2017
DOI: 10.1186/s41241-017-0021-0
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The genetic and epigenetic landscapes of hepatoblastomas

Abstract: Primary liver cancers are rare in children, and the most common type is hepatoblastoma (HB), an embryonal tumor with histological features that resemble different stages of liver cell differentiation. However, mainly because of its rarity, molecular data on HB tumorigenesis remain scarce. This article reviews the current knowledge regarding genetic and epigenetic alterations reported in HB cases, with emphasis on the recent findings of next-generation sequencing studies.

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Cited by 8 publications
(14 citation statements)
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“…Characterizing HB by its genetic events has only limited significance when it comes to risk stratification and treatment selection. In addition, genetic mutations do not explain HB tumorigenesis sufficiently and previous studies made clear that epigenetic phenomena play a key role in HB development [ 10 , 32 ].…”
Section: Discussionmentioning
confidence: 99%
“…Characterizing HB by its genetic events has only limited significance when it comes to risk stratification and treatment selection. In addition, genetic mutations do not explain HB tumorigenesis sufficiently and previous studies made clear that epigenetic phenomena play a key role in HB development [ 10 , 32 ].…”
Section: Discussionmentioning
confidence: 99%
“…HB is a disease mainly caused by the activation of the WNT pathway, which involves the activating mutation/deletion of exon 3 of the catenin β1 ( CTNNB1 ) gene ( 10 ). Certain rare gene mutations lead to the activation of the WNT pathway, such as those occurring in the genes axis inhibition protein 1 ( AXIN1 ), axis inhibition protein 2 ( AXIN2 ) and adenomatous polyposis coli ( APC ) (can only be observed in cases associated with familial adenomatous polyposis) ( 11 ).…”
Section: Introductionmentioning
confidence: 99%
“…One of the major barriers to the implementation of this approach in clinical settings is the intra/inter-tumor heterogeneity, in addition to the rarity in the case of pediatric cancer. In particular, HB is a tumor with a genetic background with low mutational background and few cytogenetic alterations 12,30,[38][39][40][41] , in addition to DNA methylation changes 13,42. The present work describes the possibility of molecular stratification of HBs according to markers of hepatocyte differentiation and DNA methylation. Tumor heterogeneity could be overcome using molecular signatures that are linked to clinical data.…”
Section: Discussionmentioning
confidence: 99%