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Ray S, Chaturvedi NK, Bhakat KK, Rizzino A, Mahapatra S. Subgroup-Specific Diagnostic, Prognostic, and Predictive Markers Influencing Pediatric Medulloblastoma Treatment. Diagnostics (Basel) 2021; 12:diagnostics12010061. [PMID: 35054230 PMCID: PMC8774967 DOI: 10.3390/diagnostics12010061] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2021] [Revised: 12/11/2021] [Accepted: 12/18/2021] [Indexed: 12/24/2022] Open
Abstract
Medulloblastoma (MB) is the most common malignant central nervous system tumor in pediatric patients. Mainstay of therapy remains surgical resection followed by craniospinal radiation and chemotherapy, although limitations to this therapy are applied in the youngest patients. Clinically, tumors are divided into average and high-risk status on the basis of age, metastasis at diagnosis, and extent of surgical resection. However, technological advances in high-throughput screening have facilitated the analysis of large transcriptomic datasets that have been used to generate the current classification system, dividing patients into four primary subgroups, i.e., WNT (wingless), SHH (sonic hedgehog), and the non-SHH/WNT subgroups 3 and 4. Each subgroup can further be subdivided on the basis of a combination of cytogenetic and epigenetic events, some in distinct signaling pathways, that activate specific phenotypes impacting patient prognosis. Here, we delve deeper into the genetic basis for each subgroup by reviewing the extent of cytogenetic events in key genes that trigger neoplastic transformation or that exhibit oncogenic properties. Each of these discussions is further centered on how these genetic aberrations can be exploited to generate novel targeted therapeutics for each subgroup along with a discussion on challenges that are currently faced in generating said therapies. Our future hope is that through better understanding of subgroup-specific cytogenetic events, the field may improve diagnosis, prognosis, and treatment to improve overall quality of life for these patients.
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Affiliation(s)
- Sutapa Ray
- Department of Pediatrics, University of Nebraska Medical Center, 601 S Saddle Creek Road, Omaha, NE 68198, USA; (S.R.); (N.K.C.)
- Fred and Pamela Buffet Cancer Center, University of Nebraska Medical Center, Omaha, NE 68105, USA; (K.K.B.); (A.R.)
| | - Nagendra K. Chaturvedi
- Department of Pediatrics, University of Nebraska Medical Center, 601 S Saddle Creek Road, Omaha, NE 68198, USA; (S.R.); (N.K.C.)
- Fred and Pamela Buffet Cancer Center, University of Nebraska Medical Center, Omaha, NE 68105, USA; (K.K.B.); (A.R.)
| | - Kishor K. Bhakat
- Fred and Pamela Buffet Cancer Center, University of Nebraska Medical Center, Omaha, NE 68105, USA; (K.K.B.); (A.R.)
- Department of Genetics, Cell Biology, and Anatomy, University of Nebraska Medical Center, Omaha, NE 68198, USA
| | - Angie Rizzino
- Fred and Pamela Buffet Cancer Center, University of Nebraska Medical Center, Omaha, NE 68105, USA; (K.K.B.); (A.R.)
- Eppley Institute for Research in Cancer and Allied Disease, University of Nebraska Medical Center, Omaha, NE 68198, USA
| | - Sidharth Mahapatra
- Department of Pediatrics, University of Nebraska Medical Center, 601 S Saddle Creek Road, Omaha, NE 68198, USA; (S.R.); (N.K.C.)
- Fred and Pamela Buffet Cancer Center, University of Nebraska Medical Center, Omaha, NE 68105, USA; (K.K.B.); (A.R.)
- Department of Biochemistry and Molecular Biology, University of Nebraska Medical Center, Omaha, NE 68198, USA
- Correspondence: ; Tel.: +1-(402)-599-7754
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Kanchan RK, Perumal N, Atri P, Chirravuri Venkata R, Thapa I, Klinkebiel DL, Donson AM, Perry D, Punsoni M, Talmon GA, Coulter DW, Boue' DR, Snuderl M, Nasser MW, Batra SK, Vibhakar R, Mahapatra S. MiR-1253 exerts tumor-suppressive effects in medulloblastoma via inhibition of CDK6 and CD276 (B7-H3). Brain Pathol 2020; 30:732-745. [PMID: 32145124 PMCID: PMC7383594 DOI: 10.1111/bpa.12829] [Citation(s) in RCA: 31] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2019] [Revised: 02/04/2020] [Accepted: 02/25/2020] [Indexed: 12/21/2022] Open
Abstract
Of the four primary subgroups of medulloblastoma, the most frequent cytogenetic abnormality, i17q, distinguishes Groups 3 and 4 which carry the highest mortality; haploinsufficiency of 17p13.3 is a marker for particularly poor prognosis. At the terminal end of this locus lies miR-1253, a brain-enriched microRNA that regulates bone morphogenic proteins during cerebellar development. We hypothesized miR-1253 confers novel tumor-suppressive properties in medulloblastoma. Using two different cohorts of medulloblastoma samples, we first studied the expression and methylation profiles of miR-1253. We then explored the anti-tumorigenic properties of miR-1253, in parallel with a biochemical analysis of apoptosis and proliferation, and isolated oncogenic targets using high-throughput screening. Deregulation of miR-1253 expression was noted, both in medulloblastoma clinical samples and cell lines, by epigenetic silencing via hypermethylation; specific de-methylation of miR-1253 not only resulted in rapid recovery of expression but also a sharp decline in tumor cell proliferation and target gene expression. Expression restoration also led to a reduction in tumor cell virulence, concomitant with activation of apoptotic pathways, cell cycle arrest and reduction of markers of proliferation. We identified two oncogenic targets of miR-1253, CDK6 and CD276, whose silencing replicated the negative trophic effects of miR-1253. These data reveal novel tumor-suppressive properties for miR-1253, i.e., (i) loss of expression via epigenetic silencing; (ii) negative trophic effects on tumor aggressiveness; and (iii) downregulation of oncogenic targets.
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Affiliation(s)
- Ranjana K Kanchan
- Department of Biochemistry, University of Nebraska Medical Center, Omaha, NE
| | - Naveenkumar Perumal
- Department of Biochemistry, University of Nebraska Medical Center, Omaha, NE
| | - Pranita Atri
- Department of Biochemistry, University of Nebraska Medical Center, Omaha, NE
| | | | - Ishwor Thapa
- School of Interdisciplinary Informatics, University of Nebraska at Omaha, Omaha, NE
| | - David L Klinkebiel
- Department of Biochemistry, University of Nebraska Medical Center, Omaha, NE
| | - Andrew M Donson
- Morgan Adams Pediatric Brain Tumor Research Program, University of Colorado School of Medicine, Denver, CO
| | - Deborah Perry
- Department of Pathology, Children's Hospital and Medical Center, Omaha, NE
| | - Michael Punsoni
- Department of Pathology, University of Nebraska Medical Center, Omaha, NE
| | - Geoffrey A Talmon
- Department of Pathology, University of Nebraska Medical Center, Omaha, NE
| | - Donald W Coulter
- Department of Hematology/Oncology, University of Nebraska Medical Center, Omaha, NE
| | - Daniel R Boue'
- Department of Pathology and Laboratory Medicine, Nationwide Children's Hospital and the Ohio State University, Columbus, OH
| | - Matija Snuderl
- Department of Pathology, New York University Langone Health, New York, NY
| | - Mohd W Nasser
- Department of Biochemistry, University of Nebraska Medical Center, Omaha, NE
| | - Surinder K Batra
- Department of Biochemistry, University of Nebraska Medical Center, Omaha, NE
| | - Rajeev Vibhakar
- Morgan Adams Pediatric Brain Tumor Research Program, University of Colorado School of Medicine, Denver, CO
| | - Sidharth Mahapatra
- Department of Biochemistry, University of Nebraska Medical Center, Omaha, NE.,Department of Pediatrics, University of Nebraska Medical Center, Omaha, NE
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Cardoso C, Leventer RJ, Ward HL, Toyo-oka K, Chung J, Gross A, Martin CL, Allanson J, Pilz DT, Olney AH, Mutchinick OM, Hirotsune S, Wynshaw-Boris A, Dobyns WB, Ledbetter DH. Refinement of a 400-kb critical region allows genotypic differentiation between isolated lissencephaly, Miller-Dieker syndrome, and other phenotypes secondary to deletions of 17p13.3. Am J Hum Genet 2003; 72:918-30. [PMID: 12621583 PMCID: PMC1180354 DOI: 10.1086/374320] [Citation(s) in RCA: 160] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2002] [Accepted: 01/09/2003] [Indexed: 01/04/2023] Open
Abstract
Deletions of 17p13.3, including the LIS1 gene, result in the brain malformation lissencephaly, which is characterized by reduced gyration and cortical thickening; however, the phenotype can vary from isolated lissencephaly sequence (ILS) to Miller-Dieker syndrome (MDS). At the clinical level, these two phenotypes can be differentiated by the presence of significant dysmorphic facial features and a more severe grade of lissencephaly in MDS. Previous work has suggested that children with MDS have a larger deletion than those with ILS, but the precise boundaries of the MDS critical region and causative genes other than LIS1 have never been fully determined. We have completed a physical and transcriptional map of the 17p13.3 region from LIS1 to the telomere. Using fluorescence in situ hybridization, we have mapped the deletion size in 19 children with ILS, 11 children with MDS, and 4 children with 17p13.3 deletions not involving LIS1. We show that the critical region that differentiates ILS from MDS at the molecular level can be reduced to 400 kb. Using somatic cell hybrids from selected patients, we have identified eight genes that are consistently deleted in patients classified as having MDS. In addition, deletion of the genes CRK and 14-3-3 epsilon delineates patients with the most severe lissencephaly grade. On the basis of recent functional data and the creation of a mouse model suggesting a role for 14-3-3 epsilon in cortical development, we suggest that deletion of one or both of these genes in combination with deletion of LIS1 may contribute to the more severe form of lissencephaly seen only in patients with MDS.
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Affiliation(s)
- Carlos Cardoso
- Department of Human Genetics, University of Chicago, Chicago; INSERM U491, Faculté de Médecine La Timone, Marseille; Department of Neurology and Murdoch Children's Research Institute, Royal Children’s Hospital, Melbourne; Departments of Pediatrics and Medicine, University of California–San Diego School of Medicine, La Jolla, CA; Division of Genetics, Children’s Hospital of Eastern Ontario and University of Ottawa, Ottawa; Institute for Medical Genetics, University Hospital of Wales, Cardiff; Center for Human Genetics, University of Nebraska Medical Center, Omaha; Departamento de Genética, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Tlalpan, Mexico; and Research Institute for Genomic Medicine, Saitama Medical School, Hidaka City, Japan
| | - Richard J. Leventer
- Department of Human Genetics, University of Chicago, Chicago; INSERM U491, Faculté de Médecine La Timone, Marseille; Department of Neurology and Murdoch Children's Research Institute, Royal Children’s Hospital, Melbourne; Departments of Pediatrics and Medicine, University of California–San Diego School of Medicine, La Jolla, CA; Division of Genetics, Children’s Hospital of Eastern Ontario and University of Ottawa, Ottawa; Institute for Medical Genetics, University Hospital of Wales, Cardiff; Center for Human Genetics, University of Nebraska Medical Center, Omaha; Departamento de Genética, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Tlalpan, Mexico; and Research Institute for Genomic Medicine, Saitama Medical School, Hidaka City, Japan
| | - Heather L. Ward
- Department of Human Genetics, University of Chicago, Chicago; INSERM U491, Faculté de Médecine La Timone, Marseille; Department of Neurology and Murdoch Children's Research Institute, Royal Children’s Hospital, Melbourne; Departments of Pediatrics and Medicine, University of California–San Diego School of Medicine, La Jolla, CA; Division of Genetics, Children’s Hospital of Eastern Ontario and University of Ottawa, Ottawa; Institute for Medical Genetics, University Hospital of Wales, Cardiff; Center for Human Genetics, University of Nebraska Medical Center, Omaha; Departamento de Genética, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Tlalpan, Mexico; and Research Institute for Genomic Medicine, Saitama Medical School, Hidaka City, Japan
| | - Kazuhito Toyo-oka
- Department of Human Genetics, University of Chicago, Chicago; INSERM U491, Faculté de Médecine La Timone, Marseille; Department of Neurology and Murdoch Children's Research Institute, Royal Children’s Hospital, Melbourne; Departments of Pediatrics and Medicine, University of California–San Diego School of Medicine, La Jolla, CA; Division of Genetics, Children’s Hospital of Eastern Ontario and University of Ottawa, Ottawa; Institute for Medical Genetics, University Hospital of Wales, Cardiff; Center for Human Genetics, University of Nebraska Medical Center, Omaha; Departamento de Genética, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Tlalpan, Mexico; and Research Institute for Genomic Medicine, Saitama Medical School, Hidaka City, Japan
| | - June Chung
- Department of Human Genetics, University of Chicago, Chicago; INSERM U491, Faculté de Médecine La Timone, Marseille; Department of Neurology and Murdoch Children's Research Institute, Royal Children’s Hospital, Melbourne; Departments of Pediatrics and Medicine, University of California–San Diego School of Medicine, La Jolla, CA; Division of Genetics, Children’s Hospital of Eastern Ontario and University of Ottawa, Ottawa; Institute for Medical Genetics, University Hospital of Wales, Cardiff; Center for Human Genetics, University of Nebraska Medical Center, Omaha; Departamento de Genética, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Tlalpan, Mexico; and Research Institute for Genomic Medicine, Saitama Medical School, Hidaka City, Japan
| | - Alyssa Gross
- Department of Human Genetics, University of Chicago, Chicago; INSERM U491, Faculté de Médecine La Timone, Marseille; Department of Neurology and Murdoch Children's Research Institute, Royal Children’s Hospital, Melbourne; Departments of Pediatrics and Medicine, University of California–San Diego School of Medicine, La Jolla, CA; Division of Genetics, Children’s Hospital of Eastern Ontario and University of Ottawa, Ottawa; Institute for Medical Genetics, University Hospital of Wales, Cardiff; Center for Human Genetics, University of Nebraska Medical Center, Omaha; Departamento de Genética, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Tlalpan, Mexico; and Research Institute for Genomic Medicine, Saitama Medical School, Hidaka City, Japan
| | - Christa L. Martin
- Department of Human Genetics, University of Chicago, Chicago; INSERM U491, Faculté de Médecine La Timone, Marseille; Department of Neurology and Murdoch Children's Research Institute, Royal Children’s Hospital, Melbourne; Departments of Pediatrics and Medicine, University of California–San Diego School of Medicine, La Jolla, CA; Division of Genetics, Children’s Hospital of Eastern Ontario and University of Ottawa, Ottawa; Institute for Medical Genetics, University Hospital of Wales, Cardiff; Center for Human Genetics, University of Nebraska Medical Center, Omaha; Departamento de Genética, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Tlalpan, Mexico; and Research Institute for Genomic Medicine, Saitama Medical School, Hidaka City, Japan
| | - Judith Allanson
- Department of Human Genetics, University of Chicago, Chicago; INSERM U491, Faculté de Médecine La Timone, Marseille; Department of Neurology and Murdoch Children's Research Institute, Royal Children’s Hospital, Melbourne; Departments of Pediatrics and Medicine, University of California–San Diego School of Medicine, La Jolla, CA; Division of Genetics, Children’s Hospital of Eastern Ontario and University of Ottawa, Ottawa; Institute for Medical Genetics, University Hospital of Wales, Cardiff; Center for Human Genetics, University of Nebraska Medical Center, Omaha; Departamento de Genética, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Tlalpan, Mexico; and Research Institute for Genomic Medicine, Saitama Medical School, Hidaka City, Japan
| | - Daniela T. Pilz
- Department of Human Genetics, University of Chicago, Chicago; INSERM U491, Faculté de Médecine La Timone, Marseille; Department of Neurology and Murdoch Children's Research Institute, Royal Children’s Hospital, Melbourne; Departments of Pediatrics and Medicine, University of California–San Diego School of Medicine, La Jolla, CA; Division of Genetics, Children’s Hospital of Eastern Ontario and University of Ottawa, Ottawa; Institute for Medical Genetics, University Hospital of Wales, Cardiff; Center for Human Genetics, University of Nebraska Medical Center, Omaha; Departamento de Genética, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Tlalpan, Mexico; and Research Institute for Genomic Medicine, Saitama Medical School, Hidaka City, Japan
| | - Ann H. Olney
- Department of Human Genetics, University of Chicago, Chicago; INSERM U491, Faculté de Médecine La Timone, Marseille; Department of Neurology and Murdoch Children's Research Institute, Royal Children’s Hospital, Melbourne; Departments of Pediatrics and Medicine, University of California–San Diego School of Medicine, La Jolla, CA; Division of Genetics, Children’s Hospital of Eastern Ontario and University of Ottawa, Ottawa; Institute for Medical Genetics, University Hospital of Wales, Cardiff; Center for Human Genetics, University of Nebraska Medical Center, Omaha; Departamento de Genética, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Tlalpan, Mexico; and Research Institute for Genomic Medicine, Saitama Medical School, Hidaka City, Japan
| | - Osvaldo M. Mutchinick
- Department of Human Genetics, University of Chicago, Chicago; INSERM U491, Faculté de Médecine La Timone, Marseille; Department of Neurology and Murdoch Children's Research Institute, Royal Children’s Hospital, Melbourne; Departments of Pediatrics and Medicine, University of California–San Diego School of Medicine, La Jolla, CA; Division of Genetics, Children’s Hospital of Eastern Ontario and University of Ottawa, Ottawa; Institute for Medical Genetics, University Hospital of Wales, Cardiff; Center for Human Genetics, University of Nebraska Medical Center, Omaha; Departamento de Genética, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Tlalpan, Mexico; and Research Institute for Genomic Medicine, Saitama Medical School, Hidaka City, Japan
| | - Shinji Hirotsune
- Department of Human Genetics, University of Chicago, Chicago; INSERM U491, Faculté de Médecine La Timone, Marseille; Department of Neurology and Murdoch Children's Research Institute, Royal Children’s Hospital, Melbourne; Departments of Pediatrics and Medicine, University of California–San Diego School of Medicine, La Jolla, CA; Division of Genetics, Children’s Hospital of Eastern Ontario and University of Ottawa, Ottawa; Institute for Medical Genetics, University Hospital of Wales, Cardiff; Center for Human Genetics, University of Nebraska Medical Center, Omaha; Departamento de Genética, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Tlalpan, Mexico; and Research Institute for Genomic Medicine, Saitama Medical School, Hidaka City, Japan
| | - Anthony Wynshaw-Boris
- Department of Human Genetics, University of Chicago, Chicago; INSERM U491, Faculté de Médecine La Timone, Marseille; Department of Neurology and Murdoch Children's Research Institute, Royal Children’s Hospital, Melbourne; Departments of Pediatrics and Medicine, University of California–San Diego School of Medicine, La Jolla, CA; Division of Genetics, Children’s Hospital of Eastern Ontario and University of Ottawa, Ottawa; Institute for Medical Genetics, University Hospital of Wales, Cardiff; Center for Human Genetics, University of Nebraska Medical Center, Omaha; Departamento de Genética, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Tlalpan, Mexico; and Research Institute for Genomic Medicine, Saitama Medical School, Hidaka City, Japan
| | - William B. Dobyns
- Department of Human Genetics, University of Chicago, Chicago; INSERM U491, Faculté de Médecine La Timone, Marseille; Department of Neurology and Murdoch Children's Research Institute, Royal Children’s Hospital, Melbourne; Departments of Pediatrics and Medicine, University of California–San Diego School of Medicine, La Jolla, CA; Division of Genetics, Children’s Hospital of Eastern Ontario and University of Ottawa, Ottawa; Institute for Medical Genetics, University Hospital of Wales, Cardiff; Center for Human Genetics, University of Nebraska Medical Center, Omaha; Departamento de Genética, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Tlalpan, Mexico; and Research Institute for Genomic Medicine, Saitama Medical School, Hidaka City, Japan
| | - David H. Ledbetter
- Department of Human Genetics, University of Chicago, Chicago; INSERM U491, Faculté de Médecine La Timone, Marseille; Department of Neurology and Murdoch Children's Research Institute, Royal Children’s Hospital, Melbourne; Departments of Pediatrics and Medicine, University of California–San Diego School of Medicine, La Jolla, CA; Division of Genetics, Children’s Hospital of Eastern Ontario and University of Ottawa, Ottawa; Institute for Medical Genetics, University Hospital of Wales, Cardiff; Center for Human Genetics, University of Nebraska Medical Center, Omaha; Departamento de Genética, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Tlalpan, Mexico; and Research Institute for Genomic Medicine, Saitama Medical School, Hidaka City, Japan
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