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Amplification of CDK4 and MDM2 : a detailed study of a high-risk neuroblastoma subgroup

Martinez-Monleon, Angela ; Kryh Öberg, Hanna ; Gaarder, Jennie ; Berbegall, Ana P ; Javanmardi, Niloufar ; Djos, Anna ; Ussowicz, Marek ; Taschner-Mandl, Sabine ; Ambros, Inge M and Øra, Ingrid LU , et al. (2022) In Scientific Reports 12. p.1-17
Abstract

In neuroblastoma, MYCN amplification and 11q-deletion are important, although incomplete, markers of high-risk disease. It is therefore relevant to characterize additional alterations that can function as prognostic and/or predictive markers. Using SNP-microarrays, a group of neuroblastoma patients showing amplification of one or multiple 12q loci was identified. Two loci containing CDK4 and MDM2 were commonly co-amplified, although amplification of either locus in the absence of the other was observed. Pharmacological inhibition of CDK4/6 with ribociclib or abemaciclib decreased proliferation in a broad set of neuroblastoma cell lines, including CDK4/MDM2-amplified, whereas MDM2 inhibition by Nutlin-3a was only effective in... (More)

In neuroblastoma, MYCN amplification and 11q-deletion are important, although incomplete, markers of high-risk disease. It is therefore relevant to characterize additional alterations that can function as prognostic and/or predictive markers. Using SNP-microarrays, a group of neuroblastoma patients showing amplification of one or multiple 12q loci was identified. Two loci containing CDK4 and MDM2 were commonly co-amplified, although amplification of either locus in the absence of the other was observed. Pharmacological inhibition of CDK4/6 with ribociclib or abemaciclib decreased proliferation in a broad set of neuroblastoma cell lines, including CDK4/MDM2-amplified, whereas MDM2 inhibition by Nutlin-3a was only effective in p53wild-type cells. Combined CDK4/MDM2 targeting had an additive effect in p53wild-type cell lines, while no or negative additive effect was observed in p53mutated cells. Most 12q-amplified primary tumors were of abdominal origin, including those of intrarenal origin initially suspected of being Wilms' tumor. An atypical metastatic pattern was also observed with low degree of bone marrow involvement, favoring other sites such as the lungs. Here we present detailed biological data of an aggressive neuroblastoma subgroup hallmarked by 12q amplification and atypical clinical presentation for which our in vitro studies indicate that CDK4 and/or MDM2 inhibition also could be beneficial.

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@article{15a06581-7be4-481c-aa9d-727848aeb5be,
  abstract     = {{<p>In neuroblastoma, MYCN amplification and 11q-deletion are important, although incomplete, markers of high-risk disease. It is therefore relevant to characterize additional alterations that can function as prognostic and/or predictive markers. Using SNP-microarrays, a group of neuroblastoma patients showing amplification of one or multiple 12q loci was identified. Two loci containing CDK4 and MDM2 were commonly co-amplified, although amplification of either locus in the absence of the other was observed. Pharmacological inhibition of CDK4/6 with ribociclib or abemaciclib decreased proliferation in a broad set of neuroblastoma cell lines, including CDK4/MDM2-amplified, whereas MDM2 inhibition by Nutlin-3a was only effective in p53wild-type cells. Combined CDK4/MDM2 targeting had an additive effect in p53wild-type cell lines, while no or negative additive effect was observed in p53mutated cells. Most 12q-amplified primary tumors were of abdominal origin, including those of intrarenal origin initially suspected of being Wilms' tumor. An atypical metastatic pattern was also observed with low degree of bone marrow involvement, favoring other sites such as the lungs. Here we present detailed biological data of an aggressive neuroblastoma subgroup hallmarked by 12q amplification and atypical clinical presentation for which our in vitro studies indicate that CDK4 and/or MDM2 inhibition also could be beneficial.</p>}},
  author       = {{Martinez-Monleon, Angela and Kryh Öberg, Hanna and Gaarder, Jennie and Berbegall, Ana P and Javanmardi, Niloufar and Djos, Anna and Ussowicz, Marek and Taschner-Mandl, Sabine and Ambros, Inge M and Øra, Ingrid and Sandstedt, Bengt and Beiske, Klaus and Ladenstein, Ruth and Noguera, Rosa and Ambros, Peter F and Gordon Murkes, Lena and Ljungman, Gustaf and Kogner, Per and Fransson, Susanne and Martinsson, Tommy}},
  issn         = {{2045-2322}},
  keywords     = {{Cyclin-Dependent Kinase 4/genetics; Gene Amplification; Humans; Neuroblastoma/pathology; Prognosis; Proto-Oncogene Proteins c-mdm2/genetics; Tumor Suppressor Protein p53/genetics}},
  language     = {{eng}},
  pages        = {{1--17}},
  publisher    = {{Nature Publishing Group}},
  series       = {{Scientific Reports}},
  title        = {{Amplification of CDK4 and MDM2 : a detailed study of a high-risk neuroblastoma subgroup}},
  url          = {{http://dx.doi.org/10.1038/s41598-022-16455-1}},
  doi          = {{10.1038/s41598-022-16455-1}},
  volume       = {{12}},
  year         = {{2022}},
}