Absence of oncogenic canonical pathway mutations in aggressive pediatric rhabdoid tumors

MW Kieran, CWM Roberts, SN Chi… - Pediatric blood & …, 2012 - Wiley Online Library
MW Kieran, CWM Roberts, SN Chi, KL Ligon, BE Rich, LE MacConaill, LA Garraway
Pediatric blood & cancer, 2012Wiley Online Library
Background Rhabdoid tumors (also called atypical teratoid/rhabdoid tumor (AT/RT) in the
brain), are highly malignant, poor prognosis lesions arising in the kidneys, soft tissues, and
central nervous system. Targeted therapy in this disease would benefit from advanced
technologies detecting relevant actionable mutations. Procedure Here we report on the
evaluation of 25 tumors, all with known SMARCB1/INI1 alterations, for the presence of 983
different mutations in 115 oncogenes and tumor‐suppressor genes using OncoMap, a mass …
Background
Rhabdoid tumors (also called atypical teratoid/rhabdoid tumor (AT/RT) in the brain), are highly malignant, poor prognosis lesions arising in the kidneys, soft tissues, and central nervous system. Targeted therapy in this disease would benefit from advanced technologies detecting relevant actionable mutations.
Procedure
Here we report on the evaluation of 25 tumors, all with known SMARCB1/INI1 alterations, for the presence of 983 different mutations in 115 oncogenes and tumor‐suppressor genes using OncoMap, a mass spectrometric method of allele detection.
Results
Other than mutations in SMARCB1, our results identified a single activating mutation in NRAS and complete absence of oncogenic mutations in all other genes tested.
Conclusion
The absence of mutations in canonical pathways critical for development and progression of adult cancers suggests that distinct mechanisms drive these highly malignant pediatric tumors. This may limit the therapeutic utility of available targeted therapies and require a refocusing toward developmental and epigenetic pathways. Pediatr Blood Cancer 2012; 59: 1155–1157. © 2012 Wiley Periodicals, Inc.
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