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Transcription profiling of human primary tumors from patients with metastatic neuroblastoma lacking MYCN amplification


ABSTRACT: Metastatic neuroblastomas lacking amplification of the MYCN proto-oncogene vary in their clinical behavior. Those diagnosed before one year of age are least aggressive and those diagnosed after two years are most aggressive. To improve current risk stratification and gain insight into the biological processes that account for this phenomenon, we analyzed expression profiles from 102 primary untreated neuroblastomas. A 55 gene model classified patients diagnosed after 12 months of age based on molecular risk with an error rate of 17.5%. The progression-free survival for this group was 16% and 79% if their tumors had molecular high or low risk profiles (p<0.001). Expression profiles of tumors with molecular high-risk features included genes relating to regulation of growth and programmed cell death. This series also includes 15 samples obtained at disease relapse. Fourteen out of the fifteen samples had molecular high risk features. Experiment Overall Design: 102 samples obtained at diagnosis were analyzed for model generation and compared to 15 obtained at relapse, using Affymetrix HG-U133A (GPL96) and HG-U133B (GPL97) platforms.

ORGANISM(S): Homo sapiens

SUBMITTER: Shahab Asgharzadeh 

PROVIDER: E-GEOD-3446 | biostudies-arrayexpress |

REPOSITORIES: biostudies-arrayexpress

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Publications

Prognostic significance of gene expression profiles of metastatic neuroblastomas lacking MYCN gene amplification.

Asgharzadeh Shahab S   Pique-Regi Roger R   Sposto Richard R   Wang Hong H   Yang Yujun Y   Shimada Hiroyuki H   Matthay Katherine K   Buckley Jonathan J   Ortega Antonio A   Seeger Robert C RC  

Journal of the National Cancer Institute 20060901 17


<h4>Background</h4>The aggressiveness of metastatic neuroblastomas that lack MYCN gene amplification varies with age--they are least aggressive when diagnosed in patients younger than 12 months and most aggressive when diagnosed in patients older than 24 months. However, age at diagnosis is not always associated with patient survival. We examined whether molecular classification of metastatic neuroblastomas without MYCN gene amplification at diagnosis using gene expression profiling could improv  ...[more]

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