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High Myc pathway activity and low stage of neuronal differentiation associate with poor outcome in neuroblastoma.

Fredlund, Erik LU ; Ringnér, Markus LU orcid ; Maris, John M and Påhlman, Sven LU (2008) In Proceedings of the National Academy of Sciences 105(37). p.14094-14099
Abstract
The childhood cancer neuroblastoma arises in the developing sympathetic nervous system and is a genotypically and phenotypically heterogeneous disease. Prognostic markers of poor survival probability include amplification of the MYCN oncogene and an undifferentiated morphology. Whereas these features discriminate high- from low-risk patients with precision, identification of poor outcome low- and intermediate-risk patients is more challenging. In this study, we analyze two large neuroblastoma microarray datasets using a priori-defined gene expression signatures. We show that differential overexpression of Myc transcriptional targets and low expression of genes involved in sympathetic neuronal differentiation predicts relapse and death from... (More)
The childhood cancer neuroblastoma arises in the developing sympathetic nervous system and is a genotypically and phenotypically heterogeneous disease. Prognostic markers of poor survival probability include amplification of the MYCN oncogene and an undifferentiated morphology. Whereas these features discriminate high- from low-risk patients with precision, identification of poor outcome low- and intermediate-risk patients is more challenging. In this study, we analyze two large neuroblastoma microarray datasets using a priori-defined gene expression signatures. We show that differential overexpression of Myc transcriptional targets and low expression of genes involved in sympathetic neuronal differentiation predicts relapse and death from disease. This was evident not only for high-risk patients but was also robust in identifying groups of poor prognosis patients who were otherwise judged to be at low- or intermediate-risk for adverse outcome. These data suggest that pathway-specific gene expression profiling might be useful in the clinic to adjust treatment strategies for children with neuroblastoma. (Less)
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organization
publishing date
type
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publication status
published
subject
in
Proceedings of the National Academy of Sciences
volume
105
issue
37
pages
14094 - 14099
publisher
National Academy of Sciences
external identifiers
  • wos:000259438500074
  • pmid:18780787
  • scopus:52949154642
  • pmid:18780787
ISSN
1091-6490
DOI
10.1073/pnas.0804455105
language
English
LU publication?
yes
additional info
The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Oncology, MV (013035000), Molecular Medicine (013031200)
id
aae27d0d-f577-4c9d-aa1b-159be1ffabb4 (old id 1243221)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/18780787?dopt=Abstract
date added to LUP
2016-04-04 07:23:48
date last changed
2022-03-23 01:05:01
@article{aae27d0d-f577-4c9d-aa1b-159be1ffabb4,
  abstract     = {{The childhood cancer neuroblastoma arises in the developing sympathetic nervous system and is a genotypically and phenotypically heterogeneous disease. Prognostic markers of poor survival probability include amplification of the MYCN oncogene and an undifferentiated morphology. Whereas these features discriminate high- from low-risk patients with precision, identification of poor outcome low- and intermediate-risk patients is more challenging. In this study, we analyze two large neuroblastoma microarray datasets using a priori-defined gene expression signatures. We show that differential overexpression of Myc transcriptional targets and low expression of genes involved in sympathetic neuronal differentiation predicts relapse and death from disease. This was evident not only for high-risk patients but was also robust in identifying groups of poor prognosis patients who were otherwise judged to be at low- or intermediate-risk for adverse outcome. These data suggest that pathway-specific gene expression profiling might be useful in the clinic to adjust treatment strategies for children with neuroblastoma.}},
  author       = {{Fredlund, Erik and Ringnér, Markus and Maris, John M and Påhlman, Sven}},
  issn         = {{1091-6490}},
  language     = {{eng}},
  number       = {{37}},
  pages        = {{14094--14099}},
  publisher    = {{National Academy of Sciences}},
  series       = {{Proceedings of the National Academy of Sciences}},
  title        = {{High Myc pathway activity and low stage of neuronal differentiation associate with poor outcome in neuroblastoma.}},
  url          = {{http://dx.doi.org/10.1073/pnas.0804455105}},
  doi          = {{10.1073/pnas.0804455105}},
  volume       = {{105}},
  year         = {{2008}},
}