Neuroblastoma arises in early fetal development and its evolutionary duration predicts outcome.


Journal

Nature genetics
ISSN: 1546-1718
Titre abrégé: Nat Genet
Pays: United States
ID NLM: 9216904

Informations de publication

Date de publication:
04 2023
Historique:
received: 04 07 2022
accepted: 06 02 2023
medline: 17 4 2023
pubmed: 28 3 2023
entrez: 27 3 2023
Statut: ppublish

Résumé

Neuroblastoma, the most frequent solid tumor in infants, shows very diverse outcomes from spontaneous regression to fatal disease. When these different tumors originate and how they evolve are not known. Here we quantify the somatic evolution of neuroblastoma by deep whole-genome sequencing, molecular clock analysis and population-genetic modeling in a comprehensive cohort covering all subtypes. We find that tumors across the entire clinical spectrum begin to develop via aberrant mitoses as early as the first trimester of pregnancy. Neuroblastomas with favorable prognosis expand clonally after short evolution, whereas aggressive neuroblastomas show prolonged evolution during which they acquire telomere maintenance mechanisms. The initial aneuploidization events condition subsequent evolution, with aggressive neuroblastoma exhibiting early genomic instability. We find in the discovery cohort (n = 100), and validate in an independent cohort (n = 86), that the duration of evolution is an accurate predictor of outcome. Thus, insight into neuroblastoma evolution may prospectively guide treatment decisions.

Identifiants

pubmed: 36973454
doi: 10.1038/s41588-023-01332-y
pii: 10.1038/s41588-023-01332-y
pmc: PMC10101850
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

619-630

Commentaires et corrections

Type : CommentIn

Informations de copyright

© 2023. The Author(s).

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Auteurs

Verena Körber (V)

Division of Theoretical Systems Biology, German Cancer Research Center, Heidelberg, Germany.

Sabine A Stainczyk (SA)

Hopp Children's Cancer Center, Heidelberg, Germany.
Division of Neuroblastoma Genomics, German Cancer Research Center, Heidelberg, Germany.

Roma Kurilov (R)

Division of Applied Bioinformatics, German Cancer Research Center, Heidelberg, Germany.

Kai-Oliver Henrich (KO)

Hopp Children's Cancer Center, Heidelberg, Germany.
Division of Neuroblastoma Genomics, German Cancer Research Center, Heidelberg, Germany.

Barbara Hero (B)

Department of Pediatric Oncology and Hematology, University Children's Hospital of Cologne, Medical Faculty, Cologne, Germany.

Benedikt Brors (B)

Division of Applied Bioinformatics, German Cancer Research Center, Heidelberg, Germany.

Frank Westermann (F)

Hopp Children's Cancer Center, Heidelberg, Germany. f.westermann@kitz-heidelberg.de.
Division of Neuroblastoma Genomics, German Cancer Research Center, Heidelberg, Germany. f.westermann@kitz-heidelberg.de.

Thomas Höfer (T)

Division of Theoretical Systems Biology, German Cancer Research Center, Heidelberg, Germany. t.hoefer@dkfz-heidelberg.de.

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