Genomics

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Genome-Wide Analysis of Hypodiploid Acute Lymphoblastic Leukemia


ABSTRACT:

Hypodiploid acute lymphoblastic leukemia (ALL) is an aggressive form of leukemia characterized by multiple whole chromosomal losses and very poor outcome. Here we report an integrative genomic analysis that identifies multiple subtypes of hypodiploid ALL characterized by variation in the degree of aneuploidy, distinct submicroscopic deletions and sequence mutations and gene expression profile. Near haploid ALL cases (24-31 chromosomes) have a high frequency of alterations of genes regulating Ras pathway and cytokine receptor signaling (66.2%; NF1, NRAS, KRAS, PTPN11, FLT3, and PAG1), IKZF3 (encoding the lymphoid transcription factor AIOLOS), and a histone gene cluster at 6p22. Low hypodiploid cases (32-39 chromosomes) are enriched for IKZF2 (HELIOS) and RB1 alterations, but have a low frequency of Ras/signaling alterations. A striking finding was exclusivity of Ras/signaling and IKZF2/3 alterations, and biochemical evidence of Ras pathway activation in both near haploid and low hypodiploid ALL. Together, these findings provide critical new insights into the genetic basis of hypodiploid ALL, and indicate that therapeutic targeting of the Ras pathway should be pursued in this disease.

PROVIDER: phs000341.v1.p1 | EGA |

REPOSITORIES: EGA

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Publications

The genomic landscape of hypodiploid acute lymphoblastic leukemia.

Holmfeldt Linda L   Wei Lei L   Diaz-Flores Ernesto E   Walsh Michael M   Zhang Jinghui J   Ding Li L   Payne-Turner Debbie D   Churchman Michelle M   Andersson Anna A   Chen Shann-Ching SC   McCastlain Kelly K   Becksfort Jared J   Ma Jing J   Wu Gang G   Patel Samir N SN   Heatley Susan L SL   Phillips Letha A LA   Song Guangchun G   Easton John J   Parker Matthew M   Chen Xiang X   Rusch Michael M   Boggs Kristy K   Vadodaria Bhavin B   Hedlund Erin E   Drenberg Christina C   Baker Sharyn S   Pei Deqing D   Cheng Cheng C   Huether Robert R   Lu Charles C   Fulton Robert S RS   Fulton Lucinda L LL   Tabib Yashodhan Y   Dooling David J DJ   Ochoa Kerri K   Minden Mark M   Lewis Ian D ID   To L Bik LB   Marlton Paula P   Roberts Andrew W AW   Raca Gordana G   Stock Wendy W   Neale Geoffrey G   Drexler Hans G HG   Dickins Ross A RA   Ellison David W DW   Shurtleff Sheila A SA   Pui Ching-Hon CH   Ribeiro Raul C RC   Devidas Meenakshi M   Carroll Andrew J AJ   Heerema Nyla A NA   Wood Brent B   Borowitz Michael J MJ   Gastier-Foster Julie M JM   Raimondi Susana C SC   Mardis Elaine R ER   Wilson Richard K RK   Downing James R JR   Hunger Stephen P SP   Loh Mignon L ML   Mullighan Charles G CG  

Nature genetics 20130120 3


The genetic basis of hypodiploid acute lymphoblastic leukemia (ALL), a subtype of ALL characterized by aneuploidy and poor outcome, is unknown. Genomic profiling of 124 hypodiploid ALL cases, including whole-genome and exome sequencing of 40 cases, identified two subtypes that differ in the severity of aneuploidy, transcriptional profiles and submicroscopic genetic alterations. Near-haploid ALL with 24-31 chromosomes harbor alterations targeting receptor tyrosine kinase signaling and Ras signali  ...[more]

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