Measurable residual disease analysis in paediatric acute lymphoblastic leukaemia patients with ABL-class fusions

Background ABL-class fusions including NUP214-ABL1 and EBF1-PDGFRB occur in high risk acute lymphoblastic leukaemia (ALL) with gene expression patterns similar to BCR-ABL -positive ALL. Our aim was to evaluate new DNA-based measurable residual disease (MRD) tests detecting these fusions and IKZF1 -d...

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Veröffentlicht in:British journal of cancer 2022-09, Vol.127 (5), p.908-915
Hauptverfasser: Venn, Nicola C., Huang, Libby, Hovorková, Lenka, Muskovic, Walter, Wong, Marie, Law, Tamara, Heatley, Susan L., Khaw, Seong Lin, Revesz, Tom, Dalla Pozza, Luciano, Shaw, Peter J., Fraser, Chris, Moore, Andrew S., Cross, Siobhan, Bendak, Katerina, Norris, Murray D., Henderson, Michelle J., White, Deborah L., Cowley, Mark J., Trahair, Toby N., Zuna, Jan, Sutton, Rosemary
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container_end_page 915
container_issue 5
container_start_page 908
container_title British journal of cancer
container_volume 127
creator Venn, Nicola C.
Huang, Libby
Hovorková, Lenka
Muskovic, Walter
Wong, Marie
Law, Tamara
Heatley, Susan L.
Khaw, Seong Lin
Revesz, Tom
Dalla Pozza, Luciano
Shaw, Peter J.
Fraser, Chris
Moore, Andrew S.
Cross, Siobhan
Bendak, Katerina
Norris, Murray D.
Henderson, Michelle J.
White, Deborah L.
Cowley, Mark J.
Trahair, Toby N.
Zuna, Jan
Sutton, Rosemary
description Background ABL-class fusions including NUP214-ABL1 and EBF1-PDGFRB occur in high risk acute lymphoblastic leukaemia (ALL) with gene expression patterns similar to BCR-ABL -positive ALL. Our aim was to evaluate new DNA-based measurable residual disease (MRD) tests detecting these fusions and IKZF1 -deletions in comparison with conventional immunoglobulin/T-cell receptor (Ig/TCR) markers. Methods Precise genomic breakpoints were defined from targeted or whole genome next generation sequencing for ABL-fusions and BCR-ABL1 . Quantitative PCR assays were designed and used to re-measure MRD in remission bone marrow samples previously tested using Ig/TCR markers. All MRD testing complied with EuroMRD guidelines. Results ABL-class patients had 46% 5year event-free survival and 79% 5year overall survival. All had sensitive fusion tests giving high concordance between Ig/TCR and ABL-class fusion results (21 patients, n  = 257 samples, r2 = 0.9786, P  
doi_str_mv 10.1038/s41416-022-01806-6
format Article
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Our aim was to evaluate new DNA-based measurable residual disease (MRD) tests detecting these fusions and IKZF1 -deletions in comparison with conventional immunoglobulin/T-cell receptor (Ig/TCR) markers. Methods Precise genomic breakpoints were defined from targeted or whole genome next generation sequencing for ABL-fusions and BCR-ABL1 . Quantitative PCR assays were designed and used to re-measure MRD in remission bone marrow samples previously tested using Ig/TCR markers. All MRD testing complied with EuroMRD guidelines. Results ABL-class patients had 46% 5year event-free survival and 79% 5year overall survival. All had sensitive fusion tests giving high concordance between Ig/TCR and ABL-class fusion results (21 patients, n  = 257 samples, r2 = 0.9786, P  &lt; 0.0001) and Ig/TCR and IKZF1 -deletion results (9 patients, n  = 143 samples, r2 = 0.9661, P  &lt; 0.0001). In contrast, in BCR-ABL1 patients, Ig/TCR and BCR-ABL1 tests were discordant in 32% (40 patients, n  = 346 samples, r2 = 0.4703, P  &lt; 0.0001) and IKZF1 -deletion results were closer to Ig/TCR (25 patients, n  = 176, r2 = 0.8631, P  &lt; 0.0001). Conclusions MRD monitoring based on patient-specific assays detecting gene fusions or recurrent assays for IKZF1 -deletions is feasible and provides good alternatives to Ig/TCR tests to monitor MRD in ABL-class ALL.</description><identifier>ISSN: 0007-0920</identifier><identifier>ISSN: 1532-1827</identifier><identifier>EISSN: 1532-1827</identifier><identifier>DOI: 10.1038/s41416-022-01806-6</identifier><identifier>PMID: 35650277</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/4028/67/1990/283/2125 ; 692/53/2422 ; Acute lymphoblastic leukemia ; BCR-ABL protein ; Biomedical and Life Sciences ; Biomedicine ; Bone marrow ; Breakpoints ; Cancer Research ; Child ; Drug Resistance ; Epidemiology ; Fusion protein ; Fusion Proteins, bcr-abl - genetics ; Gene expression ; Humans ; Immunoglobulins ; Leukemia ; Lymphocytes T ; Molecular Medicine ; Neoplasm, Residual - genetics ; Next-generation sequencing ; Oncology ; Pediatrics ; Precursor Cell Lymphoblastic Leukemia-Lymphoma - genetics ; Receptors, Antigen, T-Cell - genetics ; Remission ; T cell receptors</subject><ispartof>British journal of cancer, 2022-09, Vol.127 (5), p.908-915</ispartof><rights>The Author(s) 2022</rights><rights>2022. The Author(s).</rights><rights>The Author(s) 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). 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Our aim was to evaluate new DNA-based measurable residual disease (MRD) tests detecting these fusions and IKZF1 -deletions in comparison with conventional immunoglobulin/T-cell receptor (Ig/TCR) markers. Methods Precise genomic breakpoints were defined from targeted or whole genome next generation sequencing for ABL-fusions and BCR-ABL1 . Quantitative PCR assays were designed and used to re-measure MRD in remission bone marrow samples previously tested using Ig/TCR markers. All MRD testing complied with EuroMRD guidelines. Results ABL-class patients had 46% 5year event-free survival and 79% 5year overall survival. All had sensitive fusion tests giving high concordance between Ig/TCR and ABL-class fusion results (21 patients, n  = 257 samples, r2 = 0.9786, P  &lt; 0.0001) and Ig/TCR and IKZF1 -deletion results (9 patients, n  = 143 samples, r2 = 0.9661, P  &lt; 0.0001). In contrast, in BCR-ABL1 patients, Ig/TCR and BCR-ABL1 tests were discordant in 32% (40 patients, n  = 346 samples, r2 = 0.4703, P  &lt; 0.0001) and IKZF1 -deletion results were closer to Ig/TCR (25 patients, n  = 176, r2 = 0.8631, P  &lt; 0.0001). Conclusions MRD monitoring based on patient-specific assays detecting gene fusions or recurrent assays for IKZF1 -deletions is feasible and provides good alternatives to Ig/TCR tests to monitor MRD in ABL-class ALL.</description><subject>692/4028/67/1990/283/2125</subject><subject>692/53/2422</subject><subject>Acute lymphoblastic leukemia</subject><subject>BCR-ABL protein</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Bone marrow</subject><subject>Breakpoints</subject><subject>Cancer Research</subject><subject>Child</subject><subject>Drug Resistance</subject><subject>Epidemiology</subject><subject>Fusion protein</subject><subject>Fusion Proteins, bcr-abl - genetics</subject><subject>Gene expression</subject><subject>Humans</subject><subject>Immunoglobulins</subject><subject>Leukemia</subject><subject>Lymphocytes T</subject><subject>Molecular Medicine</subject><subject>Neoplasm, Residual - genetics</subject><subject>Next-generation sequencing</subject><subject>Oncology</subject><subject>Pediatrics</subject><subject>Precursor Cell Lymphoblastic Leukemia-Lymphoma - genetics</subject><subject>Receptors, Antigen, T-Cell - genetics</subject><subject>Remission</subject><subject>T cell receptors</subject><issn>0007-0920</issn><issn>1532-1827</issn><issn>1532-1827</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kcuOFSEQhonROMfRF3BhSNy4aeUOvTGZmXhLxrjRNQGansNIX6QazXl70TOOl4ULUqHqq5-ifoQeU_KcEm5egKCCqo4w1hFqiOrUHbSjkrOOGqbvoh0hRHekZ-QEPQC4bteeGH0fnXCpJGFa79D6PjqoxfkccYmQhuoyHhK0bMRudvkACXCa8erikNxWUsAu1C3ifJjW_eKzg63lcqyfXZySa-CW4rwB_pa2PT47v-xCYwCPFdIyw0N0b3QZ4qObeIo-vX718eJtd_nhzbuLs0YLLbaOGTVIxfvB8KAVD8wp2RNlIuvpOLDg2eg1VcIz7mPfD944zaWXVIhRtMNP0cuj7lr9FIfQRiou27WkyZWDXVyyf1fmtLdXy1fbC6aNFE3g2Y1AWb7UCJudEoSYs5vjUsEypZkmknHd0Kf_oNdLLW15jdLENAeMZo1iRyqUBaDE8XYYSuwPQ-3RUNsMtT8Ntao1PfnzG7ctvxxsAD8C0ErzVSy_3_6P7HdjF62o</recordid><startdate>20220901</startdate><enddate>20220901</enddate><creator>Venn, Nicola C.</creator><creator>Huang, Libby</creator><creator>Hovorková, Lenka</creator><creator>Muskovic, Walter</creator><creator>Wong, Marie</creator><creator>Law, Tamara</creator><creator>Heatley, Susan L.</creator><creator>Khaw, Seong Lin</creator><creator>Revesz, Tom</creator><creator>Dalla Pozza, Luciano</creator><creator>Shaw, Peter J.</creator><creator>Fraser, Chris</creator><creator>Moore, Andrew S.</creator><creator>Cross, Siobhan</creator><creator>Bendak, Katerina</creator><creator>Norris, Murray D.</creator><creator>Henderson, Michelle J.</creator><creator>White, Deborah L.</creator><creator>Cowley, Mark J.</creator><creator>Trahair, Toby N.</creator><creator>Zuna, Jan</creator><creator>Sutton, Rosemary</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-0188-6005</orcidid><orcidid>https://orcid.org/0000-0003-4844-333X</orcidid><orcidid>https://orcid.org/0000-0002-0632-4589</orcidid><orcidid>https://orcid.org/0000-0002-9519-5714</orcidid><orcidid>https://orcid.org/0000-0002-3103-9763</orcidid><orcidid>https://orcid.org/0000-0002-3295-228X</orcidid><orcidid>https://orcid.org/0000-0001-7497-6477</orcidid><orcidid>https://orcid.org/0000-0003-2741-3852</orcidid><orcidid>https://orcid.org/0000-0001-8062-1779</orcidid></search><sort><creationdate>20220901</creationdate><title>Measurable residual disease analysis in paediatric acute lymphoblastic leukaemia patients with ABL-class fusions</title><author>Venn, Nicola C. ; Huang, Libby ; Hovorková, Lenka ; Muskovic, Walter ; Wong, Marie ; Law, Tamara ; Heatley, Susan L. ; Khaw, Seong Lin ; Revesz, Tom ; Dalla Pozza, Luciano ; Shaw, Peter J. ; Fraser, Chris ; Moore, Andrew S. ; Cross, Siobhan ; Bendak, Katerina ; Norris, Murray D. ; Henderson, Michelle J. ; White, Deborah L. ; Cowley, Mark J. ; Trahair, Toby N. ; Zuna, Jan ; Sutton, Rosemary</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-286d5639d83c763c2a659068e291fd2cb2fb7164b23be99db8a735b5144f444f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>692/4028/67/1990/283/2125</topic><topic>692/53/2422</topic><topic>Acute lymphoblastic leukemia</topic><topic>BCR-ABL protein</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Bone marrow</topic><topic>Breakpoints</topic><topic>Cancer Research</topic><topic>Child</topic><topic>Drug Resistance</topic><topic>Epidemiology</topic><topic>Fusion protein</topic><topic>Fusion Proteins, bcr-abl - genetics</topic><topic>Gene expression</topic><topic>Humans</topic><topic>Immunoglobulins</topic><topic>Leukemia</topic><topic>Lymphocytes T</topic><topic>Molecular Medicine</topic><topic>Neoplasm, Residual - genetics</topic><topic>Next-generation sequencing</topic><topic>Oncology</topic><topic>Pediatrics</topic><topic>Precursor Cell Lymphoblastic Leukemia-Lymphoma - genetics</topic><topic>Receptors, Antigen, T-Cell - genetics</topic><topic>Remission</topic><topic>T cell receptors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Venn, Nicola C.</creatorcontrib><creatorcontrib>Huang, Libby</creatorcontrib><creatorcontrib>Hovorková, Lenka</creatorcontrib><creatorcontrib>Muskovic, Walter</creatorcontrib><creatorcontrib>Wong, Marie</creatorcontrib><creatorcontrib>Law, Tamara</creatorcontrib><creatorcontrib>Heatley, Susan L.</creatorcontrib><creatorcontrib>Khaw, Seong Lin</creatorcontrib><creatorcontrib>Revesz, Tom</creatorcontrib><creatorcontrib>Dalla Pozza, Luciano</creatorcontrib><creatorcontrib>Shaw, Peter J.</creatorcontrib><creatorcontrib>Fraser, Chris</creatorcontrib><creatorcontrib>Moore, Andrew S.</creatorcontrib><creatorcontrib>Cross, Siobhan</creatorcontrib><creatorcontrib>Bendak, Katerina</creatorcontrib><creatorcontrib>Norris, Murray D.</creatorcontrib><creatorcontrib>Henderson, Michelle J.</creatorcontrib><creatorcontrib>White, Deborah L.</creatorcontrib><creatorcontrib>Cowley, Mark J.</creatorcontrib><creatorcontrib>Trahair, Toby N.</creatorcontrib><creatorcontrib>Zuna, Jan</creatorcontrib><creatorcontrib>Sutton, Rosemary</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; 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Our aim was to evaluate new DNA-based measurable residual disease (MRD) tests detecting these fusions and IKZF1 -deletions in comparison with conventional immunoglobulin/T-cell receptor (Ig/TCR) markers. Methods Precise genomic breakpoints were defined from targeted or whole genome next generation sequencing for ABL-fusions and BCR-ABL1 . Quantitative PCR assays were designed and used to re-measure MRD in remission bone marrow samples previously tested using Ig/TCR markers. All MRD testing complied with EuroMRD guidelines. Results ABL-class patients had 46% 5year event-free survival and 79% 5year overall survival. All had sensitive fusion tests giving high concordance between Ig/TCR and ABL-class fusion results (21 patients, n  = 257 samples, r2 = 0.9786, P  &lt; 0.0001) and Ig/TCR and IKZF1 -deletion results (9 patients, n  = 143 samples, r2 = 0.9661, P  &lt; 0.0001). In contrast, in BCR-ABL1 patients, Ig/TCR and BCR-ABL1 tests were discordant in 32% (40 patients, n  = 346 samples, r2 = 0.4703, P  &lt; 0.0001) and IKZF1 -deletion results were closer to Ig/TCR (25 patients, n  = 176, r2 = 0.8631, P  &lt; 0.0001). Conclusions MRD monitoring based on patient-specific assays detecting gene fusions or recurrent assays for IKZF1 -deletions is feasible and provides good alternatives to Ig/TCR tests to monitor MRD in ABL-class ALL.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>35650277</pmid><doi>10.1038/s41416-022-01806-6</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-0188-6005</orcidid><orcidid>https://orcid.org/0000-0003-4844-333X</orcidid><orcidid>https://orcid.org/0000-0002-0632-4589</orcidid><orcidid>https://orcid.org/0000-0002-9519-5714</orcidid><orcidid>https://orcid.org/0000-0002-3103-9763</orcidid><orcidid>https://orcid.org/0000-0002-3295-228X</orcidid><orcidid>https://orcid.org/0000-0001-7497-6477</orcidid><orcidid>https://orcid.org/0000-0003-2741-3852</orcidid><orcidid>https://orcid.org/0000-0001-8062-1779</orcidid><oa>free_for_read</oa></addata></record>
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ispartof British journal of cancer, 2022-09, Vol.127 (5), p.908-915
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subjects 692/4028/67/1990/283/2125
692/53/2422
Acute lymphoblastic leukemia
BCR-ABL protein
Biomedical and Life Sciences
Biomedicine
Bone marrow
Breakpoints
Cancer Research
Child
Drug Resistance
Epidemiology
Fusion protein
Fusion Proteins, bcr-abl - genetics
Gene expression
Humans
Immunoglobulins
Leukemia
Lymphocytes T
Molecular Medicine
Neoplasm, Residual - genetics
Next-generation sequencing
Oncology
Pediatrics
Precursor Cell Lymphoblastic Leukemia-Lymphoma - genetics
Receptors, Antigen, T-Cell - genetics
Remission
T cell receptors
title Measurable residual disease analysis in paediatric acute lymphoblastic leukaemia patients with ABL-class fusions
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