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Monitoring chronic lymphocytic leukemia progression by whole genome sequencing reveals heterogeneous clonal evolution patterns.
Schuh, Anna; Becq, Jennifer; Humphray, Sean; Alexa, Adrian; Burns, Adam; Clifford, Ruth; Feller, Stephan M; Grocock, Russell; Henderson, Shirley; Khrebtukova, Irina; Kingsbury, Zoya; Luo, Shujun; McBride, David; Murray, Lisa; Menju, Toshi; Timbs, Adele; Ross, Mark; Taylor, Jenny; Bentley, David.
Afiliación
  • Schuh A; Oxford National Institute of Health Research NIHR Biomedical Research Centre, University of Oxford, Oxford OX3 9DS, United Kingdom. anna.schuh@ndcls.ox.ac.uk
Blood ; 120(20): 4191-6, 2012 Nov 15.
Article en En | MEDLINE | ID: mdl-22915640
ABSTRACT
Chronic lymphocytic leukemia is characterized by relapse after treatment and chemotherapy resistance. Similarly, in other malignancies leukemia cells accumulate mutations during growth, forming heterogeneous cell populations that are subject to Darwinian selection and may respond differentially to treatment. There is therefore a clinical need to monitor changes in the subclonal composition of cancers during disease progression. Here, we use whole-genome sequencing to track subclonal heterogeneity in 3 chronic lymphocytic leukemia patients subjected to repeated cycles of therapy. We reveal different somatic mutation profiles in each patient and use these to establish probable hierarchical patterns of subclonal evolution, to identify subclones that decline or expand over time, and to detect founder mutations. We show that clonal evolution patterns are heterogeneous in individual patients. We conclude that genome sequencing is a powerful and sensitive approach to monitor disease progression repeatedly at the molecular level. If applied to future clinical trials, this approach might eventually influence treatment strategies as a tool to individualize and direct cancer treatment.
Asunto(s)

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: ADN de Neoplasias / Leucemia Linfocítica Crónica de Células B / Análisis de Secuencia de ADN / Estudio de Asociación del Genoma Completo / Mutación Límite: Humans Idioma: En Revista: Blood Año: 2012 Tipo del documento: Article País de afiliación: Reino Unido

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: ADN de Neoplasias / Leucemia Linfocítica Crónica de Células B / Análisis de Secuencia de ADN / Estudio de Asociación del Genoma Completo / Mutación Límite: Humans Idioma: En Revista: Blood Año: 2012 Tipo del documento: Article País de afiliación: Reino Unido