must be considered when designing commercial MLPA kits for NB. Finally, four patients showed a normal MLPA profile, suggesting that NB might have a more complex genetic pattern than the one assessed by presently available MLPA kits. FAU - Costa, Regis Afonso AU - Costa RA AD - Genetics Program, Instituto Nacional de Cancer, Rua Andre Cavalcanti 37, Rio de Janeiro, RJ, 20231-050, Brazil. AD - Department of Genetics, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil. FAU - Seuanez, Hector N AU - Seuanez HN AUID- ORCID: 0000-0003-3355-8003 AD - Genetics Program, Instituto Nacional de Cancer, Rua Andre Cavalcanti 37, Rio de Janeiro, RJ, 20231-050, Brazil. hseuanez@inca.gov.br. AD - Department of Genetics, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil. hseuanez@inca.gov.br. LA - eng GR - 573806/2008-0/Conselho Nacional de Desenvolvimento Cientifico e Tecnologico/ PT - Journal Article DEP - 20180217 PL - Netherlands TA - Mol Biol Rep JT - Molecular biology reports JID - 0403234 SB - IM MH - Child MH - Child, Preschool MH - Chromosome Aberrations MH - Cohort Studies MH - DNA Copy Number Variations MH - Female MH - Gene Dosage MH - Humans MH - In Situ Hybridization, Fluorescence/methods MH - Infant MH - Male MH - Multiplex Polymerase Chain Reaction/methods MH - Mutation MH - Neuroblastoma/*genetics MH - Prognosis OTO - NOTNLM OT - Chromosome 6 OT - Genetic alterations OT - MLPA OT - MYCN OT - Neuroblastoma EDAT- 2018/02/20 06:00 MHDA- 2018/09/28 06:00 CRDT- 2018/02/19 06:00 PHST- 2017/10/04 00:00 [received] PHST- 2018/02/08 00:00 [accepted] PHST- 2018/02/20 06:00 [pubmed] PHST- 2018/09/28 06:00 [medline] PHST- 2018/02/19 06:00 [entrez] AID - 10.1007/s11033-018-4161-4 [pii] AID - 10.1007/s11033-018-4161-4 [doi] PST - ppublish SO - Mol Biol Rep. 2018 Jun;45(3):287-295. doi: 10.1007/s11033-018-4161-4. Epub 2018 Feb 17.