Abstract
Although neuroblastoma is characterized by numerous recurrent, large-scale chromosomal imbalances, the genes targeted by such imbalances have remained elusive. We have applied whole-genome oligonucleotide array comparative genomic hybridization (median probe spacing 6 kb) to 56 neuroblastoma tumors and cell lines to identify genes involved with disease pathogenesis. This set of tumors was selected for having either 11q loss or MYCN amplification, abnormalities that define the two most common genetic subtypes of metastatic neuroblastoma. Our analyses have permitted us to map large-scale chromosomal imbalances and high-level amplifications at exon-level resolution and to identify novel microdeletions and duplications. Chromosomal breakpoints (n = 467) generating imbalances >2 Mb were mapped to intervals ranging between 6 and 50 kb in size, providing substantial information on each abnormality. For example, breakpoints leading to large-scale hemizygous loss of chromosome 11q were highly clustered and preferentially associated with segmental duplications. High-level amplifications of MYCN were extremely complex, often resulting in a series of discontinuous regions of amplification. Imbalances (n = 540) <2 Mb long were also detected. Although the majority (78%) of these imbalances mapped to segmentally duplicated regions and primarily reflect constitutional copy number polymorphisms, many subtle imbalances were detected that are likely somatically acquired alterations and include genes involved with tumorigenesis, apoptosis, or neural cell differentiation. The most frequent microdeletion involved the PTPRD locus, indicating a possible tumor suppressor function for this gene.
Highlights
Neuroblastomas are derived from primitive cells of the sympathetic nervous system and account for f15% of all childhood cancer deaths
Analysis of breakpoints leading to large-scale chromosomal imbalances
The exon-level resolution mapping of unbalanced chromosomal breakpoints accomplished in this study helps narrow down the regions harboring potential neuroblastoma oncogenes or tumor suppressor genes
Summary
Neuroblastomas are derived from primitive cells of the sympathetic nervous system and account for f15% of all childhood cancer deaths (see ref. 1 for review). Loss of 1p and 11q, gain of 17q, and amplification of the MYCN oncogene are strong genetic indicators of poor disease outcome [2,3,4,5] Two of these abnormalities, loss of 11q and MYCN amplification, form the basis for dividing advancedstage neuroblastomas into genetic subtypes due to their rather striking inverse distribution in tumors [6, 7]. Many other recurrent partial chromosomal imbalances, including loss of 3p, 4p, 9p, and 14q and gain of 1q, 2p, 7q, and 11p, have been identified by metaphase comparative genomic hybridization (CGH) or allotyping studies [5,6,7] Many of these chromosomal imbalances undoubtedly play major roles in neuroblastoma pathogenesis, the targeted genes and genetic pathways have remained elusive
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