Sequential and hierarchical chromosomal changes and chromosome instability are distinct features of high hyperdiploid pediatric acute lymphoblastic leukemia. Issue 12 (30th August 2014)

• Record Type: Journal Article
• Authors: Alpár, Donát; Pajor, Gábor; Varga, Péter; Kajtár, Béla; Pótó, László; Mátics, Róbert; Vojcek, Ágnes; Ottoffy, Gábor; Szuhai, Károly; Pajor, László
• Is Part Of: Pediatric blood & cancer. Volume 61:Issue 12(2014:Dec.)
• Page Start: 2208
• Page End: 2214
• Publication Date: 2014-08-30
• Subjects: Tumors in children -- Periodicals; Blood -- Diseases -- Periodicals; Cancer in children -- Periodicals; 618.92
• DOI: 10.1002/pbc.25217
• Languages: English
• ISSNs: 1545-5009

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="pbc25217-sec-0001" sec-type="section"> <title>Background</title> <p>Pathogenesis of the non‐random accumulation of extra chromosomes in the low and high hyperdiploid (HeL, HeH) pre‐B pediatric acute lymphoblastic leukemia (B‐pALL) is largely unknown, and has been clarified with respect only to tetrasomic chromosomes. We analyzed the hierarchy of changes in chromosome number and chromosomal instability, as well as clonal heterogeneity and evolution, in the untreated bone marrow cell samples from 214 B‐pALL patients.</p> </sec> <sec id="pbc25217-sec-0002" sec-type="section"> <title>Procedure</title> <p>Applying relocation, 2 × 4 color interphase fluorescence in situ hybridization was used to detect copy number alterations (CNAs) of the most commonly involved chromosomes, 4, 6, 10, 14, 17, 18, 21, and X. This approach allowed us to acquire a dataset correlated for all eight parameters.</p> </sec> <sec id="pbc25217-sec-0003" sec-type="section"> <title>Results</title> <p>Based on chromosome number, an average of 6.9 and 10.2, whereas according to unique constellation 15.3 and 26.7 subclones could be identified in the HeL and HeH subgroups, respectively. Cluster analysis revealed the order of CNAs to chromosomes was highly conserved, and network analysis indicated changes in chromosome number were sequential for 80–90% of all numerical aberrations. Significant chromosome instability was revealed in both subgroups of leukemia.</p> </sec> <sec id="pbc25217-sec-0004" sec-type="section"> <title>Conclusions</title> <p>Data generated using this new approach indicate that chromosomal instability, which causes heterogeneity in the subclonal landscape, and the sequential changes to chromosome numbers, are both determining factors in the pathomechanism of the hyperdiploid B‐pALL. These new observations could prompt research into the mitotic machinery of leukemic cells to identify new therapeutic targets for treating this disease. Pediatr Blood Cancer 2014;61:2208–2214. © 2014 Wiley Periodicals, Inc.</p> </sec> </abstract>