2017
DOI: 10.1158/1078-0432.ccr-16-0610
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Somatic and Germline TP53 Alterations in Second Malignant Neoplasms from Pediatric Cancer Survivors

Abstract: Purpose Second malignant neoplasms (SMNs) are severe late complications that occur in pediatric cancer survivors exposed to radiotherapy and other genotoxic treatments. To characterize the mutational landscape of treatment-induced sarcomas and to identify candidate SMN-predisposing variants we analyzed germline and SMN samples from pediatric cancer survivors. Experimental Design We performed whole exome sequencing (WES) and RNA sequencing on radiation-induced sarcomas arising from two pediatric cancer surviv… Show more

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Cited by 31 publications
(27 citation statements)
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“…In the human-only NMF analysis, we included tumor samples initiated by either IR or UV. Two IR-induced malignancies from patients were analyzed by whole exome sequencing (a single tumor sample from one patient, Patient 1, and 2 anatomically separate tissue samples of the same tumor from the other, Patient 2), revealing a total of 194 single nucleotide variants (SNVs) for Patient 1, and a total of 361 SNVs for Patient 2 (202 in sample A and 159 in sample B) 10 . The third clinical case was a UV-associated squamous cell carcinoma of the scalp (Patient 3).…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…In the human-only NMF analysis, we included tumor samples initiated by either IR or UV. Two IR-induced malignancies from patients were analyzed by whole exome sequencing (a single tumor sample from one patient, Patient 1, and 2 anatomically separate tissue samples of the same tumor from the other, Patient 2), revealing a total of 194 single nucleotide variants (SNVs) for Patient 1, and a total of 361 SNVs for Patient 2 (202 in sample A and 159 in sample B) 10 . The third clinical case was a UV-associated squamous cell carcinoma of the scalp (Patient 3).…”
Section: Resultsmentioning
confidence: 99%
“…Focally irradiated mice develop IR-induced malignancies that resemble clinical IR-induced malignancies both anatomically and histologically 9 . Similar to the clinically-based radiation protocols utilized in our mouse model, the two human IR-induced malignancies included in this analysis were induced by focal fractionated radiation 10 . As a result, the mouse and human IR-induced malignancies shared key similarities in mutagenic exposure with the previously analyzed WES data from the IR-induced malignancies arising within our mouse model 4 .…”
Section: Introductionmentioning
confidence: 99%
“…The cleaned and trimmed reads were aligned to the reference human sequence (GRCh37/hg19) using TopHat (v1.4.0), a fast splice junction mapping software that uses Bowtie alignment to align reads 30 34 . The mapped reads were assembled using Cufflinks (v2.0.0) software, and the transcripts across all samples were merged using Cuffmerge program.…”
Section: Methodsmentioning
confidence: 99%
“…We did not address the implications of the underlying disorder for therapy of tumors that develop, or for second cancers and subsequent surveillance. This will likely be very syndrome specific, e.g., a greater risk of therapy-related cancers in Li-Fraumeni Syndrome, retinoblastoma predisposition or DNA instability syndromes, etc., and less so in individuals with certain other syndromes (1416). The recommendations will likely need substantial personalization, as the surveillance recommendations will depend on the child’s risk of a second tumor, while taking into account their risk of recurrence, the therapy that they received, and the biological nature of the predisposition syndrome.…”
Section: Importance Of Consensus Protocolsmentioning
confidence: 99%