PMID- 21160474 OWN - NLM STAT- MEDLINE DCOM- 20110217 LR - 20220309 IS - 1476-4687 (Electronic) IS - 0028-0836 (Linking) VI - 469 IP - 7330 DP - 2011 Jan 20 TI - Genetic variegation of clonal architecture and propagating cells in leukaemia. PG - 356-61 LID - 10.1038/nature09650 [doi] AB - Little is known of the genetic architecture of cancer at the subclonal and single-cell level or in the cells responsible for cancer clone maintenance and propagation. Here we have examined this issue in childhood acute lymphoblastic leukaemia in which the ETV6-RUNX1 gene fusion is an early or initiating genetic lesion followed by a modest number of recurrent or 'driver' copy number alterations. By multiplexing fluorescence in situ hybridization probes for these mutations, up to eight genetic abnormalities can be detected in single cells, a genetic signature of subclones identified and a composite picture of subclonal architecture and putative ancestral trees assembled. Subclones in acute lymphoblastic leukaemia have variegated genetics and complex, nonlinear or branching evolutionary histories. Copy number alterations are independently and reiteratively acquired in subclones of individual patients, and in no preferential order. Clonal architecture is dynamic and is subject to change in the lead-up to a diagnosis and in relapse. Leukaemia propagating cells, assayed by serial transplantation in NOD/SCID IL2Rgamma(null) mice, are also genetically variegated, mirroring subclonal patterns, and vary in competitive regenerative capacity in vivo. These data have implications for cancer genomics and for the targeted therapy of cancer. FAU - Anderson, Kristina AU - Anderson K AD - Section of Haemato-Oncology, The Institute of Cancer Research, Sutton SM2 5NG, UK. FAU - Lutz, Christoph AU - Lutz C FAU - van Delft, Frederik W AU - van Delft FW FAU - Bateman, Caroline M AU - Bateman CM FAU - Guo, Yanping AU - Guo Y FAU - Colman, Susan M AU - Colman SM FAU - Kempski, Helena AU - Kempski H FAU - Moorman, Anthony V AU - Moorman AV FAU - Titley, Ian AU - Titley I FAU - Swansbury, John AU - Swansbury J FAU - Kearney, Lyndal AU - Kearney L FAU - Enver, Tariq AU - Enver T FAU - Greaves, Mel AU - Greaves M LA - eng SI - GEO/GSE24412 GR - MC_U137973817/MRC_/Medical Research Council/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20101215 PL - England TA - Nature JT - Nature JID - 0410462 RN - 0 (Core Binding Factor Alpha 2 Subunit) RN - 0 (Il2rg protein, mouse) RN - 0 (Interleukin Receptor Common gamma Subunit) RN - 0 (Oncogene Proteins, Fusion) RN - 0 (TEL-AML1 fusion protein) SB - IM CIN - Cell Stem Cell. 2011 Mar 4;8(3):242-4. PMID: 21362561 MH - Animals MH - Clone Cells/metabolism/*pathology MH - Core Binding Factor Alpha 2 Subunit MH - DNA Copy Number Variations/genetics MH - DNA Mutational Analysis MH - Disease Progression MH - Genetic Variation/*genetics MH - Genotype MH - Humans MH - Immunophenotyping MH - In Situ Hybridization, Fluorescence MH - Interleukin Receptor Common gamma Subunit/deficiency/genetics MH - Mice MH - Mice, Inbred NOD MH - Mice, SCID MH - Neoplasm Transplantation MH - Oncogene Proteins, Fusion/genetics MH - Precursor Cell Lymphoblastic Leukemia-Lymphoma/*genetics/*pathology EDAT- 2010/12/17 06:00 MHDA- 2011/02/18 06:00 CRDT- 2010/12/17 06:00 PHST- 2010/05/20 00:00 [received] PHST- 2010/10/27 00:00 [accepted] PHST- 2010/12/17 06:00 [entrez] PHST- 2010/12/17 06:00 [pubmed] PHST- 2011/02/18 06:00 [medline] AID - nature09650 [pii] AID - 10.1038/nature09650 [doi] PST - ppublish SO - Nature. 2011 Jan 20;469(7330):356-61. doi: 10.1038/nature09650. Epub 2010 Dec 15.