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Mutational patterns...
Mutational patterns and clonal evolution from diagnosis to relapse in pediatric acute lymphoblastic leukemia
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- Sayyab, Shumaila (author)
- Uppsala universitet,Uppsala University,Uppsala Univ, Sweden,Molekylär medicin,Science for Life Laboratory, SciLifeLab
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- Lundmark, Anders (author)
- Uppsala universitet,Linköping University,Uppsala Univ, Sweden,Molekylär medicin,Science for Life Laboratory, SciLifeLab
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- Larsson, Malin (author)
- Linköpings universitet,Linköping University,Science for Life Laboratory (SciLifeLab),National Bioinformatics Infrastructure Sweden (NBIS), SciLifeLab,Bioinformatik,Tekniska fakulteten,Linköping Univ, Dept Phys Chem & Biol, Sci Life Lab, Natl Bioinformat Infrastruct Sweden, Linköping, Sweden.
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- Ringnér, Markus (author)
- Lund University,Lunds universitet,Molekylär cellbiologi,Biologiska institutionen,Naturvetenskapliga fakulteten,Molecular Cell Biology,Department of Biology,Faculty of Science,National Bioinformatics Infrastructure Sweden (NBIS), SciLifeLab,Science for Life Laboratory (SciLifeLab),Lund Univ, Dept Biol, Sci Life Lab, Natl Bioinformat Infrastruct Sweden, Lund, Sweden.
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- Nystedt, Sara (author)
- Uppsala universitet,Uppsala University,Uppsala Univ, Sweden,Molekylär medicin,Science for Life Laboratory, SciLifeLab
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- Marincevic-Zuniga, Yanara (author)
- Uppsala universitet,Uppsala University,Uppsala Univ, Sweden,Molekylär medicin,Science for Life Laboratory, SciLifeLab
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- Tamm, K. P. (author)
- Karolinska Institute,Karolinska Institutet,Karolinska Inst, Dept Oncol Pathol, Stockholm, Sweden.
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- Abrahamsson, Jonas, 1954 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för pediatrik,Institute of Clinical Sciences, Department of Pediatrics,Sahlgrenska Academy,Univ Gothenburg, Inst Clin Sci, Dept Pediat, Sahlgrenska Acad, Gothenburg, Sweden.;Nordic Soc Pediat Hematol & Oncol, Stockholm, Sweden.
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- Fogelstrand, Linda, 1974 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för biomedicin, avdelningen för laboratoriemedicin,Department of Laboratory Medicine,Sahlgrenska Academy,Univ Gothenburg, Inst Biomed, Dept Lab Med, Sahlgrenska Acad, Gothenburg, Sweden.;Sahlgrens Univ Hosp, Dept Clin Chem, Gothenburg, Sweden.;Nordic Soc Pediat Hematol & Oncol, Stockholm, Sweden.
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- Heyman, M. (author)
- Karolinska Institutet,Karolinska University Hospital,Karolinska Univ Hosp, Childhood Canc Res Unit, Stockholm, Sweden.;Nordic Soc Pediat Hematol & Oncol, Stockholm, Sweden.
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- Norén-Nyström, Ulrika (author)
- Umeå universitet,Umeå University,Univ Umeå, Dept Clin Sci & Pediat, Umeå, Sweden.;Nordic Soc Pediat Hematol & Oncol, Stockholm, Sweden.,Pediatrik,For the Nordic Society of Pediatric Hematology and Oncology, Stockholm, Sweden
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- Lönnerholm, Gudmar, 1941- (author)
- Uppsala universitet,Uppsala University,Uppsala Univ, Sweden,Institutionen för kvinnors och barns hälsa
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- Harila-Saari, Arja H. (author)
- Uppsala universitet,Uppsala University,Uppsala Univ, Dept Womens & Childrens Hlth, Uppsala, Sweden.;Nordic Soc Pediat Hematol & Oncol, Stockholm, Sweden.,Barnneurologi/Barnonkologi
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- Berglund, Eva Caroline (author)
- Uppsala universitet,Uppsala University,Uppsala Univ, Sweden,Molekylär medicin,Science for Life Laboratory, SciLifeLab
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- Nordlund, Jessica (author)
- Uppsala universitet,Uppsala University,Uppsala Univ, Sweden,Molekylär medicin,Science for Life Laboratory, SciLifeLab
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- Syvänen, Ann-Christine, 1950- (author)
- Uppsala universitet,Uppsala University,Uppsala Univ, Sweden,Molekylär medicin,Science for Life Laboratory, SciLifeLab
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(creator_code:org_t)
- 2021-08-06
- 2021
- English.
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In: Scientific Reports. - : Springer Science and Business Media LLC. - 2045-2322. ; 11:1
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Abstract
Subject headings
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- The mechanisms driving clonal heterogeneity and evolution in relapsed pediatric acute lymphoblastic leukemia (ALL) are not fully understood. We performed whole genome sequencing of samples collected at diagnosis, relapse(s) and remission from 29 Nordic patients. Somatic point mutations and large-scale structural variants were called using individually matched remission samples as controls, and allelic expression of the mutations was assessed in ALL cells using RNA-sequencing. We observed an increased burden of somatic mutations at relapse, compared to diagnosis, and at second relapse compared to first relapse. In addition to 29 known ALL driver genes, of which nine genes carried recurrent protein-coding mutations in our sample set, we identified putative non-protein coding mutations in regulatory regions of seven additional genes that have not previously been described in ALL. Cluster analysis of hundreds of somatic mutations per sample revealed three distinct evolutionary trajectories during ALL progression from diagnosis to relapse. The evolutionary trajectories provide insight into the mutational mechanisms leading relapse in ALL and could offer biomarkers for improved risk prediction in individual patients.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Medicinska och farmaceutiska grundvetenskaper -- Medicinsk genetik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Basic Medicine -- Medical Genetics (hsv//eng)
Keyword
- genomic landscape
- cancer
- signatures
- childhood
- Science & Technology - Other Topics
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Sayyab, Shumaila
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Lundmark, Anders
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Larsson, Malin
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Ringnér, Markus
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Nystedt, Sara
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Marincevic-Zunig ...
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Tamm, K. P.
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Abrahamsson, Jon ...
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Fogelstrand, Lin ...
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Heyman, M.
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Norén-Nyström, U ...
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Lönnerholm, Gudm ...
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Harila-Saari, Ar ...
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Berglund, Eva Ca ...
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Nordlund, Jessic ...
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Syvänen, Ann-Chr ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cancer and Oncol ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Basic Medicine
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and Medical Genetics
- Articles in the publication
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Scientific Repor ...
- By the university
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University of Gothenburg
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Karolinska Institutet
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Lund University
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Linköping University
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Uppsala University
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Umeå University