The role of genetic and epigenetic alterations in neuroblastoma disease pathogenesis

Neuroblastoma is a highly heterogeneous tumor accounting for 15 % of all pediatric cancer deaths. Clinical behavior ranges from the spontaneous regression of localized, asymptomatic tumors, as well as metastasized tumors in infants, to rapid progression and resistance to therapy. Genomic amplificati...

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Veröffentlicht in:Pediatric surgery international 2013-02, Vol.29 (2), p.101-119
Hauptverfasser: Domingo-Fernandez, Raquel, Watters, Karen, Piskareva, Olga, Stallings, Raymond L., Bray, Isabella
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container_end_page 119
container_issue 2
container_start_page 101
container_title Pediatric surgery international
container_volume 29
creator Domingo-Fernandez, Raquel
Watters, Karen
Piskareva, Olga
Stallings, Raymond L.
Bray, Isabella
description Neuroblastoma is a highly heterogeneous tumor accounting for 15 % of all pediatric cancer deaths. Clinical behavior ranges from the spontaneous regression of localized, asymptomatic tumors, as well as metastasized tumors in infants, to rapid progression and resistance to therapy. Genomic amplification of the MYCN oncogene has been used to predict outcome in neuroblastoma for over 30 years, however, recent methodological advances including miRNA and mRNA profiling, comparative genomic hybridization (array-CGH), and whole-genome sequencing have enabled the detailed analysis of the neuroblastoma genome, leading to the identification of new prognostic markers and better patient stratification. In this review, we will describe the main genetic factors responsible for these diverse clinical phenotypes in neuroblastoma, the chronology of their discovery, and the impact on patient prognosis.
doi_str_mv 10.1007/s00383-012-3239-7
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subjects Cancer
Child
Chromosome Deletion
Chromosome Mapping - methods
Epigenomics - methods
Humans
Medicine
Medicine & Public Health
Neuroblastoma - genetics
Pediatric Surgery
Pediatrics
Review Article
Surgery
title The role of genetic and epigenetic alterations in neuroblastoma disease pathogenesis
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